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Author Question: An adult client assaults another client and is placed in restraints. Which statement from the client ... (Read 59 times)

Bernana

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on: Jul 19, 2018
An adult client assaults another client and is placed in restraints. Which statement from the client while in restraints should alert a nurse that further assessment is necessary?
 
  A. I hate all of youB. My fingers are tingly.C. You wait until I tell my lawyer.D. I have a sinus headache.

Question 2

After less restrictive means have been attempted, an order for client restraints has been obtained for a hostile, aggressive 30- year-old client.
 
  If client aggression continues, how long will the nurse expect the client to remain in restraints without a physician order renewal? A. 1 hour
  B. 2 hours
  C. 3 hours
  D. 4 hours


shoemake

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Reply #1 on: Jul 19, 2018
Answer to Question 1

B
This statement may mean that the restraints are excessively tight and impeding circulation.

Answer to Question 2

D
The Joint Commission (JCAHO) requires that a physician or licensed independent provider (LIP) must reissue a new order for restraints every 4 hours for adults, every 1 hour for clients younger than 9, and every 2 hours for clients 9 to 17 years.


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