Pn fundamentals 2023
Pn fundamentals 2023 ( 55 Questions)
A nurse is caring for a client who has a new prescription for a belt restraint. Which of the following actions should the nurse take?
Applying the restraint over the client’s gown protects the skin and ensures comfort.
Restraints should never be tied to the side rail as it could lead to injury if the bed is adjusted; they should be tied to a stable part of the bed frame.
Skin integrity should be checked more frequently than every 4 hours to prevent injury.
Typically, two fingers, not four, should fit between the restraint and the client’s body to ensure it’s secure but not too tight.
A. Applying the restraint over the client’s gown protects the skin and ensures comfort.
B. Restraints should never be tied to the side rail as it could lead to injury if the bed is adjusted; they should be tied to a stable part of the bed frame.
C. Skin integrity should be checked more frequently than every 4 hours to prevent injury.
D. Typically, two fingers, not four, should fit between the restraint and the client’s body to ensure it’s secure but not too tight.