Editing Management of Care – LPN Practice Questions (section)

==Question 14==
A licensed practical nurse is caring for a client in bilateral soft wrist restraints. Which action by the LPN indicates a need for further education?
# Securing the restraint straps to the side rail of the bed.
# Tying the restraint straps using a quick-release knot.
# Checking circulation, sensation, and skin integrity distal to the restraints.
# Releasing the restraints every 2 hours to provide range of motion and toileting.

'''Answer:''' 1. Securing the restraint straps to the side rail of the bed.

''Rationale:'' Restraints must be secured to the movable part of the bed frame, never to a side rail. A restraint tied to a side rail will pull on the client's limb when the rail is raised or lowered and can cause injury. Options 2, 3, and 4 all describe correct practice: a quick-release knot allows rapid removal in an emergency, neurovascular and skin checks detect impaired circulation and pressure injury, and periodic release with range of motion, toileting, and fluids is required. The LPN should also verify that a current, time-limited provider order exists, because as-needed restraint orders are prohibited.