An older adult with moderately severe dementia forgets where the bathroom is and has episodes of incontinence. Which intervention should the nurse suggest to the patient's family?
a. Label the bathroom door.
b. Take the older adult to the bathroom hourly.
c. Place the older adult in disposable adult briefs.
d. Limit the intake of oral fluids to 1000 ml per day.
ANS: A
The patient with moderately severe dementia has memory loss that begins to interfere with activities. This patient may be able to use environmental cues such as labels on doors to compensate for memory loss. Regular toileting may be helpful, but a 2-hour schedule is often more reasonable. Placing the patient in disposable briefs is more appropriate at a later stage. Severely limiting oral fluid intake would predispose the patient to a urinary tract infection.
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