The nurse is caring for a pediatric client who is focused on pulling out the IV line in the right arm. Which type of restraint is the most appropriate for this client?
1. Elbow restraint to the right arm
2. Elbow restraint to the left arm
3. Mitt restraint to the right hand
4. Wrist restraint to the left arm
2
Rationale 1: Restraining the right arm or hand with the IV line would not limit the left hand from pulling the IV.
Rationale 2: The nurse would apply an elbow restraint to the arm that does not have the IV, because the client would reach with the left arm.
Rationale 3: A mitt restraint to the right hand would not limit the left hand from pulling out the IV.
Rationale 4: Wrist restraints would limit all movement of the arm, whereas elbow restraints would only limit bending of the elbow, so this is the less restrictive and best choice.
Global Rationale: The nurse would apply an elbow restraint to the arm that does not have the IV, because the client would reach with the left arm. Restraining the right arm or hand with the IV line would not limit the left hand from pulling the IV. A mitt restraint to the right hand would not limit the left hand from pulling out the IV.Wrist restraints would limit all movement of the arm, whereas elbow restraints would only limit bending of the elbow, so this is the less restrictive and best choice.
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