NCLEX-PN Exam Practice

Category - Patient Care

You have delegated care of a patient in restraints to a nursing assistant. How often should the nursing assistant assess skin integrity for this patient?
  1. Every 30 minutes
  2. Every 2 hours
  3. Every 3 hours
  4. Every 4 hours
Explanation
Answer: A - The nursing assistant should assess the patient’s skin integrity every 30 minutes for as long as the patient is in restraints. In order to delegate this task to the nursing assistant the nurse must insure that the nursing assistant is clear on what care the patient requires.
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