A 79-year-old resident in a long-term care facility is known to "wander" at night and has fallen in the past. Which of the following nursing interventions is the most appropriate for this client?
a. An abdominal restraint should be placed on the client during sleeping hours.
b. The client should be checked frequently during the night.
c. A radio should be left playing at the bedside to assist in reality orientation.
d. The client should be placed in a room away from the activity of the nursing sta-tion.
B
Alternatives to restraints should be attempted first. (A physician's order is required for restraints to be applied.) The most appropriate intervention is to check on the client frequently.
Alternatives to restraints should be attempted first.
A radio may help orient a client to reality. However, the most appropriate intervention for the client who wanders is to check on the client frequently.
Clients who wander should be assigned to rooms near the nursing station and checked on fre-quently.
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