An Adult Client Assaults Another Client and Is Placed in Restraints

question 1

Multiple Choice

An adult client assaults another client and is placed in restraints at 1345 hours. While the client is in restraints, which client statement should alert a nurse that further assessment is necessary?

• A)"I hate all of you!"
• B)"My fingers are tingly."
• C)"You wait until I tell my lawyer."
• D)"I have a sinus headache."

---

Definitions:

Skin Care

Practices that support skin integrity, enhance its appearance, and relieve skin conditions through cleansing, moisturization, and protection from harmful UV rays.

Unconscious Child

A child who is not awake and unable to respond to stimuli.

Pressure Reduction

Strategies or devices designed to decrease pressure on certain parts of the body, often to prevent pressure ulcers or sores.

Dressing Change

The process of removing old wound dressings, cleaning the wound, and applying fresh dressings to promote healing and prevent infection.