The nurse caring for an older adult client diagnosed with dementia bathes the client and changes the wound dressing. Prior to leaving the room, which action by the nurse is the most appropriate?
1. Raise the side rails.
2. Place the head of the bed in the semi-Fowler's position.
3. Place the bed in the low position.
4. Remove the footboard from the bed.
Correct Answer: 3
The nurse should return the bed to the low position to prevent injury to the client if he attempts to get out of bed autonomously. Side rails are generally contraindicated with most clients suffering from dementia because of the risk for injury if they attempt to crawl over the rail. The position of the bed would be determined by the time of day, activities the client will be performing, and client preference. There would be no reason to remove the footboard from the bed.
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