night nurse reports to the day charge nurse that soft wrist restraints were placed on an older client due to a sudden onset of confusion during which the client tried to remove the abdominal postoperative bandage. Which priority action/s) should the day charge nurse take? Select all that apply. A Counsel the night nurse regarding the legal aspects of restraining clients. B Evaluate the client's orientation to time and place. C Contact the healthcare provide and request immediate evaluation of the client. D Assess the client for bleeding from the surgical site. E Remind the night nurse to notify healthcare provider when restralnts applied.
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