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?”

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?