Asked by saliha zainab on Sep 28, 2024
The nurse is caring for a patient in restraints. Which essential information will the nurse document in the patient's medical record to provide safe care? (Select all that apply.)
A) One family member has gone to lunch.
B) Patient is placed in bilateral wrist restraints at 0815.
C) Bilateral radial pulses present, 2+, hands warm to touch
D) Straps with quick-release buckle attached to bed side rails
E) Attempts to distract the patient with television are unsuccessful.
F) Released from restraints, active range-of-motion exercises completed
Wrist Restraints
Devices used to limit the movement of the wrists for patient safety in healthcare settings.
Radial Pulses
The pulse felt at the wrist on the side of the thumb, which is an indicator of the arterial blood supply to the hand and reflects the heart's rate and rhythm.
Quick-Release Buckle
A fastening device designed for easy opening or release with minimal effort, commonly used in safety equipment, clothing, and bags.
- Document and communicate essential patient information effectively to ensure safety and quality of care.
Learning Objectives
- Document and communicate essential patient information effectively to ensure safety and quality of care.