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?
Explanation & Rationale
Rationale: A. Use a bed alarm: A bed alarm is an appropriate intervention to prevent wandering. It alerts the staff when the client tries to leave the bed, helping to keep the client safe and prevent falls or wandering at night. B. Move client to a double room: Moving the client to a double room might not address the wandering behavior. The priority is ensuring safety, and placing the client in a secure, monitored environment is a better approach than changing the room. C. Use chemical restraints at bedtime: Chemical restraints should be avoided unless absolutely necessary. They can have negative side effects and should only be used as a last resort after all other non-pharmacological interventions have been exhausted. D. Encourage participation in activities that provide excessive stimulation: Excessive stimulation can increase confusion and agitation in clients with dementia. Activities should be calming and engaging but not overwhelming, to avoid exacerbating wandering behavior.