Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Pediatrics

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A physician ordered a jacket restraint for a pediatric patient. The nurse is aware that all of the following but one should be observed when applying a jacket restraint:
  1. Jacket restraint straps that do not tighten when force is applied against them
  2. Restraint straps that are safely secured at the side rails
  3. A safety knot in the restraint straps
  4. Jacket restraint secured so that two fingers can slide easily between the restraint and the patient’s skin
Explanation
Answer - B - The nurse should be aware that all of the listed but one should be observed when applying a jacket restraint, which is: restraint straps that are safely secured at the side rails. A jacket is applied with ties in the back, which are secured out of reach of the back of the wheelchair, underside of the crib, or to the bed frame and never to the side rail to avoid accidental injury in the event that the side rail is released.
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