Question

The nurse is caring for an older adult client with advanced dementia, confusion, and a history of falls. Which of the following interventions are appropriate to promote client safety? Select all that apply.

Answer 1

To promote client safety, the nurse should focus on environmental modifications, review of medications, and continuous monitoring for an older adult with dementia and a history of falls.

Step-by-step explanation:

The nurse should implement various interventions to promote client safety for an older adult with advanced dementia, confusion, and a history of falls. Appropriate interventions could include:

• Installing grab bars and ensuring proper lighting in the client's living area to reduce the risk of falls.
• Implementing the use of non-slip footwear or securing loose rugs to prevent slipping.
• Ensuring medications are reviewed by a healthcare provider to minimize confusion or other side effects that could contribute to falls.
• Providing a safe environment by reducing clutter and any obstacles that could cause tripping.
• Using devices such as bed alarms or floor mat sensors to alert staff if the client attempts to stand and is at risk of falling.

It's also important to monitor the individual continuously, considering their confusion and memory loss symptoms, such as confusion about time or place and difficulty with planning and executing tasks.