Which alternative to a restraint can the nurse use for a client who is confused and wanders?
1. Assign this client to the farthest room from the nurses' station.
2. Place a rocking chair in her room.
3. Pull up all the side rails on the bed.
4. Wedge pillows against the side rails on the bed.
Correct Answer: 2
Rationale 1: Assigning the client to the farthest room from the nurses' station would be an unsafe move toward the client; closer would be safer than farther.
Rationale 2: Placing a rocking chair in the client's room will help her to expend some of her energy so that she will be less inclined to walk and wander.
Rationale 3: Pulling up all the side rails is a restraint, so that action would not be an alternative.
Rationale 4: Keeping pillows wedged against the side rails will not keep the client from wandering. She is not in the bed.
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