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A 65-year-old male surgical patient is gradual onset of confusion and disoriented and attempts to get out of the bed. Client has been alert and oriented. Confusion is not related to age, or medical condition. As he is recovering from anesthesia, he pulls out his Foley catheter and IV. You decide that to protect this patient, you will request a doctor's order to apply soft restraints to his wrists and a chest restraint. There is no advance directive on his chart. The family is disturbed and angry when they see him restrained.
1. How would you deal with the family's anger? What are other options for the protection of this patient? What is hospital policy about notifying family when restraints are applied? (if you are in your peds or mental health clinical you need to get this policy from a classmate for any hospital)
2. What is the most likely cause of the patients confusion? What alternatives could the nurse have tried?
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