A client with delirium is attempting to climb out of bed and repeatedly pulling at their IV line. The nurse has attempted reorientation and distraction without success. Which is the most appropriate next nursing action?

Question: A client with delirium is attempting to climb out of bed and repeatedly pulling at their IV line. The nurse has attempted reorientation and distraction without success. Which is the most appropriate next nursing action?

Answer options:

• Apply soft wrist restraints immediately to prevent injury.
• Request a prescription for a sedative medication from the provider. ✅ Assign a dedicated staff member to provide one-on-one supervision.
• Place the client in a supine position and elevate the side rails fully.

Correct answer: Assign a dedicated staff member to provide one-on-one supervision.

Explanation: A dedicated staff member provides continuous, direct observation and allows for immediate intervention with less restrictive means, prioritizing safety and dignity. Restraints should only be used as a last resort after other less restrictive measures have failed and with a clear order.