Practice Question
An older adult client has been admitted to a skilled nursing facility. Which of the following can be caused by physical restraints? (Select all that apply.)
Answer Choices:
Correct Answer:
Pressure ulcers.
Rationale:
Pressure ulcers
🔷 Physical restraints limit mobility, causing prolonged pressure over bony prominences.
🔷 This leads to tissue ischemia and necrosis, increasing the risk for pressure ulcers.
🔷 Immobile elderly clients are at highest risk due to fragile skin.
Death
🔷 Improperly applied restraints can cause asphyxiation, strangulation, or cardiac arrest.
🔷 Elderly patients have limited physiological reserves, making them more vulnerable to fatal complications.
Decreased circulation/perfusion to the extremities
🔷 Tight restraints impair venous return and arterial circulation, leading to ischemia, cyanosis, or nerve damage.
🔷 Prolonged impaired perfusion can cause tissue necrosis or permanent damage.
Fractures
🔷 Struggling against restraints can cause bone fractures, especially in frail older adults with osteoporosis.
🔷 The force applied during agitation increases the risk of musculoskeletal injuries.
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This question is from Smith Chason College- NURS 146 Gero Final Exam which contains 93 questions.
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From Exam
Smith Chason College- NURS 146 Gero Final Exam
93 Questions
View Full Exam Start PracticingQuestion Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Adult Health
- Answer Choices: 5