Question

A nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints. Which of the following actions should the nurse take?
a. pad the client's wrist before applying the restraints
b. evaluate the client's circulation every 8 hr after application
c. remove the restraints every 4 hr to evaluate the client's status
d. secure the restraint ties to the bed's side rails

Answer 1

It is to be noted that when a nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints, the actions that the nurse should take is: "pad the client's wrist before applying the restraints" (Option A)

What are Wrist Restraints?

Restraints lacking padding can damage the client's skin, resulting in harm.

Wrist and ankle restraints are devices used in hospitals, clinics, medical institutes, and detention facilities to safely secure patients who may otherwise harm themselves or others.

Physical, chemical, and environmental constraints are the three forms of restraints. Physical constraints restrict a patient's ability to move. Pads are physical restraints.

Restraints and isolation should not be used for more than 4 hours for adults (> 18 years), 2 hours for children and adolescents (9 - 17 years), and 1 hour for youngsters (9 years), unless state regulations are more stringent.

The restraints should be set such that the straps fit snugly without impeding the patient's circulation. One or two fingers should be able to slide between the constraint and the patient's skin. The excessive constraint may compromise circulation distal to the restriction.

Learn more about restraints:
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