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Practice Question

Which of the following is essential when restraints are applied to a client?

Answer Choices:

Correct Answer:

Assess restraints and skin integrity every 12 hours.

Rationale:

➤ When restraints are applied, the nurse must monitor for impaired circulation and neurovascular compromise at least every 2 hours to prevent complications such as skin breakdown, nerve damage, or restricted blood flow.

➤ Regular assessments should include checking color, warmth, movement, sensation, and pulses distal to the restraint site.

➤ This practice aligns with evidence-based guidelines and institutional policies to ensure client safety and prevent injury from prolonged or improperly applied restraints.

➤ Timely assessments also provide the opportunity to remove or loosen restraints if the client’s condition changes or if restraint is no longer necessary.

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This question is from ATI NUR 1100 which contains 90 questions.

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ATI NUR 1100

90 Questions

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Question Details
  • Category: RN - Nursing Exam(s)
  • Subcategory: ATI Exams
  • Domain: ATI PHARMACOLOGY
  • Answer Choices: 4
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