Asked by
jewels jardine
on Oct 12, 2024
Verified
The nurse is caring for a patient in restraints.Which of the following pieces of information about restraints must be documented by the nurse in the medical record? (Select all that apply. )
A) The patient states that her gown is soiled and needs changing.
B) Previous attempts to distract the patient with television were unsuccessful.
C) The patient was placed in bilateral wrist restraints at 0815.
D) One family member has gone to lunch.
E) Bilateral radial pulses present,2+,hands warm to touch.
F) Released from restraints,active range-of-motion exercises complete.
Bilateral Wrist Restraints
Devices used on both wrists to prevent patients from injuring themselves or removing essential medical devices.
Medical Record
A comprehensive document containing a patient's health history, including treatments, diagnoses, and test results.
Range-Of-Motion Exercises
Exercises designed to increase the movement and flexibility of joints through their full potential span.
- Grasp the employment and ramifications of restraints in patient care settings.
- Comprehend the significance of documentation in controlling safety hazards and the application of restraints.
Verified Answer
CS
Learning Objectives
- Grasp the employment and ramifications of restraints in patient care settings.
- Comprehend the significance of documentation in controlling safety hazards and the application of restraints.