Which is a key nursing intervention when using restraints?

Prepare for the NCLEX-RN exam with Mark Klimek Yellow Book Test. Access flashcards, multiple-choice questions, and detailed explanations to excel in your nursing exam.

Rotating sites every 2 hours is a critical nursing intervention when using restraints because it helps prevent skin breakdown, pressure ulcers, and complications related to immobility. This practice is essential to ensure that the patient's skin remains intact and healthy, particularly in individuals who may already be at risk for skin issues due to limited mobility or existing medical conditions. By changing the restraint sites, the nurse promotes circulation and skin integrity, which are vital components of patient safety and comfort.

Regular assessment of the patient’s condition should still occur despite the intervention of rotating sites, as monitoring helps detect any signs of distress, discomfort, or changes in vital signs. Ensuring the patient’s safety while using restraints also means adhering to facility policies and guidelines regarding patient monitoring and care, which emphasizes the importance of ongoing observation.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy