A Physician Orders Restraints for a Confused Client Who Is

question 16

Multiple Choice

A physician orders restraints for a confused client who is at risk for injury by pulling out tubes necessary to sustain her life. Which of the following statements describes an accurate action to take when applying these restraints?

• A) Apply restraints to the hands or wrists, never to the ankles.
• B) Ensure that two fingers can be inserted between the restraint and the client's extremity.
• C) Use a quick-release knot to tie the restraint to the side rail.
• D) Remove the restraint at least every four hours, or according to agency policy.

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Definitions:

Broca's Aphasia

is a specific type of aphasia characterized by difficulty in producing speech but relatively preserved comprehension, often resulting from damage to Broca's area in the brain.

Right Hemisphere

The half of the human brain that is typically associated with processing visuospatial and facial recognition tasks, as well as certain aspects of language and emotion.

Left Hemisphere

The left hemisphere of the brain is responsible for controlling the right side of the body, and is often associated with language, analytical thought, and logic.

Occipital Lobe

A division of the cerebral cortex located at the back of the head that is involved in the processing of visual information.