Question

A nurse is caring for a client that has been confused and climbing out of the bed. What action should the nurse take if the nurse must take care of another client and leave the room?

A. Place all four side rails up and come back and check on the client when finished with the other task.
B. Place the client in soft wrist restraints so the client will not get out of the bed.
C. Inform the client not to get out of bed.
D. Don't leave the client alone and request that another nurse sit one-on-one with the client.

Answer 1

The nurse should not leave the confused client alone and request another nurse to provide one-on-one supervision.

Step-by-step explanation:

When caring for a confused client who is climbing out of bed and the nurse must leave the room, the best action to take is option D: Don't leave the client alone and request that another nurse sit one-on-one with the client. This ensures that the client is supervised and kept safe while the nurse attends to the other client. Placing all four side rails up (option A) may not be enough to prevent the client from attempting to climb out of bed, and wrist restraints (option B) should only be used as a last resort if there is a serious safety concern. Option C, informing the client not to get out of bed, may not be effective for a confused client.