Author Question: What is critical for the nurse to know when using restraints on a child? a. Use the least ... (Read 58 times)

khang · **on:** Jun 27, 2018

What is critical for the nurse to know when using restraints on a child?

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.

Question 2

Which CHD results in increased pulmonary blood flow?

a. Ventricular septal defect
b. Coarctation of the aorta
c. Tetralogy of Fallot
d. Pulmonary stenosis

hramirez205 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Feedback
A When restraints are necessary, the nurse should institute the least restrictive type
of restraint.
B Knots must be tied so that they can be easily undone for quick access to the
child.
C The ties are never tied to the mattress or side rails. They should be secured to a
stable device, such as the bed frame.
D Restraints are removed every 2 hours to allow for range of motion, position
changes, and assessment of skin integrity.

Answer to Question 2

A
Feedback
A Ventricular septal defect causes a left-to-right shunting of blood, thus increasing
pulmonary blood flow.
B Coarctation of the aorta is a stenotic lesion that causes increased resistance to
blood flow from the proximal to distal aorta.
C The defects associated with tetralogy of Fallot result in a right-to-left shunting of
blood, thus decreasing pulmonary blood flow.
D Pulmonary stenosis causes obstruction of blood flow from the right ventricle to
the pulmonary artery. Pulmonary blood flow is decreased.