The nursing staff members have exhausted all possible interventions to avoid placing a patient in restraints. Which of the following orders for physical restraints is written correctly?
1. 2/3/09, 1815, apply soft wrist restraints for 24 hours to prevent the removal of IV line, Dr. X
2. 2/3/09, apply restraints for 24 hours due to failure of nonrestraint nursing interventions, Dr. X
3. 2/3/09, 1815, apply soft wrist restraints for 48 hours to prevent injury, Dr. X
4. 2/3/09, To prevent falls apply restraints as needed at night, Dr. X
2/3/09, 1815, apply soft wrist restraints for 24 hours to prevent the removal of IV line, Dr. X
Rationale: Restraint orders must contain the date and time of the order, reason for the restraint use, duration of restraint use, type of restraint, and the health care provider's signature. The order must be reviewed and renewed every 24 hours.
You might also like to view...
A nurse is providing care to a patient on fibrinolytic therapy. Which of the following statements from the patient warrants further assessment and intervention by the critical care nurse?
a. "My back is killing me!" b. "There is blood on my toothbrush!" c. "Look at the bruises on my arms!" d. "My arm is bleeding where my IV is!"
A nurse is discussing health maintenance with the parent of a newborn infant. Which statement by the parent indicates understanding of ways to reduce the incidence of otitis media?
a. "I should hold my baby in an upright position during feeding." b. "I should keep my baby out of day care during cold and flu season." c. "My baby should not use a pacifier after 6 months of age." d. "The pneumococcal vaccine will prevent my baby from getting ear infections."
According to the leadership labyrinth, which of the following is a characteristic of prejudice?
a. Work-home conflict b. Cross-pressures c. Style and effectiveness d. Work experience
Parkinson disease is a degenerative disorder of the brain’s:
a. Hypothalamus b. Anterior pituitary c. Frontal lobe d. Basal ganglia