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 nurse ask?

A. Did you Secure the restraints to the side rails Of the bed?

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

Clients skin?”

C. Did you tie the restraints using doubleknot?

D. Are you removing the Clientsrestraints every 4hr?

A nurSe iS Caring fO,r an O,lder adult Client whO, haS Stage III preSSure ulCer, The nurSe

requeSta CO,nSultatiO,n with the wO,und Care SpeCialiSt, WhiCh O,f the fO,llO,wing

aCtiO,nS bythe nurSe iS apprO,priate when wO,rking with aCO,nSultant?