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    Ati Lpn Mental Health Proctored Exam(Mood And Stress)

    A nurse is collecting data from a client who has a wrist restraint in place. Which of the following findings should the nurse identify as an indication of a complication of the restraint?

    Explanation & Rationale

    Choice A reason: Full range of motion indicates that circulation and mobility are intact. This is not a complication. Choice B reason: Attempting to remove the restraint shows discomfort or resistance but does not indicate a complication. Choice C reason: A cool, pale hand suggests impaired circulation due to the restraint. This is a serious complication that requires immediate intervention to prevent tissue damage. Choice D reason: A capillary refill of 1 second is normal and indicates adequate perfusion. This is not a complication.

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