NCLEX® QUESTION OF THE WEEK

Question of the Week – December 15, 2021

The nurse manager reviewing the purposes for applying restraints to a client determines that further education is necessary when a nursing staff member makes which statement supporting the use of a restraint?

Show Answer Answer
Correct! The answer is number 3

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

Evolve Resources for Saunders Q & A Review for the NCLEX-RN® Examination, 8th Edition
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