Final answer:
The appropriate statements for documentation when caring for a client in restraints are B, C, and D, as they provide relevant and specific information about the client's care and condition.
Step-by-step explanation:
The subject of this question is the appropriate documentation for a nurse caring for a client in restraints. From the given options, the appropriate statements for documentation would include:
- B. "Client was offered 8oz of water every hr." - This demonstrates that the client's hydration needs are being attended to regularly, which is important for their welfare.
- C. "Client shouted at assistive personnel." - Documenting behavioral issues is crucial as it provides context for the client's emotional state and can inform future care strategies.
- D. "Client received chlorpromazine (Thorazine) 15mg by mouth at 1000." - Recording the administration of medication, including the dosage and time, is essential for maintaining accurate medical records and ensuring medication safety.
Options A and E are less relevant to the fact they are in restraints and more about the client's behavior and daily activities. When documenting in a medical context, specificity and relevance to the client's current care or condition is vital.