Podcast
Questions and Answers
What is an appropriate use of the mummy restraint for a 2-year-old child?
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?
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?
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?
What should the nurse explain to the patient's daughter who suggests applying restraints to her mother?
What must be included in the practitioner's order for restraint when using mitt restraints?
What must be included in the practitioner's order for restraint when using mitt restraints?
In which emergency is using a mechanical restraint acceptable?
In which emergency is using a mechanical restraint acceptable?
What should the nurse tell a parent who offers to apply a restraint to their upset child?
What should the nurse tell a parent who offers to apply a restraint to their upset child?
How should the nurse apply mitt restraints to a patient?
How should the nurse apply mitt restraints to a patient?
What condition is considered an adverse event associated with soft wrist restraints in an intensive care unit?
What condition is considered an adverse event associated with soft wrist restraints in an intensive care unit?
What is the goal of a belt restraint ordered by a physician?
What is the goal of a belt restraint ordered by a physician?
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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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