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    Ati Rn Mental Health 2023 Proctored Exam Retake 2

    A nurse is planning care for a newly admitted client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan?

    Explanation & Rationale

    Choice A reason: Keeping bedrails down may increase the risk of falls in clients with Alzheimer's disease, especially if they are confused or attempt to get out of bed unassisted. While restraints are discouraged, bedrails may be used judiciously with proper assessment to prevent injury. Choice B reason: Placing the client near the nurse’s station allows for close monitoring and rapid response to changes in behavior or safety needs. Clients with Alzheimer's are at risk for wandering, falls, and agitation, and proximity to staff enhances safety and timely intervention. Choice C reason: Bright lighting at night can disrupt sleep patterns and increase confusion. Clients with Alzheimer's benefit from a calm, dimly lit environment during nighttime to support circadian rhythm and reduce agitation. Choice D reason: Keeping the bed elevated increases fall risk. Low bed positioning is safer for clients with cognitive impairment and mobility challenges, especially if they attempt to get up without assistance.

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