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    RN Comprehensive Predictor 2023 Proctored Exam

    A nurse on a mental health unit is teaching a newly licensed nurse about the use of mechanical restraints. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

    Explanation & Rationale

    A. “I should assess the client's skin integrity every 8 hours while in mechanical restraints.”: Skin integrity should be assessed much more frequently, typically every 1 to 2 hours, to prevent pressure injuries and ensure circulation is not impaired. B. “I should expect the provider to evaluate the client within 4 hours of restraint application.”: Provider evaluation is required sooner, generally within 1 hour of restraint application, to ensure the necessity and appropriateness of restraints. C. “I should ask the provider to write a prescription for mechanical restraints as needed.”: Restraints require a specific, time-limited provider order; PRN (as needed) orders are not appropriate because continuous assessment is necessary to determine ongoing need. D. “I should visually monitor the client continuously when in mechanical restraints.”: Continuous visual monitoring is essential to ensure the client’s safety, prevent injury, and assess for any distress while restraints are in place.

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