An Older Adult Client Is in Physical Restraints

question 1

Multiple Choice

An older adult client is in physical restraints.Which intervention by the nurse is the priority?

• A) Assess the client hourly while keeping the restraints in place.
• B) Assess the client every 30 to 60 minutes, releasing restraints every 2 hours.
• C) Assess the client once each shift, releasing the restraints for feeding.
• D) Assess the client twice each shift while keeping the restraints in place.

---

Definitions:

Stigma

The part of a flower's pistil that receives pollen during pollination or a mark of disgrace associated with a particular circumstance, quality, or person.

Pollen Grains

The microscopic carriers of male gametes in plants, responsible for the fertilization of the ovule through pollination.

Bronchial Asthma

A chronic inflammatory disease of the airways that causes episodes of wheezing, breathlessness, chest tightness, and coughing.

Allergic Hypersensitivity

An exaggerated or inappropriate immune response triggered by an antigen, leading to adverse reactions upon exposure.