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    Ati med surg proctored examQuestion 36
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    Ati med surg proctored exam

    A nurse is caring for a client who is pulling at their abdominal wound drains. The provider prescribes wrist restraints for the client's safety. To which of the following parts of the bed should the nurse secure the restraints?

    Explanation & Rationale

    A. Head of the bed: Securing restraints to the head of the bed is unsafe because this part does not move with the client’s position changes. It can create tension, leading to injury or impaired circulation. B. Moveable portion of the bed frame: The safest method is to secure restraints to a moveable part of the bed frame. This ensures the restraints move with the client when the bed position changes, preventing tightening or loosening that could cause harm. C. Foot of the bed: Tying restraints to the foot of the bed can cause excessive length of restraint straps and increase the risk of entanglement or injury. It also does not provide stable, controlled positioning during movement. D. Side rails closest to the restraints: Side rails are not stable anchoring points because they move up and down. Attaching restraints here increases the risk of injury if the side rail is lowered, as it could loosen or tighten the restraint unexpectedly.

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