The nurse is concerned that the patient will pull out the endotracheal tube. As part of the nursing management, the nurse obtains an order for:
a. a Posey-type vest.
b. a higher dosage of lorazepam.
c. propofol.
d. soft wrist restraints.
D
Restraints are associated with an increased incidence of agitation and delirium. Therefore, the least restrictive methods of restraint are recommended, which is the soft wrist restraints. The Posey-type vest will not prevent self-extubation. The least amount of sedation is also recommended; therefore, neither increasing the dosage of lorazepam nor adding propofol is indicated and would likely prolong mechanical ventilation.
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