A nurse precepting a newly licenced nurse who is caring for a client who is

confused and has an IV infusion. The newly licensed nurse has placed the

client in wrist restraints to prevent dislodging the IV catheter. Which of the

following questions should the precepting nurseask?

A. “Did you secure the restraints to the side rails of thebed?”

B. “Are you able to insert two fingers between the restraint and the

client‟sskin?”

C. “Did you tie the restraints using doubleknot?”

D. “Are you removing the client‟s restraints every 4hr?”

6. A nurse is caring for an older adult client who has stage III pressure ulcer.

The nurse requesta consultation with the wound care specialist. Which of

the following actions by the nurse is appropriate when working with

aconsultant?