A confused client needs to have restraints to prevent him from pulling

A confused client needs to have restraints to prevent him from pulling out his Foley catheter. Which of the following can the nurse delegate to the nursing assistive personnel?

1. Applying restraints
2. Obtaining a physician’s order to restrain the client
3. Document the events that led to restraining the client
4. Evaluating the effectiveness of the restraints

ANSWER

ANS: 1
Although the nursing assistive personnel can apply the restraints under the nurse’s direction, they cannot document, evaluate, or take physician’s orders.