Final answer:
To avoid restraining the client, the nurse should consider alternative interventions such as placing the client in a chair with a lap tray and providing diversional activities. Restraints should only be used as a last resort when there is an immediate threat to the client's safety. Sedative medications should be assessed and used cautiously.
Step-by-step explanation:
When caring for an older adult client with dementia who is agitated and attempting to remove an IV catheter, the nurse should take actions to avoid restraining the client. Applying soft wrist restraints (option A) should be a last resort and only used in situations where there is an immediate threat to the client's safety or the safety of others. Restraints can cause physical and psychological harm to older adults with dementia and should be avoided whenever possible.
Administering a sedative medication (option B) may help calm the client, but it should not be the first intervention. Sedatives can have adverse effects on older adults, especially those with respiratory infections. The nurse should assess the client's agitation and attempt non-pharmacological interventions before considering medication.
Placing the client in a chair with a lap tray (option C) can help redirect their attention and provide a sense of security. This intervention can be effective in preventing the client from attempting to remove the IV catheter, as it keeps their hands occupied. However, it may not be sufficient for all clients and should be used in conjunction with other interventions.
Providing diversional activities (option D) is an important non-pharmacological intervention to reduce agitation and restlessness in older adults with dementia. Engaging the client in activities they enjoy, such as puzzles or listening to music, can redirect their attention and provide a sense of purpose. This intervention can be effective in preventing the client from attempting to remove the IV catheter.