Difficulty: Medium
Average Score: 68%
Simulated
A nurse on a mental health unit placed a client in mechanical restraints after the client assaulted another client. Which of the following actions should the nurse take?
Correct answer
B
Rationale
Correct Answer: B. Having the provider assess the client within 1 hr after applying the restraints is the most appropriate action. This is crucial to ensure the client's safety, assess the need for continued restraint, and address any potential physical or emotional harm caused by the restraints. This prompt assessment can guide further care planning and interventions.
Incorrect Choices:
A: Requesting prescription renewal every 8 hr is unnecessary and may not address the immediate need for assessment.
C: Hourly evaluation is important, but having the provider assess the client promptly is more critical for timely intervention.
D: Obtaining a prescription on an as-needed basis may delay necessary assessment and intervention, risking the client's safety.
Incorrect Choices:
A: Requesting prescription renewal every 8 hr is unnecessary and may not address the immediate need for assessment.
C: Hourly evaluation is important, but having the provider assess the client promptly is more critical for timely intervention.
D: Obtaining a prescription on an as-needed basis may delay necessary assessment and intervention, risking the client's safety.