Mr. Chan has received two units of packed red blood cells and the furosemide. Mayling and Sueling have left to get some dinner.

Mr. Chan has received two units of packed red blood cells and the furosemide. Mayling and Sueling have left to get some dinner. They have been gone for about two hours when Mr. Chan becomes very agitated, tachycardic, and short of breath. Telemetry shows rapid atrial fibrillation with a heart rate in the 180’s. 11. What is your first action as the nurse caring for Mr. Chan? 12. What orders should you anticipate for Mr. Chan? Mr. Chan becomes aggressive and must be restrained for his safety. 13. What are the legal obligations of the nurse regarding a restrained patient? 14. What is meant by the phrase “least restrictive measure?” After the restraints have been applied, Mr. Chan’s heart rhythm changes to v-tach and his AICD fires. Mr. Chan becomes unconscious and stops breathing. After CPR is started, the charge nurse tries to contact Mayling and Sueling to inform them that CPR is in progress. Mr. Chan is intubated and about to be transferred to the ICU when his family arrives. Sueling and Mayling are arguing about whether CPR should be continued. 15. Who is the legally responsible party with regards to medical decision making for Mr. Chan?