A device used to aid immobilization of a patient is called?
Appeared in: AIIMS Nagpur NO - 2018
Explanation
A restraint is a physical or mechanical device specifically designed to immobilize or reduce the ability of a patient to move their arms, legs, body, or head freely.
The primary purpose of a restraint is to ensure the safety of a patient who may be confused, agitated, or at risk of interrupting medical therapy (e.g., pulling out an IV line).
This directly aligns with the question's key term 'immobilization,' which means to prevent movement.
Why Other Options Were Wrong
Option B: Crutches are ambulatory aids designed to enhance mobility and assist with walking, particularly when a lower limb is injured or weak.
Option C: Canes are mobility aids used to provide support, improve stability, and reduce the load on a lower limb while walking.
Option D: Pillows are primarily used for comfort, support, and positioning to relieve pressure and maintain alignment.
Related Visual
Visual 1: Diagram - Comparison of a wrist restraint (immobilization) versus a cane (mobility aid) to highlight the difference in function.
Visual 2: Infographic - Showing a list of alternatives to physical restraints, such as offering diversional activities, using bed alarms, and involving family members.
Clinical Relevance
Nursing practice connection: Use the key finding related to Patient Safety and Immobilization Devices to guide bedside assessment, documentation, and the next nursing action.
The principle of 'least restrictive' is paramount in nursing. Always attempt alternative, non-restraint interventions before considering a physical restraint.
Improper use of restraints can lead to serious complications, including pressure injuries, pneumonia, constipation, incontinence, and psychological distress. It can also be a violation of a patient's rights.
What if a patient is confused and keeps trying to get out of bed? First, assess the cause (e.g., pain, need to use the toilet, medication side effect). Address the underlying cause, try a bed alarm, or ask a family member to sit with them before resorting to a restraint.
How to Approach the Question
First, identify the key term in the question: 'immobilization,' which means to prevent or restrict movement.
Next, evaluate each option based on its primary function.
Ask yourself: 'Does this device restrict movement or assist with movement?'
Eliminate options that are designed to help a person move, such as crutches and canes.
Compare the remaining options. A pillow is for comfort, while a restraint is specifically designed to limit movement for safety.
Select the option whose primary purpose matches the key term 'immobilization'.
Concept Tested & Keywords
Concept Tested: Patient Safety and Immobilization Devices
Stem keywords: device, aid, immobilization
Lead-in keywords: is called
Question ID
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