The caregiver of an older adult client who has Alzheimer's disease and is being cared for at home reports a history of previous falls. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Explanation & Rationale
Choice A reason: Placing the mattress on the floor reduces the risk of injury from falls out of bed, especially for clients who are prone to wandering or disorientation at night. Choice B reason: Encouraging physical activity before bedtime may increase agitation and disrupt sleep patterns in clients with dementia. Calming routines are preferred. Choice C reason: Sensor devices on doors help monitor wandering behavior and alert caregivers, enhancing safety and preventing elopement. Choice D reason: Removing loose rugs and clutter minimizes tripping hazards and supports a safer environment for clients with impaired mobility and judgment. Choice E reason: Adequate lighting reduces confusion and helps prevent falls, especially during nighttime trips to the bathroom or when navigating unfamiliar spaces.