The nurse is applying a restraint on a child who is ordered to remain on bed rest and is not cooperating with the nursing staff. Which of the following are safety guidelines for this procedure?
A) A physician's order is usually required for a restraint.
B) Restraints must be released and reapplied every 4 hours.
C) The child's skin and circulation must be checked every 3 hours.
D) The safety device makes careful observation of the child unnecessary.
A
Feedback:
A physician's order is usually required for application of any restraint device. The nurse should release and reapply restraints every 1 to 2 hours, and check the child's skin and circulation each hour. The safety device is not a substitute for good observation.
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