exam 8 restraints Flashcards
When talking about restraints what is the goal?
To be restraint free
A mechanical or physical device used to restrict freedom of movement or prevent Normal access to part of the body is known as what
Physical restraint
What kind of skills to restraints cause people to lack
Social skills
Who should be alerted before restraining a patient
The family
Before restraining a client what has to be documented
Alternate was to protect the client
A person is qualified for restraint use if the patient is at a:
High risk for injury
Possible interruption of needed therapies
Possible removal of life support equipment
Risk of injury to self or others
What are the last resort?
Restraints
During the nursing assessment a nurse is supposed to:
Establish existence of a qualifier present
Establish a reason for problematic behavior
Is behavior harmful to self or others
Who has to order restraints
MD
What will be included in the order for restraints?
Date and time Type of behavior observed Type of restraint and location Time limitations and duration Criteria for release
Are PRN orders allowed for restraints
No.
During an emergency a nurse is allowed to restrain a patient. How long does a nurse have to get a MD order?
Within one hour
How many rails up are considered to be restraints
4
The restraint comes in different sizes and straps at a clients hip
Jacket or posey vest
This type of restraint any be used in the chair,bed, or stretcher
Belt
When using a limb restraint how much room should be between the restraint and the patients limb
Two fingers
Is it ok for clients to have PRN orders for chemical restraints?
Yes if the display aggressive or agitated behavior
What is an example of an anti-psychotic med?
Haldol
Ativan is an example of which type of drug
Anti-anxiety
An example of an anti depressant is?
Trazadone
Ambien is what type of drug classification
Sedative-hypnotic
When administering restraints it is Important for the restraint to
For properly
Restraints should never interfere with what
Treatment
Is it ok for restraints to be used on clients who are physically or emotionally unstable
No
