The nurse is aware that restraining a patient is most likely to result in the patient:
1. Pulling out an endotracheal tube
2. Pulling out an intravenous line
3. Disconnecting ventilator tubing
4. Developing a nosocomial infection
4
Rationale 1: The use of a restraint will not cause the patient to pull out an endotracheal tube.
Rationale 2: The use of a restraint will not cause the patient to pull out an intravenous line.
Rationale 3: The use of a restraint will not cause the patient to disconnect ventilator tubing.
Rationale 4: When people are restrained, they are more likely to develop nosocomial infections.
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