Practice Quiz

CCRN Critical Care Nursing

Category - Pediatrics

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After teaching the parents of an 18-month-old child who has undergone cleft palate repair how to use elbow restraints, which of the following statements by the parents indicates effective teaching:
  1. “We’ll keep the restraints in place continuously until the doctor says it’s okay to remove them.”
  2. “We can take off the restraints while our child is playing but we’ll make sure to put them back on at night.”
  3. “The restraints should be taped directly to our child’s arms so that they will stay in one place.”
  4. “We’ll remove the restraints temporarily at least three times a day to check his skin then put them right back on.”
Explanation
Answer: D - Elbow restraints help to keep the child from placing fingers or any other object in the mouth that would cause injury to the operative site. The restraints are worn at all times except when they are removed to check the skin. Because of the risk for skin breakdown, the restraints are removed periodically during the day to assess the child’s underlying skin. It is advisable to remove only one restraint at a time while keeping hold of the child’s hand on the unrestrained side.
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