A health care provider writes these new prescriptions for a skilled nursing facility resident: 2 G sodium diet Restraint as needed Limit fluids to 1800 mL daily Continue antihypertensive medication Milk of magnesia 30 mL PO once if no bowel
movement for 3 days The nurse should: a. question the fluid restriction.
b. question the order for restraint.
c. transcribe the prescriptions as written.
d. assess the resident's bowel elimination.
B
Restraints may be imposed only on a written order of the health care provider that specifies the duration during which the restraints can be used. The Joint Commission guidelines and Omnibus Budget Reconciliation Act regulations also mandate a number of other conditions that must be considered and documented before restraints are used. The other orders would be considered appropriate for implementation.
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