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A nurse is teaching a group of newly licensed nurses about the use of mechanical restraints. Which of the following information should the nurse include in the teaching?

a. Restraints should be applied as a first-line intervention for agitated clients.

b. Restraints are used to protect clients from self-harm.

c. Restraints require a provider's order and ongoing assessment.

d. Restraints can be applied for any duration without interruption.

1 Answer

6 votes

Final answer:

The correct information about mechanical restraints is that they should not be used as a first-line intervention, are used to protect clients from self-harm, require a provider's order, and cannot be applied indefinitely, but rather need ongoing assessment.

Step-by-step explanation:

The use of mechanical restraints in healthcare is a topic of critical importance and comes with a set of guidelines that new nurses must understand. This teaching would involve several key points:

  • Restraints should not be the first-line intervention for agitated clients. Non-restraint methods for de-escalation should be attempted first.
  • Restraints are used to protect clients from self-harm when they pose an immediate risk to themselves or others and less restrictive interventions have been ineffective.
  • Restraints require a provider's order and must involve ongoing assessment to ensure the safety and rights of the client are upheld. Documentation should be meticulous, including the reason for restraint, type of restraint, and regular monitoring of the patient's condition.
  • Restraints cannot be applied for an indefinite duration without interruption. There are strict regulations regarding the duration and intervals at which restraints should be evaluated and possibly removed for patient well-being.

It is crucial that the application of restraints always respect the client's dignity and follow legal and institutional guidelines.

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