Author Question: A person you are caring for is in wrist restraints. Teaching has been done with the patient. He has ... (Read 59 times)

saliriagwu · **on:** Jul 16, 2018

A person you are caring for is in wrist restraints. Teaching has been done with the patient. He has been instructed to notify staff for any numbness, tingling, or decreased sensation. During your shift, every 15 minutes you check the patient and he reports numbness in his right hand. What do you do?

What will be an ideal response?

Question 2

You are caring for a 66-year-old patient and you notice he is not wearing his glasses, his pants are so loose they are barely staying on, and his socks are at least two sizes too big, which he is wearing without shoes. Additionally, the family has brought him a new gift of an exotic multicolor throw rug for his room. His room is cluttered with so much piled around the floor there is barely a visible path to walk. What needs to be addressed?

What will be an ideal response?

DylanD1323 · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

Release the affected wrist. Allow the patient to do ROM and see if the numbness and tingling goes away. Replace the restraint following manufacturer's instructions and make sure the restraint is not too tight. A finger should easily fit between the restraint and the wrist. Notify the nurse immediately.

Answer to Question 2

Eyeglasses need to be worn to help prevent falls. Clothing needs to fit properly and not drag on the ground. Non-skid footwear should be worn. Either non-skid socks or properly fitting socks with well-fitting shoes properly laced or fastened should be worn. Throw rugs should not be used, and varied colors and designs can cause balance problems and dizziness in older persons.