Module 6.docx - Module 6 An older client in a long-term care facility is at risk for injury because of confusion Which of the following devices would be

Module 6.docx - Module 6 An older client in a long-term...

This preview shows page 1 - 3 out of 100 pages.

Module 6 An older client in a long-term care facility is at risk for injury because of confusion. Which of the following devices would be the best choice to help prevent injury while the client is in bed? Correct Rationale: If the client is confused, the least intrusive method of restraint is the use of a bed alarm such as the Bed-Check bed exit alarm device. It consists of a weight-sensitive mat, placed on the client’s mattress, that sounds an alarm when the sensor detects the removal of pressure. A belt restraint secures the client to the bed or stretcher. It restrains the center of gravity and prevents the client from sitting up on or rolling off a stretcher or falling out of bed. The extremity (ankle or wrist) restraint is used to immobilize an extremity as a means of protecting the client from injury resulting from a fall or the accidental removal of a therapeutic device such as a Foley catheter. The mitten restraint is a thumbless mitten device that is used to restrain the client’s hand. It prevents the client from dislodging invasive equipment, removing dressings, or scratching him- or herself. Test-Taking Strategy: Use the process of elimination and knowledge of the various restraint methods and the ethical and legal ramifications of using a restraint. The use of the words “best choice” will guide you to the correct option. Also recall that the least invasive method of restraint should be used; this will help you answer correctly. Review the guidelines for the use of restraints if you had difficulty with this question. Reference: Potter, P., & Perry, A. (2009). Fundamentals of nursing (7th ed., pp. 834, 835, 837- 839). St. Louis: Mosby. Cognitive Ability: Applying
Image of page 1
Client Needs: Safe and Effective Care Environment Integrated Process: Nursing Process/Implementation Content Area: Safety Awarded 1.0 points out of 1.0 possible points. 2. 2.ID: 283672780 A sedated client is being transported to the radiology department on a stretcher. Which type of restraint should the nurse suggest applying to help ensure the client’s safety? Belt Correct Wrist Elbow Mitten Incorrect Rationale: A belt restraint is a device that is wrapped around the client’s waist to secure the client to bed or to a stretcher. An elbow restraint consists of a piece of fabric with slots into which tongue blades are inserted; the device is wrapped around the elbow area to keep it immobile. A mitten restraint is a thumbless device that covers the client’s hand and is used to restrain the client’s hand, preventing the client from dislodging invasive equipment (e.g., an intravenous line). A wrist restraint is a device used to immobilize an arm that does not allow movement as a mitten restraint would. Test Taking Strategy: Focus on the data in the question and note the strategic word “best.” Noting the words “sedated” and “on a stretcher” will help direct you to the correct option.
Image of page 2
Image of page 3

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture