A Confused Client on a Ventilator Was Restrained to Prevent

Multiple Choice

A confused client on a ventilator was restrained to prevent him from pulling out his endotracheal tube.Which of the following could be a possible alternative measure that the nurse could use to avoid the use of the restraints?

A) Orient the client to the environment and explain the need for the endotracheal tube.
B) Provide a trained sitter to continuously supervise the client.
C) Camouflage the endotracheal tube with stockinette dressing.
D) Promote relaxation techniques.