Question

The nurse is working in a long-term care facility and is observing a new unlicensed assistive personnel (UAP) caring for a client who requires wrist restraints. The nurse determines that the unlicensed assistive personnel (UAP) is providing safe care if the nurse observed the UAP assessing skin integrity by completely removing the client's wrist restraints using which time frame?

A. Every 2 hours
B. Every 3 hours
C. Every 4 hours
D. Every 6 hours

Answer 1

The UAP is providing safe care if they assess skin integrity by completely removing the client's wrist restraints every 2 hours to prevent skin breakdown and circulation issues.

Step-by-step explanation:

The nurse in a long-term care facility can determine that the unlicensed assistive personnel (UAP) is providing safe care for a client who requires wrist restraints if the UAP assesses the client's skin integrity by completely removing the wrist restraints every 2 hours. This is a critical practice to ensure the prevention of skin breakdown, circulation impairment, and to provide comfort to the client. The regular assessment of the restrained areas also allows for proper documentation of skin condition and ensures any necessary adjustments to the restraints can be made to promote the client's safety and wellbeing.