A practical nurse (PN) is preparing to apply bilateral soft wrist restraints to a client to prevent the removal of essential medical devices. In what order should the PN perform the following actions? Arrange the steps in the correct chronological sequence.
- 1Verify the current healthcare provider's prescription for the restraints.
- 2Explain the purpose of the restraints to the client and family.
- 3Pad the client's wrists and wrap the soft restraints securely.
- 4Attach the restraint straps to the movable portion of the bed frame using a quick-release knot.
- 5Assess the client's distal pulses, skin color, and temperature.
Answer
The correct sequence is: Verify the prescription, explain the purpose, pad and apply the restraints, secure to the movable bed frame, and assess distal neurovascular status.
The proper application of restraints follows a strict legal and safety protocol. The nurse must first confirm the legal prescription. Next, psychosocial needs are addressed through explanation. Then, the physical application occurs with skin protection (padding). Once on the client, they must be safely anchored to a movable bed frame using a quick-release knot. Finally, the nurse must immediately evaluate for any circulatory or neurological impairment caused by the devices.
Step-by-Step Solution
Key Concept
Safe sequence for physical restraint application and monitoring.