Problem 197 - Cliffs Test Prep NCLEX-RN

Question

A 65-year-old client is hospitalized with shortness of breath and seizure precautions. He is unable to ambulate without help but becomes disoriented at times and tries to get out of bed. What is the most appropriate safety measure for this client? 1\. Restrain the bed. 2\. Ask a family member to stay with the client. 3\. Check the client every 15 minutes. 4\. Use a bed exit safety monitoring device.

Step-by-Step Solution

Answer

Use a bed exit safety monitoring device for timely alerts and interventions.

Step 1: Identify the Problem

The client is experiencing shortness of breath, is disoriented, and needs help ambulating. He sometimes tries to get out of bed despite needing assistance.

Step 2: Evaluate the Options

Review each safety measure: 1. Restraining may cause harm or anxiety to a disoriented client. 2. A family member might not be available or trained for continuous monitoring. 3. Checking every 15 minutes could allow incidents between checks. 4. A bed exit safety monitoring device alerts staff immediately if the client tries to leave the bed.

Step 3: Choose the Best Option

Considering the client's needs and risks, using a bed exit safety monitoring device (Option 4) is the most appropriate. It provides immediate alerts, ensuring timely intervention and safety while minimizing distress.

Key Concepts

Patient Monitoring

Effective patient monitoring is vital in ensuring the safety and well-being of clients in healthcare settings. Monitoring a patient involves more than just periodic checking; it includes continuous assessment and timely responses to any changes in the patient's condition. For instance, using a bed exit safety monitoring device serves as an essential tool for high-risk patients who may attempt to leave their beds due to confusion or disorientation, as in the case of some elderly clients. These devices can alert staff immediately to intervene and offer assistance, thus preventing falls and potential injuries.
This approach is especially important for patients with conditions that cause confusion or impaired mobility. Timely intervention is crucial to prevent possible accidents. Early alerts allow healthcare providers to prioritize patient care effectively and ensure safety.

• Continuous assessment
• Immediate alerts for quick intervention
• Minimizes risks of falls or injuries

Elderly Patient Care

Elderly patient care requires a compassionate and tailored approach given the unique challenges that arise with aging. Older adults often experience diminished mobility, cognitive challenges, and heightened sensitivity to environmental changes.
When caring for the elderly, it's essential to create an environment that minimizes hazards. For example, ensuring that rooms are well-lit, keeping floors free of clutter, and providing easy access to support devices like handrails. Special attention should be paid to monitoring systems that address cognitive impairments; disoriented patients are prone to accidents.
Collaborative care involving family members and healthcare professionals is beneficial. While family presence can provide comfort, professional oversight ensures that patients' medical and safety needs are met. Effective communication and using tools such as bed exit alarms contribute significantly to maintaining a safe and nurturing environment for the elderly.

• Tailored environments to minimize risks
• Integrated family and professional care
• Use of supportive tools and technology

Hospital Safety Protocols

Hospital safety protocols are established to maintain a safe environment for both patients and staff. These protocols encompass a wide range of procedures, from infection control to emergency response systems. In the context of hospital safety, fall prevention stands as a critical focus area, especially for patients with mobility issues or cognitive impairments.
For instance, a standardized approach involves using bed exit alarms and ensuring regular checks by healthcare staff. Each protocol is designed to address specific risk factors associated with patient care, reducing the likelihood of incidents. Considering the complexity of hospital environments, these protocols are essential in guiding staff in the consistent application of best practices, which helps deliver high-quality patient care.
Staff training and adherence to protocols are key components in ensuring safety. Protocols are regularly reviewed and updated to reflect the latest developments in medical care and patient safety standards.

• Comprehensive checklist of safety measures
• Emphasis on fall prevention
• Regular protocol updates and staff training