Practice Question
A nurse on a medical-surgical unit is planning care for a client who has dementia and a history of wandering. Which of the following actions should the nurse plan to implement?
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Correct Answer:
Use a bed alarm.
Rationale:
🟢Clients with dementia and wandering behaviors are at high risk for falls and injuries due to impaired judgment and disorientation.
🟢A bed alarm provides an early warning when the client attempts to leave the bed unassisted, allowing staff to intervene promptly.
🟢This intervention is a safety measure that does not restrict mobility or autonomy, unlike restraints, and promotes dignity in dementia care.
🟢Bed alarms are part of a fall-prevention protocol widely used in medical-surgical units, especially for high-risk populations such as elderly clients with cognitive impairment.
🟢By ensuring early detection of movement, the nurse can redirect and reorient the client, preventing accidents while maintaining a therapeutic environment.
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This question is from RN Adult Medical Surgical 2023 a which contains 99 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 4