The patient is an older male with the diagnosis of "dementia." He is confused and wanders and is occasionally combative. The physician orders "Posey vest (restraint vest) PRN." The nurse should:
a. Place the Posey vest on the patient as needed
b. Inform the physician that the order is inappropriate
c. Check the condition of the patient every 2 hours after application of the vest
d. Ignore the order
B
This order must never be written as a standing order or on an as-needed basis (i.e., prn); the condition of the restrained or secluded patient must be continually assessed, monitored, and reevaluated. Consultation with the patient's treating physician should occur as soon as possible if the restraint or seclusion is not ordered by the patient's treating physician.
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