Question

A client becomes extremely agitated and attempts to remove the endotracheal tube. The primary health care provider orders physical restraints. Which action indicates that the nurse has correctly applied the restraints?

The restraint is attached to the side rails. The hands are restrained tightly and cannot be moved. Leather restraints are applied. A quick-release knot is used to tie the restraint.

Answer 1

The correct application of physical restraints on a patient involves using a quick-release knot, which ensures patient safety and allows for quick removal in emergencies.

Step-by-step explanation:

The primary health care provider’s order for physical restraints in the case of a client trying to remove the endotracheal tube must be applied correctly to ensure the safety and well-being of the patient. The correct action that indicates proper application of the restraints is using a quick-release knot to tie the restraints. This allows for rapid removal in case of an emergency. Attaching restraints to the side rails is not recommended, as they should be secured to the bed frame to prevent patient injury if the side rails are lowered. It is also important that the restraints are not too tight; there should be enough room to fit two fingers between the restraint and the patient’s skin. Leather restraints are typically not used in a hospital setting unless under certain conditions and with proper supervision.