Soft wrist restraints and is exhibiting agitation-grimacing

Reference no: EM133667223

Question

The nurse is caring for a client with 30% full and partial thickness burns to the back and side of head who mechanically ventilated on 50% FiO2. The client is restricted with bilateral soft wrist restraints and is exhibiting agitation and grimacing. Which intervention should the nurse implement first? Release restraints and perform passive range of motion. Limit visitation times to the immediate family Elevate the head of bed to 30 degrees. Administer prescribed intravenous pain medication.

Reference no: EM133667223

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