Nursing Acceleration Challenge Exam (NACE) PN-RN Practice Test

If a patient frequently climbs out of bed at night to go to the bathroom, what is the best solution?

1. Bedside commode.

2. Chemical restraints.

3. Physical restraints.

4. Scheduled toileting.

The correct answer is: Scheduled toileting.

Implementing scheduled toileting is considered the best solution for a patient who frequently climbs out of bed at night to go to the bathroom. This approach involves creating a regular timetable for the patient to use the restroom, which can help to reduce the urgency and frequency of their need to get out of bed unexpectedly. Scheduled toileting promotes the patient's autonomy and dignity by providing opportunities for them to use the bathroom safely and comfortably, minimizing the risk of falls or injury associated with unassisted attempts to walk to the bathroom, especially at night when visibility may be poor. This strategy can also help in decreasing the incidence of nocturia or urinary incontinence by managing the patient's toileting needs proactively. Other options, such as bedside commodes, chemical restraints, and physical restraints, may address the situation to some degree but can also introduce additional complications. A bedside commode can be beneficial; however, it may not fully address the root of the issue since the patient may still feel an urgent need to navigate to the bathroom. Chemical and physical restraints can lead to significant negative outcomes, including loss of mobility, increased agitation, and the potential for harm, making them undesirable choices in providing patient care. Therefore, scheduled toileting stands out as a compassionate and effective intervention in