NCLEX-RN Exam Practice

Category - Patient Care

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You have delegated care of a patient in restraints to a nursing assistant. How often should the nursing assistant inspect skin integrity for this patient?

Every 30 minutes
Every 2 hours
Every 3 hours
Every 4 hours

Explanation

Answer: A - The nursing assistant should inspect 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 and that any changes in skin integrity should be reported to the supervising nurse for assessment.

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