The nurse is caring for a client who consistently pulls at the IV and urinary catheter. Restraints are applied that prevent the client from being able to grasp the tubing. Which term will the nurse use when documenting the restraints used for this client?
1. Jacket restraint
2. Limb restraint
3. Mitt restraint
4. Waist restraint
3
Rationale 1: A jacket restraint is applied to the client's chest, and ties to the bed to keep the client from sitting up or getting out of bed.
Rationale 2: Limb restraints tie the arm to the bed and limit arm movement.
Rationale 3: The mitt restraint is like a mitten that goes over the hand and limits the ability of the fingers to grasp while not limiting arm movement.
Rationale 4: Waist restraints tie around the client's waist and then to the bed to limit movement.
Global Rationale: The mitt restraint is like a mitten that goes over the hand and limits the ability of the fingers to grasp while not limiting arm movement. Limb restraints tie the arm to the bed and limit arm movement. A jacket restraint is applied to the client's chest, and ties to the bed to keep the client from sitting up or getting out of bed. Waist restraints tie around the client's waist and then to the bed to limit movement.
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