A nurse has applied restraints to a client. After documenting the care and ensuring the client is safe, what action does the nurse take next?

Question

Quizplus · Accepted Answer

The standard required by the Centers for Medicaid and Medicare Services is to assess the restrained client at a minimum of every 2 hours. In most situations, the nurse requests the prescription before applying the restraints, however; if it is necessary to apply them first, a prescription from the provider is needed within 1 hour. Although restraints are often the source of litigation, there is no need to routinely notify the Risk Management department about the use of restraints. The client may or may not need someone to sit with him or her.

A Nurse Has Applied Restraints to a Client