Question

the nurse is caring for a client with dementia. the client has a history of wandering. which intervention(s) will the nurse implement to reduce the clients risk? select all that apply. record exactly what the client is wearing each morning. administer risperidone prophylactically to contain the client. apply physical restraints on and off throughout the day. place an audible bell over the clients room door. place a large stop sign on all exit doors.

Explanation:

• Recording what the client is wearing helps in identification if they wander off.
• Audible bells can alert staff if the client tries to leave the room.
• STOP signs may act as a visual cue to deter wandering (though effectiveness can vary).
• Administering risperidone prophylactically is not appropriate as it has side - effects and should be used for specific symptoms, not just to "contain" a client.
• Physical restraints are a last resort and should not be used on - and - off throughout the day as they can cause physical and psychological harm.

Answer:

• Record exactly what the client is wearing each morning.
• Place an audible bell over the client's room door.
• Place a large STOP sign on all exit doors.