Question

question 3 of 5
an older adult client has a diagnosis of vascular dementia and has been found wandering the hospital unit at numerous times during the day and night. the nurse should assign what nursing concern as the priority for this client?
altered skin integrity risk
altered physical mobility
falls risk
insomnia
error: please make a selection.
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Explanation:

For a client with vascular dementia who wanders day and night, the highest priority is the risk of falls. Wandering increases the chance of tripping, colliding with objects, or losing balance, which can lead to serious injuries. Altered skin integrity risk (from pressure ulcers, etc.) is less immediate. Altered physical mobility might be a factor but not the top priority here as the main issue is the wandering - induced fall risk. Insomnia (if related to night - wandering) is a concern but preventing falls (which can cause life - threatening or severely disabling injuries) takes precedence.

Answer:

falls risk