Safety- Restratints

Question 1

What should the nurse assume when a patient is in restraints

Answer 1

A patient in physical or mechanical restraints may be confused or delirious and will probably be frightened at the limitation of movement
Should not assume they understand the need for restraints

Question 2

Support and reassurance for restraints

Answer 2

Should be spoiled efficiently with care not to injure patient
Padding of cuff restraints help prevent skin breakdown
Patient should be positioned in anatomical alignment to prevent skin breakdown

Question 3

Privacy for restraints

Answer 3

Is essential
If visitors are allowed, explain reasoning for restraints
Face to face assessment within a hour after placement is required

Question 4

Physical needs while in restraints

Answer 4

Vitals should be checked
Regular observation of circulation in extremities
Fluids should be offered regularly and opportunity for elimination
Skin care is essential
Restraints should be released every 2 hours to allow exercise

Question 5

What’s required for restraints

Answer 5

Physicians order