CRNE Exam Prep

Category - Professionalism

A nurse working in the ICU is concerned that a client who has overdosed will be violent when she regains consciousness. The nurse has seen this happen with other clients. This client has an endotracheal tube, plus several intravenous lines, running. The nurse believes it would be in the client’s best interest to apply wrist restraints. What must she do prior to applying the restraints?
  1. Obtain consent from the family.
  2. Go ahead and apply the restraints, as it is a nursing decision.
  3. Discuss the situation with the physiotherapist.
  4. Discuss the decision with her coworkers.
Explanation
Answer: A - Since the client is unconscious, permission from the family must be obtained. Of course, the matter must also be discussed with the attending doctor. The decision is not up to the physiotherapist.
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