An adult client assaults another client and is placed in ...

[Bernana]

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]

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.