A newly admitted patient required seclusion immediately on entering the inpatient unit. What criteria would the nurse use to decide when to discontinue the use of seclusion?
a. Seclusion can be discontinued when the patient seems calm.
b. Discontinuation is based on outcomes developed for each patient.
c. Seclusion continues until the patient has been calm for at least 4 hours.
d. Seclusion lasts until the physician orders its discontinuation.
B
Restraint and seclusion are treatments requiring a physician's order. As with any other treatment, they should be discontinued as soon as they have achieved their purpose. Since the reason for their use varies with each patient, the criteria for discontinuation should be based on improvement in the behavior that led to seclusion for that particularly patient. Typically this includes at least the patient's ability to follow direction and maintain safe behavior. Patient calmness can be misleading but should be a factor considered along with others. There is no minimum time that patients must be calm before being released. In most locales, an order to discontinue seclusion or restraint is not needed.
You might also like to view...
A patient with protein-calorie malnutrition has been ingesting a hyperosmolar nutritional supplement three times a day for a week. Which assessment findings indicate that this patient is experiencing dehydration?
Select all that apply. 1. weight loss 2. dry mucous membranes 3. high urine specific gravity 4. new skin blister on sacrum 5. change in level of consciousness
The nurse understands that which of the following classes of drugs would be most likely to predispose a client to digitalis toxicity with regular use?
a. salicylate analgesic c. potassium wasting diuretic b. tetracycline antibiotic d. calcium-sparing antacid
Continuity of care for a particular patient is important to prevent
A) Multiple providers B) Infection C) Fragmentation of services D) Rising healthcare costs
A nurse is complaining to the nurse manager of swelling of the face, itchy and red eyes, excessive sneezing, an itchy nose, and hay fever with difficulty breathing. The nurse was sent to employee health for follow up
The employee health nurse and nurse practitioner document the nurse is experiencing symptoms of a latex allergy. Based on this information, what latex of latex allergy is the nurse experiencing? A) Skin irritation B) Contact dermatitis C) Systemic reaction D) Generalized anaphylaxis