The nurse is caring for a client who consistently pulls at the IV ...

[chads108]

The nurse is caring for a client who consistently pulls at the IV and urinary catheter. Restraints are applied that prevent the client from being able to grasp the tubing. Which term will the nurse use when documenting the restraints used for this client?
 
  1. Jacket restraint
  2. Limb restraint
  3. Mitt restraint
  4. Waist restraint

Question 2

The nurse administers an antianxiety (anxiolytic) medication to a client diagnosed with dementia who has been harming himself. When documenting the use of this medication as a restraint, which term is the most appropriate for the nurse to use?
 
  1. Chemical restraint
  2. Physical restraint
  3. Medication restraint
  4. Psychological restraint

[cuttiesgirl16]

Answer to Question 1

Correct Answer: 3

The mitt restraint is like a mitten that goes over the hand and limits the ability of the fingers to grasp while not limiting arm movement. Limb restraints tie the arm to the bed and limit arm movement. A jacket restraint is applied to the client's chest, and ties to the bed to keep the client from sitting up or getting out of bed. Waist restraints tie around the client's waist and then to the bed to limit movement.

Answer to Question 2

Correct Answer: 1

Administering a medication for the purpose of controlling socially disruptive behavior is a form of chemical restraint. Physical restraints are visible appliances applied to the client's body to control behavior. Although medications can be used as a form of a restraint, the term medication restraint is not appropriate. Psychological restraint is not a form of restraint used in client care.