A physician orders short-term restraints for an elderly patient. The nurse has the responsibility to do all of the following except

a. Remove the restraints periodically
b. Assist with range-of-motion exercises
c. Delay following the physician's instructions and contact the interdisciplinary team (IDT)
d. Observe and care for the skin periodically


C
The nurse cannot refuse to obey the physician's orders. After placing the restraints on the patient, as ordered, the nurse may discuss the situation with the supervisor or IDT if he or she seriously disagrees with the physician's assessment. While the restraints are on the patient, the nurse must monitor the patient closely, observe for skin irritations, remove the restraints periodically, and assist with range-of-motion exercises.

Nursing

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