Practice Question
A nurse is observing an assistive personnel (AP) apply a belt restraint on a client. Which of the following actions by the AP requires intervention by the nurse?
Answer Choices:
Correct Answer:
Placing the restraint across the client's chest
Rationale:
🔶 Restraints must never be applied across a client's chest, as this can impair respiratory effort, limit chest expansion, and increase the risk of asphyxiation.
🔶 The correct way to apply a belt restraint is at the waist, over clothing or a gown, securing the client safely without compromising airway or breathing.
🔶 The nurse must intervene immediately if a restraint is misapplied in a way that jeopardizes the client’s circulation, breathing, or safety.
🔶 This action violates safe restraint guidelines and poses a critical safety risk.
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This question is from LPN ATI Leadership & Management 202 which contains 53 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Leadership
- Answer Choices: 4