A nurse manager is leading a discussion on legal guidelines for the use of restraints. Which of the following information should the nurse include?

A. "You can place a client in a chair with a table or tray blocking them as an alternative to restraints.": Using furniture to block a client can restrict their movement and may still be considered a form of restraint. Legal guidelines emphasize the importance of promoting client safety and dignity, so alternative measures should be explored that do not involve restricting movement.

B. "Monitoring the client less often than required can be considered negligence.": Monitoring a client in restraints less frequently than required breaches the duty of care and can lead to harm. Proper monitoring is crucial for the safety and well-being of clients, ensuring that their physical and psychological needs are adequately addressed while they are in restraints.

C. "Family members cannot file a lawsuit when restraints are used for clients who have a mental illness.": Family members retain the right to file lawsuits if they believe that the use of restraints was inappropriate or caused harm, regardless of the client's mental health status. Legal rights apply equally to all clients, including those with mental illness, ensuring accountability in the use of restraints.

D. "Chemical restraints are allowed when there is a high client-to-nurse ratio.": The use of chemical restraints is subject to strict regulations and cannot be justified based solely on staffing levels. These restraints should only be used when necessary for the client's safety and must align with established legal and ethical guidelines, ensuring that they are not used as a solution for managing staffing challenges.

A. Notify the provider: While it is essential to inform the provider about the medication error, the immediate priority is to assess the client's condition first to determine if any adverse effects have occurred. The provider can be notified after ensuring the client is stable.

B. Check the condition of the client: The first action the nurse should take is to assess the client's condition. This includes monitoring for any immediate adverse effects or reactions related to the wrong medication administered. Ensuring the client's safety is the top priority in this situation.

C. Report the occurrence to the unit manager: Reporting the error to the unit manager is an important step in the process but should be done after assessing the client's condition. The immediate focus must be on the client's well-being before addressing administrative aspects of the error.

D. Complete an incident report: Completing an incident report is necessary for documenting the error and ensuring quality improvement measures, but it is not the first action. The nurse must first prioritize the assessment and safety of the client.