Restraint Application in Nursing Practice
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Questions and Answers

What is an appropriate use of the mummy restraint for a 2-year-old child?

  • The mummy restraint is used for comfort.
  • The mummy restraint is being used to help keep your child still while we insert an IV line. (correct)
  • The mummy restraint is for the child's safety during transport.
  • The mummy restraint calms the child down.
  • Which response indicates the need for further education regarding complications of enforced immobility due to restraints?

  • Deep vein thrombosis
  • Hypertension (correct)
  • Pressure ulcers
  • Muscle atrophy
  • What should the nurse know regarding the order for restraints for an adult patient restrained for nonviolent behavior?

    The order for restraints is in effect until an assessment determines that the patient's behavior no longer requires restraints.

    What should the nurse explain to the patient's daughter who suggests applying restraints to her mother?

    <p>Before restraints are considered, the patient should be assessed and oriented as needed, and the environment modified to reduce her risk of falling.</p> Signup and view all the answers

    What must be included in the practitioner's order for restraint when using mitt restraints?

    <p>Type of behavior requiring application of restraint</p> Signup and view all the answers

    In which emergency is using a mechanical restraint acceptable?

    <p>The patient is attempting to harm other patients.</p> Signup and view all the answers

    What should the nurse tell a parent who offers to apply a restraint to their upset child?

    <p>The person applying the restraint should not be the child's parent.</p> Signup and view all the answers

    How should the nurse apply mitt restraints to a patient?

    <p>Place the patient's hand in the mitts, making sure the hook-and-loop strap is around the wrist and not the forearm.</p> Signup and view all the answers

    What condition is considered an adverse event associated with soft wrist restraints in an intensive care unit?

    <p>Skin tear</p> Signup and view all the answers

    What is the goal of a belt restraint ordered by a physician?

    <p>To prevent the patient from falling out of a bed or wheelchair.</p> Signup and view all the answers

    Study Notes

    Restraint Application and Monitoring

    • Mummy restraint is applied to help keep a child still during procedures like IV insertion.
    • Complications from enforced immobility do not typically include hypertension, indicating a need for further education on restraint effects.
    • Restraint orders remain effective until a patient assessment shows they no longer require restraints.
    • Before applying restraints to a patient at risk of falling, an assessment should be conducted, and the environment modified to enhance safety.
    • A practitioner's order for mitt restraints must specify the behavior that justifies their use.
    • Mechanical restraints are acceptable in emergencies, such as when a patient poses a threat to others.
    • Restraints should not be applied by a child's parent to maintain objectivity and safety during procedures.
    • When fitting mitt restraints, ensure that the hook-and-loop strap secures around the wrist, not the forearm, for correct application.
    • Adverse events from soft wrist restraints can include skin tears, highlighting the importance of monitoring.
    • The primary goal of a belt restraint is to prevent patient falls from beds or wheelchairs, ensuring safety during care.

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    Description

    This quiz covers the appropriate use of restraints in nursing, focusing on scenarios like applying a mummy restraint on a child and caring for patients in critical situations. Test your knowledge on best practices and communication with patients and families regarding restraint application.

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