A Health Care Provider Orders That a Confused and Disoriented

A health care provider orders that a confused and disoriented patient be placed in a full hand restraint because of excessive scratching of skin.The nurse acknowledges which of the following?

A) Restraints are used on an as-needed basis.
B) No orders or patient consents are needed.
C) Restraints must be removed every 2 hours to allow for skin assessment, toileting, and nutrition.
D) An order for restraints may be used indefinitely until the patient no longer needs to be restrained.

Correct Answer:

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