The nurse determines that an older adult who has chronic bronchitis is at high risk for falls,but he repeatedly tries to ambulate without assistance.Which alternative measure to restraints is contraindicated for this older adult?

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A concave mattress is a restraint alternative,but it is contraindicated for this patient who has chronic bronchitis because lowering the relative position of his torso in relationship to the head and lower extremities places extra pressure on the diaphragm and restricts chest expansion,which makes the work of breathing significantly more difficult for him and is contraindicated because chronic bronchitis is an obstructive breathing disorder.Communicating the risk for falls is a suitable alternative measure to restraints for him; it employs multiple people to observe,manage,and lower his fall risk.Providing frequent walks can be an effective restraint alternative for this older adult if he is restless or bored.Finally,the nurse can help him learn how to use an assistive device to help avoid the use of restraints.

The Nurse Determines That an Older Adult Who Has Chronic