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Zorluk: KolayAccident, Error, and Injury Prevention

A registered nurse (RN) and an unlicensed assistive personnel (UAP) are caring for a 78-year-old client who is hospitalized for a severe urinary tract infection. The client becomes increasingly restless and repeatedly attempts to climb over the bed rails. Which action is the most appropriate initial intervention to ensure the client's safety?

  1. A
    Request a prescription for physical restraints from the healthcare provider to prevent an imminent fall.
  2. B
    Direct the UAP to perform a neurological assessment to determine the cause of the restlessness.
  3. Implement a bed alarm system and relocate the client to a room closer to the nurses' station.Cevap
  4. D
    Document the client's restlessness as an expected age-related cognitive change and continue routine monitoring.

Cevap

The most appropriate initial intervention is to implement a bed alarm system and relocate the client to a room closer to the nurses' station.
Implementing a bed alarm and moving the client closer to the nurses' station prioritizes safety through close observation while strictly adhering to the standard of using the least restrictive alternative first.

Adım Adım Çözüm

1
Analyze the client's situation and identify the primary safety risk.
The client is an older adult exhibiting restlessness and attempting to climb out of bed, creating a high risk for falls or injury.
Recognizing the immediate safety hazard is the critical first step in clinical decision-making.
2
Evaluate the available interventions against the principle of the least restrictive environment.
Interventions such as bed alarms and room relocation provide safety monitoring without restricting the client's physical freedom.
Nursing standards strictly require the use of less restrictive alternatives before considering any physical or chemical restraints.

Anahtar Kavram

Accident and Injury Prevention: Restraint Alternatives and Fall Safety
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Konular

Accident, Error, and Injury Prevention

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