The nurse is planning care for a client who is experiencing confusion.Which action by the nurse ensures safety for this client?

Question

Quizplus · Accepted Answer

A) To prevent falls in the confused client, the nurse should place the call bell next to the client so that the client does not fall trying to reach for it. The bed rails do not need to be up when the client is with a staff member but should be up if the client is alone. Most agency windows are kept closed or are the type that cannot open wide enough to cause injury. Administering ordered medication will not prevent injury to the client.
B) To prevent falls in the confused client, the nurse should place the call bell next to the client so that the client does not fall trying to reach for it. The bed rails do not need to be up when the client is with a staff member but should be up if the client is alone. Most agency windows are kept closed or are the type that cannot open wide enough to cause injury. Administering ordered medication will not prevent injury to the client.
C) To prevent falls in the confused client, the nurse should place the call bell next to the client so that the client does not fall trying to reach for it. The bed rails do not need to be up when the client is with a staff member but should be up if the client is alone. Most agency windows are kept closed or are the type that cannot open wide enough to cause injury. Administering ordered medication will not prevent injury to the client.
D) To prevent falls in the confused client, the nurse should place the call bell next to the client so that the client does not fall trying to reach for it. The bed rails do not need to be up when the client is with a staff member but should be up if the client is alone. Most agency windows are kept closed or are the type that cannot open wide enough to cause injury. Administering ordered medication will not prevent injury to the client.

The Nurse Is Planning Care for a Client Who Is