A patient has just undergone an abdominal aortic aneurysm repair. The patient is pulling at the Foley catheter, nasogastric tube, central line, and abdominal dressing and a wrist restraint is applied after an order is received
Later, the patient reports tingling and numbness in the fingers and hand. Which actions should the nurse take? (Select all that apply.) a. Remove the restraint immediately.
b. Remind the patient this will decrease with time.
c. Notify the health care provider.
d. Medicate the patient for pain.
e. Stay with the patient.
A, C, E
If a patient has altered neurovascular status (tingling and numbness) remove the restraint immediately, stay with the patient, and notify the health care provider. Tingling and numbness will not decrease with time; it will continue to cause damage. The patient does not need pain medication; the restraint is too tight and needs to be removed.
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