A patient is combative and aggressive while recovering from surgery. The staff apply restraints to keep the patient safe. Which situation best describes the concept of the least restrictive device when utilizing restraints?


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- Utilizing a geriatric chair or a chair that alarms when the patient gets up

- Administering medication to control the patients behavior

- Applying wrist restraints to keep a patient in bed but removing them every 2 hours

- Placing the patient in seclusion but not using physical restraints


The concept of using the least restrictive device is implemented into restraint use to identify those situations that would restrain the patient but that may not constitute full restraints and restricted movement. The nurse may need to consider potential alternatives to standard restraints and find a situation that would keep the patient safe and that would control disruptive behavior, such as with using a geri-chair.

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