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Unformatted text preview: RN VATI Leadership X G O x a nurse is tria No results Options A nurse is updating a client's plan of care to include the use of a wrist restraint. Which of the following interventions should the nurse include in the plan? Provide skin care twice per shift. INCORRECT The nurse should assess the client's skin integrity and provide skin care each time the restraints are removed. Secure the restraint to the side rail of the bed. INCORRECT the rail is lowered. The nurse should not tie the restraint to the side rails or to the fixed frame of the bed. The client is at risk for injury if the restraint is secured to the side rail and Release the restraint at least every 2 hr. CORRECT The nurse should plan to release the restraint at least every 2 hr. This allows the nurse the opportunity to assess the client's needs for nutrition and toileting as well as assess the skin and provide range-of-motion exercises. Type here to search 3:47 PM 1/24/2019 F5 F9 RF11 F12 PrtSc Insert Delete & 3 4 O Backspace Lock E T O P Home D F G H J K Enter C V B N M Shift PgUp...
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  • Fall '19
  • Computer keys, client's plan

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