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A Patient Has an Ankle Restraint Applied

Question 2

Multiple Choice

A patient has an ankle restraint applied. Upon assessment the nurse finds the toes a light blue color. Which action will the nurse take next?


A) Remove the restraint.
B) Place a blanket over the feet.
C) Immediately do a complete head-to-toe neurologic assessment.
D) Take the patient's blood pressure, pulse, temperature, and respiratory rate.

Correct Answer:

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