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Worksheetsrestraints
Total questions: 17
Worksheet time: 9mins
The care team is considering utilizing wrist restraints on a patient admitted with attempting to harm himself. The nurse knows...
restraints are an acceptable first intervention
restraints can be maintained without a physician's order
restraints should only be used after all other least restrictive measures have been unsuccessful
restraints should never be used in the pediatric population
True or False. It is required for the RN to document the least restrictive measures attempted prior to initiating restraints.
True
False
True or False. The use of IV Arm Boards on both antecubital areas to stabilize IV's is not considered a restraint.
True
False
As a nurse the priority assessments to perform on a patient with restraints are... (select all that apply)
skin integrity
pupillary response
lung sounds
capillary refill time on the extremity with the restraint
pulses on the extremity with the restraint
Which of the following are interventions the nurse should perform on a patient in restraints? (select all that apply)
remove restraints daily
remove restraints one at a time every 2 hours
evaluate the need for restraints
offer nutrition & hydration every 2hours and as needed
apply restraints to the side rail of the bed
Restraint or not a restraint
Restraint
Not a restraint
Restraint or not a restraint
Restraint
Not a restraint
Restraint or not a restraint?
Restraint
Not a restraint
What are the alternatives to physical restraints in healthcare?
Tying the patient to the bed
Isolating the patient in a separate room
Administering sedatives
Use of bed alarms, frequent checks, distraction techniques, and environmental modifications
What are the potential risks of using physical restraints on patients?
Increased risk of injury, psychological distress, loss of autonomy, and decreased quality of life.
Enhanced sense of freedom and independence
Reduced risk of emotional trauma and distress
Improved physical health and well-being
How can healthcare providers ensure the safety and well-being of patients when using restraints?
By ignoring the patient's condition and needs
By restraining the patient without their consent
By following proper protocols and guidelines, regularly assessing the patient's condition, obtaining informed consent, and using the least restrictive method possible.
By using the most restrictive method possible
What are the best practices for documenting the use of restraints in healthcare?
Lack of communication among the healthcare team
Obtaining informed consent, conducting regular assessments, documenting the rationale for use, and ensuring clear communication among the healthcare team.
Not documenting the rationale for use
Using restraints without consent
Patients in restraints for non-violent behavior need to be assessed and documented on every __________ hours.
1
2
3
4
Restraints may be used:
Whenever it is convenient for the staff
When a resident is being uncooperative
When there are not enough staff members to watch all the residents
Only with a doctor's order
Adverse effects of immobility include all of the following except:
Pressure ulcers
Increased muscle mass
Constipation
Orthostatic Hypotension
All of the following are guidelines for using restraints EXCEPT:
The restraint should be tied to the side rails of the bed
Use a slip knot or quick release clasps to allow for quick removal
Allow 1-2 fingers under restraint to make sure it isn't too tight
Use the least restrictive restraint as possible
How often do med/surg restraints need to be renewed
Every 2 hours
Every 4 hours
Every 12 hours
Every 24 hours
