Despite less restrictive interventions, a patient's behavior escalates, requiring emergency application of restraints. Which of the following must the nurse do in this situation?
1) Obtain a physician's order before applying restraints.
2) Monitor the patient's status every 4 hours while restrained.
3) Release the restraints and check circulation every hour.
4) Continually reevaluate the patient's need for restraint.
ANS: 4
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