The parent of a patient in physical restraints asks the nurse, ...

[Sportsfan2111]

The parent of a patient in physical restraints asks the nurse, Why is my son tied down? He wouldn't hurt anyone. What is the nurse's best response?
 
  1. The restraints are placed to control his behavior.
  2. The restraints are placed to prevent harm to him and others.
  3. The restraints are placed because he was angry to the staff.
  4. The restraints are placed to keep him from falling off the bed.

Question 2

The nurse preceptor is caring for a patient in physical restraints who is aggressive and threatening the safety of the staff. The nurse preceptor discusses the implications and requirements of this procedure with a novice nurse.
 
  What statement made by the graduate nurse indicates that the nurse preceptor's teaching has been effective?
  1. It is acceptable for the nurse to monitor the patient in physical restraints every hour to ensure the patient's safety.
  2. It is acceptable to place the patient in physical restraints if pharmacological methods have been unsuccessful.
  3. It is acceptable for the health care provider to assess the patient in restraints within 24 hours of restraint application.
  4. It is acceptable for the nurse to turn and reposition the patient in physical restraints every 2 hours to ensure the patient's skin integrity.

[Hikerman221]

Answer to Question 1

Answer: 2
Explanation: The nurse's best response is to tell the parent that the patient is in restraints to prevent the patient from harming himself or others. Restraints are not used simply because a patient was angry or to control behavior. All other less-invasive measures must be used prior to placing restraints and the patient must be a threat to self or others. Also, restraints are not used solely to keep a person from falling off the bed.

Answer to Question 2

Answer: 4
Explanation: Physical restraints are used only as a last resort, after all interventions have been tried and have been unsuccessful. The nurse must turn and reposition the patient in physical restraints at least every 2 hours to ensure the patient's skin integrity. The patient who is in physical restraints must be monitored constantly, not every hour, to ensure the patient's safety. All other possible interventions, not just pharmacological, must be attempted prior to the use of physical restraints. Additional interventions may include therapeutic communication techniques. Once physical restraints have been applied, the health care provider must assess the patient in restraints within 1 hour of restraint application.

[Sportsfan2111]

Excellent

[CAPTAINAMERICA]

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