NCLEX-PN

sensation, extremity range of motion, client’s vital signs, skin care provided, and that food, fluid, and toileting offered. Alternative Preventive Measures Employing alternative measures is instrumental in reducing the reliance on restraints. Below are some alternative strategies that diminish the necessity of restraints for various purposes: Prevent Falls To prevent falls, it is crucial to implement alternative measures that address the client's specific risk factors. These measures include: ●​ Accurate assessment for the risk of falls : Conduct a thorough assessment to identify clients at risk of falling based on factors such as age, medical conditions, medications, mobility, and history of falls. ●​ Initiation of falls risk interventions : Implementing specific interventions tailored to each client's risk profile. This may include providing assistance with ambulation, using assistive devices, or modifying the environment. ●​ More frequent monitoring : Increasing the frequency of checks and assessments for high-risk clients to ensure their safety and timely assistance. ●​ Reminders to call for help : Encourage clients to call for assistance before getting out of bed or a chair to prevent falls. ●​ Reorientation of the person : Providing orientation and cues to clients who may be confused or disoriented, reducing the risk of falls. ●​ Use of bed and chair alarms : Implementing alarms that alert staff when a client attempts to get out of bed or a chair without assistance. ●​ Use of companions or sitters : Assigning a companion or sitter to stay with high-risk clients and provide additional support and supervision. ●​ Positioning near the nursing station : Place clients near the nursing station or an activity hub to facilitate closer observation and quick assistance if needed. By proactively implementing these alternative measures, healthcare providers can significantly reduce the risk of falls and promote the safety and well-being of their clients. Prevent Dislodgement To prevent the dislodgement of medical tubes, lines, and catheters, it is essential to implement alternative measures that minimize the risk of unintended removal or interference. These measures include:

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