VATI ATI Comprehensive Predictor 2023 | Nurselytic

Correct Answer: B,D,E

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Correct
Answer: B,D,E


Rationale:
B: The nurse should pad the bony prominences to prevent skin breakdown and pressure injuries while the client is restrained.
D: The nurse should remove the restraints every 2 hours to assess skin integrity, circulation, and provide the client with a break from the restraint.
E: The provider's prescription should include the type of restraint to use to ensure that the appropriate restraint method is selected based on the client's needs and safety.

Incorrect

Choices:
A: The provider should renew the prescription for restraints every 48 hours is incorrect as restraints should be reviewed at least every 24 hours.
C: The nurse should tie the restraints using a square knot is incorrect as restraints should be tied using quick-release knots for easy removal in case of emergency.

Summary:
The correct choices emphasize the importance of client safety, skin integrity, and proper documentation in the use of restraints, while the incorrect choices focus on incorrect time intervals for prescription

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