A 1-year-old child is scheduled to receive an IV line. The most ...

[ETearle]

A 1-year-old child is scheduled to receive an IV line. The most appropriate type of restraint to use for this client to prevent removal of the IV line would be a(n):
 
  1. Wrist restraint
  2. Jacket restraint
  3. Elbow restraint
  4. Mummy restraint

Question 2

An ambulatory client is admitted to the extended care facility with a diagnosis of Alzheimer's disease. In using a falls assessment tool, the nurse knows that the greatest indicator of risk is:
 
  1. Confusion
  2. Impaired judgment
  3. Sensory deficits
  4. History of falls

[kxciann]

Answer to Question 1

ANS: 4
A mummy restraint is used short-term for a small child or infant for examination or treatment in-volving the head and neck. This would be the most appropriate type of restraint to use for a 1-year-old child who is going to receive an IV line. The wrist restraint maintains immobility of an extremity to prevent the client from removing a therapeutic device, such as an IV tube. It would not be the best choice for starting an IV on a 1-year-old child. The jacket restraint is often used to prevent a client from getting up and falling. It is not the best choice for starting an IV line. An elbow restraint is commonly used with infants and children to prevent elbow flexion, such as af-ter an IV line is in place.

Answer to Question 2

ANS: 4
According to the falls assessment tool, the greatest indicator of risk is a history of falls. Accord-ing to the falls assessment tool, the second leading risk factor for falls is confusion. According to the falls assessment tool, impaired judgment is the fourth leading risk factor for falls. According to the falls assessment tool, sensory deficit is the fifth leading risk factor for falls.

[ETearle]

Excellent

[T4T]

TYSM