A patient has been placed in four-point leather restraints ...

[haleyc112]

A patient has been placed in four-point leather restraints following a violent episode. The nurse establishing the care plan must ensure that the restraints are removed
 
  a. after a minimum of 12 hours of seclusion.
  b. every 2 hours, one restraint at a time, for 10 minutes.
  c. to allow the patient to eat, drink, or use the bathroom.
  d. after the patient is sedated with antipsychotropic medication.

Question 2

A patient has taken diazepam (Valium) for 1 week for back spasms. The patient complains of feeling sleepy all the time. The nurse should tell the patient
 
  a. The dosage probably needs to be decreased.
  b. Drowsiness indicates a paradoxical reaction to the drug.
  c. Tolerance to the sedative effect of the drug will develop quickly.
  d. Sleepiness is an unavoidable side effect of non-benzodiazepine drugs.

[Jossy]

Answer to Question 1

B
Restraints must be removed at intervals specified by agency protocol (in no case less often than 2 hours) to inspect for injuries, check circulation, and provide limb range of motion. The other options do not follow regulatory policies.

Answer to Question 2

C
Tolerance to most side effects of benzodiazepines, including drowsiness, develops quickly. There is no need to decrease the dosage. Drowsiness is an expected reaction, not a paradoxical one. Valium is a benzodiazepine.

[haleyc112]

TYSM

[Liddy]

Excellent