The nurse is caring for a resident who has a security device for safety purposes. What interven-tion must the nurse include in the plan of care?
a. Visually check the resident every hour.
b. Turn and reposition the resident every hour.
c. Assess condition of the skin every 4 hours.
d. Reassess the need for the security device every 4 to 8 hours.
D
The need for continuing the use of the security device must be assessed every 4 to 8 hours. The patient should be visually checked every 30 minutes, and turned and skin assessed every 2 hours.
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