RN Comprehensive Predictor 2023 Proctored Exam
A nurse in an acute care mental health facility is placing a client in seclusion and restraints. Which of the following actions should the nurse plan to take?
Explanation & Rationale
A. Monitoring every 30 minutes is insufficient; it should be more frequent. B. Providers must evaluate the client within 1 hour of restraint initiation, not 36 hours. C. Restraint prescriptions for adults must be renewed every 4 hours, not 6. D. Documenting the client’s behavior every 15 minutes ensures continuous assessment and compliance with safety protocols.
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