The nurse is caring for a client who is confused and wanders. Which al

The nurse is caring for a client who is confused and wanders. Which alternative to a restraint can the nurse use for this client?

1. Assign this client to the farthest room from the nurses’ station.
2. Place a rocking chair in the client’s room.
3. Pull up all of the side rails on the bed.
4. Wedge pillows against the side rails on the bed.

ANSWER

Correct Answer: 2
Rationale 1: Assigning the client to the farthest room from the nurses’ station would be an unsafe move for the client; closer would be safer than farther.
Rationale 2: Placing a rocking chair in the client’s room will help her to expend some of her energy so that she will be less inclined to walk and wander.
Rationale 3: Pulling up all of the side rails is a restraint, so that action would not be an alternative.
Rationale 4: Keeping pillows wedged against the side rails will not keep the client from wandering. She is not in the bed.