A patient is well known to the hospital staff from previous admissions and is prone to wandering at night. For patient safety, the physician writes an order for "belt restraint prn." What should the nurse do upon reviewing this order?
a. Apply a belt restraint on the patient as needed.
b. Have the patient sign an "informed consent" form.
c. Inform the physician that "prn" restraint orders are unacceptable.
d. Obtain a signed "informed consent" from a family member.
C
The use of mechanical or physical restraints should be part of a patient's prescribed medical treatment. A physician's time-limited order is necessary. The patient's or family member's informed consent is necessary in the long-term care setting.
You might also like to view...
Which of the following provides the best practice for the graduate nurse in the administration and regulation of intravenous fluids to clients?
A) Nursing supervisor B) The physician C) Nursing instructor D) State licensing board
A nurse is caring for a pregnant patient with active herpes. The teaching plan for this patient should include which of the following?
A) Babies delivered vaginally may become infected with the virus. B) Recommended treatment is excision of the herpes lesions. C) Pain generally does not occur with a herpes outbreak. D) Influenza-like symptoms may occur 1 week after the lesions appear.
When reviewing the medical record of a patient with Hodgkin lymphoma, the oncology nurse would expect to note the presence of:
A) Reed-Sternberg cells. B) hypercalcemia. C) a history of substance abuse. D) malignant plasma cells.
During the interview, the client with schizophrenia is experiencing an anxiety attack. Which of these responses by the nurse is therapeutic?
A) "If you don't watch out, you will lose control again.". B) "Stop acting like a baby! My two-year-old acts better.". C) "If you want to talk, I will stay with you.". D) "Are you faking?"