A clinical nurse specialist is giving a report to a nursing assistant who will accompany her in caring for a pediatric patient who has hand restraints. The nurse instructs the nursing assistant to assess the skin integrity of the hands every:
  1. Thirty minutes
  2. Two hours
  3. Three hours
  4. Four hours
Explanation
Answer - A - The nurse instructs the nursing assistant to assess the skin integrity of the hands every thirty minutes. Agency guidelines regarding the use of restraints should always be followed.
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