Asked by Japhter Kgomo on Sep 28, 2024
A patient has an ankle restraint applied. Upon assessment the nurse finds the toes a light blue color. Which action will the nurse take next?
A) Remove the restraint.
B) Place a blanket over the feet.
C) Immediately do a complete head-to-toe neurologic assessment.
D) Take the patient's blood pressure, pulse, temperature, and respiratory rate.
Ankle Restraint
A device used to limit the movement of the ankles to prevent self-harm or disrupt care.
Neurologic Assessment
A systematic evaluation of the nervous system performed by healthcare professionals to detect any abnormalities or dysfunction.
- Comprehend measures for patient comfort and safety within healthcare environments.
- Recognize the requirement for and implementation of restraining patients.
Learning Objectives
- Comprehend measures for patient comfort and safety within healthcare environments.
- Recognize the requirement for and implementation of restraining patients.