In which of the following situations would the use of physical restraints most likely be justified?
A) Mr. Y is agitated and aggressive while he is experiencing severe withdrawal from alcohol and is not responding to chemical sedation.
B) Mrs. U, who has a diagnosis of dementia, was found wandering outside the hospital and nurses have been unable to redirect her to stay on the unit.
C) Mr. I is delirious during the acute stage of his urinary tract infection and is ringing the call bell nearly continuously.
D) Mrs. T is frequently entering other patients' rooms and attempting to crawl into others' beds.
A
Feedback:
Answer A best characterizes a situation where the client poses a risk and where restraints are a necessary last resort. In each of the other situations, alternative strategies should be implemented to address the problem in question.
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