ATI RN Pediatric Nursing 2023 Proctored Exam
A nurse is applying soft limb restraints to a child who is acting aggressively toward staff. Which of the following actions should the nurse take?
Explanation & Rationale
The correct answer is Choice C.Choice A rationaleRestraint prescriptions should be renewed every 24 hours, not 48 hours, to ensure the child’s safety and necessity of restraints.Choice B rationaleRestraints should never be tied to the side rails as this can cause injury. They should be tied to the bed frame.Choice C rationaleQuick-release knots are recommended for restraints to ensure they can be removed quickly in an emergency.Choice D rationaleThe child should be assessed more frequently than every 4 hours, typically every 2 hours, to ensure their safety and comfort.
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