Practice Quiz

Certified Nursing Assistant Exam Prep

Category - Physical Care

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A nurse obtains an order from a physician to restrain a client by using a jacket restraint and delegates a nursing assistant to assist in the restraining of the client. Which of the following observations indicates inappropriate application of the restraint by the nursing assistant?
  1. A safety knot in the restraint straps
  2. Restraint straps that are safely secured to the side rails
  3. Jacket restraint straps that do not tighten when force is applied against them
  4. Jacket restraint secured so that two fingers can slide easily between the restraint and the client’s skin
Explanation
Answer: B - The restraint straps are secured to the bed frame and never to the side rail. This prevents accidental injury in the event that the side rail is released. A half-bow or safety knot should be used for applying a restraint because it does not tighten when force is applied against it and allows quick and easy removal of the restraint in case of emergency. The jacket restraint should be secured, and one to two fingers should slide easily between the restraint and the client’s skin.
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