Mrs. Clare was very agitated this evening. Without the knowledge of the LPN in charge, the certified nursing assistant (CNA) used soft ties to protect Mrs. Clare from falling out of bed. There was no order for their usage
On rounds several hours later, Mrs. Clare is found not breathing, tangled, with her restraints around her neck. The LPN is
a. Not at fault—she did not know Mrs. Clare was put in restraints
b. Guilty of negligence
c. Guilty of omission
d. Not concerned; after all, Mrs. Clare is a 90-year-old woman with a DNR (do not resuscitate) order
B
As the charge nurse, you are responsible for everything that goes on in your unit. The LPN was negligent in not assessing the resident more frequently. The CNA was guilty of imprisoning a patient.
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