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Zorluk: KolayLegal Rights and Responsibilities

A young adult client recovering from a traumatic brain injury is disoriented and repeatedly attempts to remove a continuous intravenous infusion line. Which legally required action must the registered nurse perform before considering the application of physical restraints?

  1. Implement and document the use of less restrictive safety measures.Cevap
  2. B
    Request a PRN (as-needed) prescription for physical restraints from the healthcare provider.
  3. C
    Assign an unlicensed assistive personnel to independently assess when the restraints become necessary.
  4. D
    Secure the client's arms tightly with bed linens to restrict movement towards the intravenous site.

Cevap

The nurse must implement and document the use of less restrictive safety measures before considering physical restraints.
By law, physical restraints are considered a safety measure of absolute last resort. Healthcare regulations mandate that the registered nurse must first implement and thoroughly document the failure of less restrictive alternatives (such as providing a sitter, hiding the IV site, reorienting the client, or using bed alarms) before applying any form of physical restraint.

Adım Adım Çözüm

1
Identify the client's safety risk.
The disoriented client is at risk of interrupting necessary medical therapy by pulling at the IV line.
Disorientation from a traumatic brain injury affects the client's judgment and safety awareness.
2
Recall legal and ethical guidelines for restraint use.
Restraints require a specific provider order, cannot be prescribed as PRN, and are only legally permissible after other methods fail.
Federal laws and healthcare regulations protect client rights against unlawful imprisonment and unnecessary physical restriction.
3
Select the priority nursing action prior to restraint use.
The nurse must try alternative, non-restrictive safety measures first.
Less restrictive alternatives (like reorientation, hiding the IV site, or a bed alarm) are legally mandated to be attempted and documented prior to any restraint application.

Anahtar Kavram

Legal requirements and alternatives for physical restraint application.
Tahmini Süre:45s
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Legal Rights and Responsibilities

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