The nurse finds a 68-year-old woman
wandering in the hallway and exhibiting confused behavior. The patient says
that she is looking for the bathroom. Which interventions are appropriate to
ensure the safety of the patient? (Select all that apply.) 1. Ask the physician
or health care provider to order a restraint. 2. Insert a urinary catheter. 3.
Provide scheduled toileting rounds every 2 to 3 hours. 4. Consult with the
health care provider about ordering an antianxiety medication. 5. Keep the bed
in low position with the side rails down. 6. Keep the pathway from the bed to
the bathroom clear.
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