A nurse is concerned about the safety of a suicidal adolescent client and wants to be prepared for the use of physical restraints, if necessary. Which action by the nurse is the most appropriate in this situation?
1. Obtain a healthcare provider's order, and follow the institution's policy for use of restraints.
2. Apply the restraints, and then obtain a healthcare provider's order later.
3. Apply the restraints if parental permission is obtained.
4. Ask for the child's permission before applying the restraints.
Correct Answer: 1
Rationale: Restraints are used only when ordered by the physician and interdisciplinary team caring for the child. Physical restraint is only a short-term approach to provide immediate safety if necessary. It would not be appropriate to apply the restraints, and then obtain a healthcare provider's order. Even if permission is given by the parent and/or child, a healthcare provider's order still needs to be obtained.
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