Difficulty: Medium
Average Score: 95%
Simulated
A nurse is applying soft limb restraints to a child who is acting aggressively toward staff. Which of the following actions should the nurse take?
Correct answer
C
Rationale
Correct Answer: C - Secure the restraints with a quick-release knot.
Rationale: Using a quick-release knot ensures that the restraints can be easily and quickly removed in case of an emergency or if the child needs immediate attention. This promotes safety and prevents harm to the child. Tying the restraints to the side rails (A) can lead to accidental injuries or restrict movement unnecessarily. Requesting a prescription renewal every 48 hr (B) is important but not directly related to the application of restraints. Assessing the child every 4 hr (D) is crucial for monitoring their well-being but does not address the proper way to secure the restraints.
Rationale: Using a quick-release knot ensures that the restraints can be easily and quickly removed in case of an emergency or if the child needs immediate attention. This promotes safety and prevents harm to the child. Tying the restraints to the side rails (A) can lead to accidental injuries or restrict movement unnecessarily. Requesting a prescription renewal every 48 hr (B) is important but not directly related to the application of restraints. Assessing the child every 4 hr (D) is crucial for monitoring their well-being but does not address the proper way to secure the restraints.