20.5k views
5 votes
The nurse must place a wrist restraint on a client. The client tells the nurse that he does not want to wear the restraint. Which is the best nursing action to implement at this time?

A. Sedate the client first.
B. Apply the wrist restraint.
C. Contact the client's family.
D. Reconsider alternative measures.

User Raghumudem
by
7.9k points

1 Answer

6 votes

Final answer:

The best nursing action is to reconsider alternative measures.

Step-by-step explanation:

The best nursing action to implement in this situation is to reconsider alternative measures. Restraints should only be used as a last resort when all other options have been exhausted. It is important for the nurse to assess the situation and explore different interventions or methods to keep the client safe and prevent harm without restraining them. The best nursing action to implement at this time, when a client does not want to wear a wrist restraint, is D. Reconsider alternative measures. It is paramount to respect the client's autonomy and rights. The nurse should first explore and exhaust all other possible non-restrictive measures to ensure safety. This may involve seeking more information about the reasons for the client's refusal, looking into less restrictive means of ensuring safety, and discussing the situation with the multidisciplinary team for additional support and options. Only after all other options have been considered and documented, and if the restraint is still considered clinically necessary, should the nurse involve the client's family and ensure that the appropriate legal and ethical protocols are followed before applying the restraint. The use of restraints without exploring other options can have legal and ethical ramifications and may lead to psychological harm for the client.

User Budgie
by
7.7k points