The nurse is working with a student nurse to teach her about ...

[frankwu]

The nurse is working with a student nurse to teach her about restraint use in patients. Which statement by the student nurse indicates a learning need regarding restraints?
 
  a. Having all four side rails up on the bed is considered a restraint.
  b. The use of restraints has been shown to decrease fall-related injuries.
  c. Death has been associated with the use of restraints.
  d. Medications administered to control behavior are considered a chemical restraint.

Question 2

The nurse knows that which of the following patients has a teaching need based on statements by the patient or the patient's parents?
 
  a. My 6-month-old daughter only sleeps with me when she's ill.
  b. I do not put pillows in the bed with my 3-month-old son.
  c. I do not feed popcorn to my 2-year-old.
  d. I have discussed the risks of the 'choking game' with my 16-year-old.

[pocatato]

Answer to Question 1

ANS: B
Restraints may be physical or chemical. A physical restraint is a mechanical or physical device, such as material or equipment attached or adjacent to the patient's body, used to restrict movement (CMS, 2006). Examples of physical restraints are wrist or ankle restraints, a jacket or vest, and side rails. A medication that is administered to a patient to control behavior is a chemical restraint. The use of restraints has been associated with patient injury including death and does not prevent patient falls.

Answer to Question 2

ANS: A
Small children should never sleep in the bed with others because of the risk of suffocation. The rest of the statements are appropriate. Pillows do present a hazard to a 3-month-old, and popcorn is a choking risk for a 2-year-old. The choking game is a risk to any adolescent.

[frankwu]

Excellent

[Liddy]

TYSM