The physician visits and writes new orders for a nursing home resident
In addition to
antihypertensive medication orders, the nurse finds the following: (1) 2-g sodium diet, (2) restraint
as needed, (3) fluids to 2000 mL daily, (4) milk of magnesia 30 mL orally once if no bowel
movement for 3 days. The nurse should
a. transcribe the orders as written.
b. question the order for restraint.
c. question the fluid order.
d. question the milk of magnesia order.
B
Restraints may be imposed only on the written order of the physician that specifies the duration
during which the restraints can be used. Joint Commission on Accreditation of Healthcare
Organizations guidelines and Omnibus Budget Reconciliation Act regulations also mandate a
number of other conditions that must be considered and documented before restraints are used. The
other orders would be considered appropriate for implementation.
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