Which of the following is essential when restraints are applied to a patient?
a. Assess restraints and skin integrity every 12 hours.
b. Use a square knot.
c. Assess the extremity for circulation and neurological integrity every 2 hours.
d. Secure the restraint to the side rail.
C
Restraints should release easily using a clove hitch knot. The nurse should perform circulation, skin, and neurological assessments every two hours. The restraint should not be secured to the side rail but rather to the bed frame.
You might also like to view...
A patient asks if the genetic tests being advertised on television can be used to create specific medication to treat a health problem. Which informatics professional should the nurse contact to answer this patient's question?
A) Bioinformatics B) Structural informatics C) Public health informatics D) Translational bioinformatics
A pregnant patient is admitted with excessive thirst and increased urination. For which problem should the nurse focus the care of this patient?
1. imbalanced fluid 2. fluid overload 3. nutritional deficiency 4. insufficient blood flow
Which maternal assessment is related to the infant's diagnosis of TEF?
a. Maternal age more than 40 years b. First term pregnancy for the mother c. Maternal history of polyhydramnios d. Complicated pregnancy
Select the primary reason why the use of ketamine would be contraindicated in patients with a history of hypertension.
A. Ketamine stimulates the sympathetic nervous system, leading to elevated blood pressure and heart rate during the anesthesia. B. Ketamine activates the alpha2 adrenergic receptors in the CNS and inhibits sympathetic activity, resulting in increased blood pressure and heart rate. C. Ketamine competitively inhibits the activity at the benzodiazepine recognition site on the GABA receptor, leading to elevated blood pressure and heart rate. D. None of these are correct.