Which of the following concepts are important to utilize when evaluating orders for restraints? (Select all that apply.)
a. Behaviors that necessitate the use of restraint are part of the nursing plan of care.
b. A physician's order is required for restraint and includes a face-to-face evaluation.
c. The physician's preference for the format of the order can override agency policy.
d. Orders are time limited. Restraints are not ordered prn (as needed).
e. It should be specified that restraints are to be removed periodically.
f. Restraint orders are time dated and signed by the physician.
ANS: B, D, E, F
Physicians are responsible for writing restraint orders and conducting face-to-face evaluations, as well as for putting time limits, specifying when to remove, and time dating and signing orders. Behaviors that necessitate the use of restraint not only are part of the nursing documentation but are to be included as part of the order for restraint. The physician's formatting is not a consideration for evaluating restraint orders. Formatting of restraint orders typically follows state rules and regulations, as well as regulatory agency standards.
You might also like to view...
A client with primary hypertension is prescribed terazosin (Hytrin) to treat this condition
When teaching the client about how this drug works to decrease blood pressure, which mechanism of action provides the rationale for the use of the medication? A) Prevents conversion of angiotensin I to angiotensin II. B) Prevents beta-receptor stimulation in the heart. C) Inhibits the flow of calcium ions across the cell membrane of vascular tissue and cardiac cells. D) Blocks alpha-receptors in the vascular smooth muscle.
The nurse suggests to the menopausal patient who is experiencing troubling hot flashes to include in her diet such foods as cherries and black beans because these foods are:
a. high in protein. b. phytoestrogens. c. antioxidants. d. natural tranquilizers.
A nurse is teaching the staff about alterations in breathing patterns. Which information will the nurse include in the teaching session? (Select all that apply.)
a. Apnea—no respirations b. Tachypnea—regular, rapid respirations c. Kussmaul's—abnormally deep, regular, fast respirations d. Hyperventilation—labored, increased in depth and rate respirations e. Cheyne-Stokes—abnormally slow and depressed ventilation respirations f. Biot's—irregular with alternating periods of apnea and hyperventilation respirations
A nurse is caring for a patient who is addicted to alcohol and drugs and is discussing the pathway of the brain responsible for this behavior
The nurse should know that the pathway of the brain thought to be involved in pleasurable sensations and the euphoria resulting from use of drugs is called the: A) Tuberinfundibular dopamine pathway B) Nigrostriatal dopamine pathway C) Mesocortical dopamine pathway D) Mesolimbic dopamine pathway