Question

5. A supervising nurse identified that a nursing assistant violated acceptable practice related to the use of wrist restraints. Which activities did the nurse observe? Select all that apply.
1) Removing the restraint every 2 hours for several minutes
2) Inserting 3 fingers between the wrist and the restraint
3) Securing the restraint straps with a double knot
4) Tying the straps to the base of the bed
• 5) Allowing the fingers free movement
6) Padding the wrists with sheepskin

Answer 1

The correct activities that the nurse observed are:
1) Removing the restraint every 2 hours for several minutes
2) Inserting 3 fingers between the wrist and the restraint
3) Tying the straps to the base of the bed