The nurse is planning to apply restraints to a client. In which situation may the nurse legally use restraints?
a. The client states he wants to get out of bed but the doctor has ordered bed rest.
b. The client keeps asking for help to go to the bathroom and the nurse is very busy.
c. The newly admitted client is confused as to the location of his bathroom.
d. The critically ill client becomes violent and is removing IV lines and medical monitoring devices.
ANS: D
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A 50-year-old man is overweight, has a high-stress job, a sedentary lifestyle, and a father with heart disease. He is at greatest risk for
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