Nursing responsibilities when applying and monitoring restraints include: Standard Text: Select all that apply
1. Assess the restraint every 2–4 hours.
2. Apply a restraint such that it can be released quickly in case of an emergency.
3. Provide emotional support verbally and through touch.
4. Ensure that limb restraints are applied securely but not too tightly.
5. Record interventions at the end of the shift.
2,3,4
Rationale 1: Assess the restraint every 10–30 minutes.
You might also like to view...
Which of the following desirable characteristics would an effective nurse possess?
A) Sensitivity to cultural differences B) Team-focused nursing approach C) Strict adherence to routine D) One set cultural practice
The nurse notes an abrasion on the client's elbow. Appropriate nursing interventions include: Standard Text: Select all that apply
1. Wound should be left open to air. 2. Client should be pulled up in bed. 3. Do not wear rings or jewelry when providing care. 4. Encourage increased fluid intake. 5. Wound should be kept clean and dry.
The perinatal nurse describes risk factors for placenta previa to the student nurse. Which of the following risk factors does the nurse include? (Select all that apply.)
A. Cocaine use B. Previous cesarean birth C. Previous use of medroxyprogesterone (Depo-Provera) D. Tobacco use E. Young maternal age
A young male patient, age 14 , has been prescribed testosterone for delayed onset of puberty. Follow-up care includes a visit to the clinic at least every 6 months for ongoing assessment
It will be most important for the nurse to monitor which of the following? A) Sodium and potassium levels B) Bone growth C) Fluid intake and output D) Hemoglobin levels