مريضة عمرها ٨٢ سنة، اليوم الأول بعد تثبيت كسر الورك، تأخذ فوروسيمايد، وتصير مشوشة في الليل وحاولت تنزل من السرير مرتين لتذهب للحمّام. ما أنسب تدخل لتقليل خطر السقوط؟

An 82-year-old client, day 1 after hip fracture fixation, takes furosemide, becomes confused at night and has twice tried to get out of bed to go to the bathroom. Which intervention best reduces her fall risk?

1. All four side rails up and the door closed to reduce stimulation
2. Wrist restraints overnight to stop her getting out of bed
3. A PRN sedative at bedtime so that she sleeps through the night
4. Scheduled toileting every 2 hours with the bed alarm activated

Answer: D) Scheduled toileting every 2 hours with the bed alarm activated. Her attempts have a clear cause: urgency from the diuretic plus confusion. Scheduled toileting with a bed alarm treats that cause. Restraints and four raised rails increase agitation and the risk of climbing over, and sedatives worsen confusion in older adults.