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Rationale:
Wrist and ankle restraints are devices used to limit the client’s movement in situations when it is necessary to immobilize a limb. Restraints are not applied to keep a client in bed at night and should never be used as a form of punishment. Restraints are applied to prevent the client from injuring self or others; pulling out intravenous lines, catheters, or tubes; or removing dressings. Restraints also may be used to keep children still and from injuring themselves during treatments and diagnostic procedures. A primary health care provider’s prescription is required for the use of restraints, and state and agency procedures are always followed when restraints are used.
Additional info:
Level of Cognitive Ability: Evaluating
Client Needs: Safe and Effective Care Environment
Clinical Judgment/Cognitive Skills: Evaluate outcomes
Integrated Process: Teaching and Learning
Content Area: Foundations of Care: Safety
Health Codes: N/A
Priority Concepts: Health Care Law; Safety
Practice Question Sourced From: Saunders Q&A Review for the NCLEX-RN® Examination, 8th Edition