During the night shift, a client with a urinary tract infection becomes highly agitated and repeatedly tries to swing their legs over the bed rails. Which initial action should the practical nurse take to maintain client safety?
- Relocate the client's bed to a room that is highly visible from the nursing stationCevap
- BAsk the healthcare provider for an immediate order for bilateral soft wrist restraints
- CInstruct the assistive personnel to administer a prescribed as-needed anti-anxiety medication
- DNote the agitation in the client's chart as a normal age-related cognitive change
Cevap
Relocate the client's bed to a room that is highly visible from the nursing station
Moving the client to a room highly visible from the nursing station is a safe, non-invasive alternative that allows for closer monitoring. Nurses must always attempt least restrictive measures before resorting to physical or chemical restraints.
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Anahtar Kavram
Prioritizing least restrictive alternatives before utilizing physical or chemical restraints