The nurse is caring for an elderly client following a total knee replacement. The client is disoriented to time and place, and has pulled out multiple IVs. The health care provider writes an order for soft wrist restraints. Which of the following are appropriate nursing actions for this client? Select all that apply.

secure restraints with a double knot offer toileting and nutrition every 2 hours ask for a new restraint order every 48 hours check restraints for proper placement and check the skin every 2 hours document the type of restraint, need for continued use, and trial release results

The nurse is talking with a client who has been diagnosed with thyroid cancer. The client is asking about different treatment options. Which response by the nurse is most appropriate?

“There are several local support groups you can join after you have completed chemo.” “Don’t worry about it. Your doctor will explain the best course of treatment for you.” “What information has your health care provider shared about the different treatment options?” “I wouldn’t take chemo if I were you. I’ve seen so many clients…

The nurse is caring for a group of clients in an alcohol rehabilitation facility. A local news station is doing a story on addiction, and a representative comes to the facility, asking to interview a client. A client agrees to appear in the story, and the crew films an interview in the dayroom, showing a glimpse of other clients. Which violation has the nurse committed?

allowing clients in a substance abuse facility to be interviewed by the media violating the HIPAA need to know rule releasing information about a minor without parental consent There is no violation.