A _____ device is a snug wrap that is effective when performing a scalp venipuncture, inserting a nasogastric tube or performing other procedures that involve only the head or neck.

Appeared in: DSSSB - 29 August 2019 (Shift-2)

Explanation

A mummy restraint is specifically designed to immobilize an infant's or small child's arms and body by wrapping them securely in a blanket.
This method is ideal for short-term examinations or procedures involving the head and neck, such as scalp venipuncture, NG tube insertion, or eye/ear medication administration.
The term "snug wrap" in the question directly corresponds to the application of a mummy restraint, also known as swaddling.
It effectively keeps the child still and safe, allowing the healthcare provider to perform the procedure efficiently.

Option B: A jacket restraint is a vest-like garment used to secure a child in a bed or chair to prevent them from falling or climbing out.
Option C: A commercial elbow restraint is a rigid device that prevents the child from bending their elbow.
Option D: A clove hitch restraint is a type of knot used to secure a limb (arm or leg) to an object like a bed frame.

Clinical Relevance

Nursing practice connection: Knowing Pediatric Restraints helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
Safe and appropriate use of restraints is a critical nursing skill to ensure patient safety while facilitating necessary medical procedures.
Nurses must perform frequent neurovascular checks (assessing color, temperature, sensation, and pulses) on any restrained extremity and check skin integrity under the restraint.
Documentation is crucial and must include the reason for the restraint, the type used, the time of application, and all subsequent assessments.

How to Approach the Question

First, analyze the keywords in the question: "snug wrap," "scalp venipuncture," "nasogastric tube," and "head or neck."
These keywords point to a need for immobilizing the child's body and arms while leaving the head accessible.
Next, evaluate each option based on its primary function.
A 'mummy restraint' is a wrapping technique for immobilization, which matches the description.
A 'jacket restraint' is for preventing falls from a bed or chair.
An 'elbow restraint' prevents bending the arm.

Concept Tested & Keywords

Concept Tested: Pediatric Restraints
Stem keywords: snug wrap, scalp venipuncture, nasogastric tube, head or neck
Lead-in keywords: BEST, MOST RELEVANT CLUE
Clinical cues: The procedure involves only the head or neck, which requires immobilization of the body and arms.

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E6 Text Book Of Pediatric Nursing 3rd Panchali Pal — Part 3 (pp 477-702 of 713) p. 187-189

E6 Nursing Fundamentals Taylor p. 271-273

E6 Nursing Fundamentals Potter Perry 12e Part 2 p. 208-210

Practise the full DSSSB - 29 August 2019 (Shift-2)

Attempt every question from this paper in a timed mock, then review the full solution for each one.