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- Which reason would justify the use of restraints on a disoriented patient quizlet?
- What should the nurse do prior to administering physical restraints?
- Which reason would support the use of patient restraints?
- Which of the following patients would you not use a gait belt for?
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A, B, D, F, H
The restraint should be checked at least every hour or according to facility policy for proper placement, and the patient should be evaluated for pulse, temperature, color, and sensation of the distal part of the extremities. The restraints should be released every 2 hours. If the patient is violent or noncompliant, remove one restraint at a time
and/or have staff assistance. With regard to extremity restraints, routine assessment of the patient's blood pressure or character of respirations is unnecessary unless the patient's condition indicates otherwise.
Which reason would justify the use of restraints on a disoriented patient quizlet?
Nurses use restraints to protect patients who are confused, disoriented, repeatedly fall, or try to remove medical devices such as intravenous (IV) infusions or oxygen equipment. A disoriented patient can harm others and should be restrained.
What should the nurse do prior to administering physical restraints?
What should the nurse do prior to administering physical restraints? Initially, provide a restraint-free environment. The nurse manager is reviewing the use of restraints during an in service with the staff.
Which reason would support the use of patient restraints?
Restraints may be used to keep a person in proper position and prevent movement or falling during surgery or while on a stretcher. Restraints can also be used to control or prevent harmful behavior. Sometimes hospital patients who are confused need restraints so that they do not: Scratch their skin.
Which of the following patients would you not use a gait belt for?
Gait belts should only be used to assist in ambulating—never for lifting.