Author Question: When preparing to apply a restraint to a child, what would be most important for the nurse to do? ... (Read 49 times)

dbose · **on:** Jun 28, 2018

When preparing to apply a restraint to a child, what would be most important for the nurse to do?

A) Expect to keep the restraint on for at least 8 hours.
B) Explain that safety, not punishment, is the reason for the restraint.
C) Plan to use a square knot to secure the restraint to the side rails.
D) Use a limb restraint rather than a jacket restraint for most issues.

Question 2

The nurse is caring for an immunosuppressed 3-year-old girl and is providing teaching to the mother about proper oral hygiene. Which response from the mother indicates a need for further teaching?

A) I really need to carefully check for skin breakdown.
B) I must really scrub her teeth and gums well.
C) I must use a soft toothbrush.
D) I can use a soft gauze sponge to care for her gums.

cpetit11 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Ans: B
Before applying a restraint, the nurse needs to explain the reason for the restraint to the child, emphasizing that the restraint is for safety, not to punish the child. The least restrictive type of restraint should be used, and it should be applied for the shortest time necessary. A clove-hitch knot is used to secure the restraint with ties to the bed or crib frame, not the side rails.

Answer to Question 2

Ans: B
The nurse should caution the mother that overly vigorous brushing should be avoided as it can injure or irritate the gums. The other statements are recommended guidelines for care.