The unlicensed assistive personnel (UAP) informs the nurse that the client has pulled the IV catheter out again and is not oriented to time or place. Which task could the nurse safely delegate to the UAP at this time?
1. Applying wrist restraints
2. Calling the health care provider to obtain an order for restraints
3. Getting mitt restraints from the supply room and meeting the nurse in the client's room
4. Applying some form of restraint to limit the client's ability to pull the IV line out again
Correct Answer: 3
It is the nurse's responsibility to assess the client before making a decision to apply a restraint, so asking the UAP to apply a restraint prior to the nurse's assessment would not be safe. The nurse should determine what type of restraint to use, and should call the health care provider for an order. The UAP could obtain restraints anticipated to be needed by the nurse and meet the nurse in the room to help with applying them once the nurse has completed the assessment.
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