A client admitted with hepatic encephalopathy continues to attempt ambulation without assistance despite repeated instruction. Which intervention should the nurse take to promote safety?
request a family member stay with the client around the clock
move the client closer to the nurses’ station
Number 2 is correct.
In an effort to maintain client safety with the least restrictive method, the nurse may apply a vest restraint device to subtly remind the client to not get out of bed. As a mild sedative, Xanax dosage would begin at 0.25 mg two to three times daily. The stated dosage of 6 mg is an excessive amount of medication. Requesting a family member to stay around the clock would inappropriately relegate the responsibility for safety from the hospital to the family. Moving the client closer to the nurses’ station will not promote client safety.
