During the evening shift at a long-term care facility, a client with a history of Alzheimer's disease becomes increasingly restless and repeatedly attempts to walk out the main exit doors. A visiting family member asks the practical nurse to secure the client in a wheelchair with a lap belt to prevent elopement and potential injury. Which action should the practical nurse take first?
- Assess the client for unexpressed physical needs, such as pain or a full bladder.Answer
- BApply the lap belt to ensure immediate safety and then contact the healthcare provider for a prescription.
- CAssume the behavior is a normal symptom of the client's dementia and verbally redirect them to the television room.
- DContact the healthcare provider to request a prescription for a sedative medication to calm the client's agitation.
Answer
The practical nurse should first assess the client for unexpressed physical needs, such as pain, hunger, or a full bladder.
The correct action is to assess the client for unexpressed physical needs. Clients with dementia often lack the verbal ability to communicate pain, hunger, or the need to eliminate. Wandering and restlessness are frequently manifestations of these unmet needs. Assessing and addressing the root cause is the most effective and least restrictive way to prevent injury.
Step-by-Step Solution
Key Concept
Accident, Error, and Injury Prevention: Restraint Alternatives
Estimated Time:1m 0s