The practical nurse cares for a client with restraints. How often should the practical nurse assess the restraint placement?
A. Every 30 minutes
B. Once a day
C. Twice a day
D. Every hour
Answer (2)
The practical nurse should assess the restraint placement every hour to ensure the client's safety and comfort. This frequent assessment helps prevent complications like skin breakdown and evaluates the necessity of continued restraint usage. Regular monitoring is crucial for the client's well-being and adherence to healthcare policies.
;
In caring for a client with restraints, it is crucial for the practical nurse to routinely assess the placement of the restraints to ensure the client's safety and comfort, as well as to prevent any complications. According to standard healthcare guidelines, restraint placement should typically be assessed every hour. This frequent assessment helps to ensure:
Safety : Restraints must be correctly positioned to prevent injury. Hourly checks help ensure they are secure but not causing harm or discomfort.
Comfort : Regular checks aim to make sure that the client remains comfortable and that the restraints are not causing any unnecessary distress or pressure ulcers.
Circulation : It's important to monitor that the restraints are not too tight, which could impede circulation. Skin integrity and circulation should be evaluated during these checks.
Needs : Clients' needs, such as toileting, hydration, and repositioning, can be regularly assessed, which helps in maintaining standard care and dignity.
In summary, option (D) Every hour is the correct choice for how frequently a practical nurse should assess the placement of restraints on a client. Following these guidelines not only promotes the client's well-being but is also a critical component of good nursing practice.
