The nurse is placing a restraint on an elderly male client who is on bed rest and attempts to get out of bed to go to the bathroom. Which of the following is a guideline when using restraints?

Question

A) For a client on bed rest, physical restraints are the recommended option.
B) Generally, a physician's order is required to apply restraints.
C) Restraints should be used when nursing staff is inadequate to keep clients safe.
D) Use side rails instead of restraints, as appropriate.

Answer 1

B
Feedback:
Generally, a physician's order is required to apply restraints. If restraints are necessary, as in the example stated, they should be used only after alternatives have failed to help. Restraints should never be used for the nurse's convenience or for understaffing situations. Side rails are another form of restraint. Both side rails should not be up on all beds unless proper justification exists.