A nurse needs to restrain a client who may be harmful to himself. Which of the following is the priority nursing action when applying restraints?
A) Take a physician's order for restraining.
B) Administer chemical restraints.
C) Put padding below the restraint.
D) Reassess the client's condition regularly.
A
Feedback:
The nurse should get a physician's order for using restraints on the client. Administering chemical restraints without a physician's order is illegal. Putting a pad below the restraint is important, but only after getting an order from the physician. Reassessing the client's condition is important during a restraint, but only after medical orders.
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