An older adult who is confused at night repeatedly tries to get out of bed without assistance. Which nursing intervention is most appropriate?

• 1 Keep the room dark and quiet to promote uninterrupted sleep throughout the night.
• 2 Place the bed in the lowest position, activate the bed alarm, and offer scheduled toileting. ✓ Correct answer
• 3 Raise all four side rails to prevent the client from getting out of bed unassisted.
• 4 Apply bilateral soft wrist restraints and check skin integrity every 2 hours per protocol.

For study reference only. Always follow current clinical guidelines and your institution’s protocols.