Which is critical for the nurse to know when using restraints on children?
a. Use the least restrictive type of restraint.
b. Tie knots securely so they cannot be untied easily.
c. Secure the ties to the mattress or side rails.
d. Remove restraints every 4 hours to assess skin.
A
When restraints are necessary, the nurse should institute the least restrictive type of restraint. Knots must be tied so that they can be easily undone for quick access to the child. The ties are never tied to the mattress or side rails. They should be secured to a stable device, such as the bed frame. Restraints are removed every 2 hours to allow for range of motion, position changes, and assessment of skin integrity.
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