A patient who underwent surgery for a bowel obstruction yesterday has become confused and has made several attempts to climb out of bed.The nurse is considering options to prevent the patient from harm.Which of the following actions could be delegated to assistive nursing personnel working with the nurse?

Question

Quizplus · Accepted Answer

The skill of applying a restraint can be delegated to trained nursing assistive personnel.However,the nurse is responsible for assessing a patient's behavior,determining the need for restraint,the type of restraint to use,and performing patient assessments while restraints are in place.Patients,who are confused,disoriented,or who repeatedly fall or try to remove medical devices (e.g.,IV lines or dressings)may require the temporary use of restraints to keep them safe.Restraints are not a solution to a patient problem but rather a temporary means to maintain patient safety.All alternatives must be used before placing patients in restraints.Performing an assessment,obtaining orders from the physician and including the family in the discussion of why restraints are necessary are all jobs that cannot be delegated to a nursing assistive personnel (NAP); and must be performed by the nurse.

A Patient Who Underwent Surgery for a Bowel Obstruction Yesterday