Which of the following actions is most appropriate for the nurse to implement to protect a client from injury during an episode of delirium?

Question

Quizplus · Accepted Answer

The priority goal is to protect the client from harm, and a staff member will be most experienced in providing safe care. Visits by family members are helpful in reorienting the client, but families should not be responsible for protecting clients from injury.
Antipsychotic medications may be ordered, but only if other measures are not effective because these medications have multiple adverse effects. Restraints are sometimes used but tend to increase agitation and disorientation.

Which of the Following Actions Is Most Appropriate for the Nurse