The nurse determines that an older adult who has chronic bronchitis is at high risk for falls, but he repeatedly tries to ambulate without assistance. Which alternative measure to restraints is contraindicated for this older adult?
a. Inform staff about his risk for falls.
b. Place a concave mattress on the bed.
c. Provide frequent walks in the hallway.
d. Help him learn to use an assistive device.
B
Feedback
A Incorrect. Communicating the risk for falls is a suitable alternative measure to restraints for him because it employs multiple people to observe, manage, and lower his fall risk.
B Correct. A concave mattress is a restraint alternative, but it is contraindicated for this patient who has chronic bronchitis because lowering the relative position of his torso in relationship to the head and lower extremities puts extra pressure on the diaphragm and restricts chest expansion. This makes the work of breathing much more difficult for him and is contraindicated because chronic bronchitis is an obstructive breathing disorder.
C Incorrect. Providing frequent walks can be an effective restraint alternative for this older adult if he is restless or bored.
D Incorrect. The nurse helps him to learn how to use an assistive device to help avoid the use of restraints.
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