__________ 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 a physical restraint method used to limit the movement of an infant or small child's entire body.
It involves wrapping the child securely in a blanket or sheet, effectively immobilizing their arms and legs.
This technique is specifically indicated for short-term treatments and examinations that involve the head and neck, as it prevents the child from interfering with the procedure.
Examples of procedures where mummy restraints are used include scalp vein infusions, nasogastric tube insertion, and eye or ear examinations.

Option B: A jacket restraint is a vest-like device used to secure a child in a crib, high chair, or wheelchair to prevent falls. It does not immobilize the limbs for procedures.
Option C: A commercial elbow restraint is a rigid splint that prevents flexion of the elbow. It is used to stop a child from touching their face or head but does not provide the full-body immobilization of a mummy wrap.
Option D: Clove hitch restraint refers to a specific type of knot used to secure limb restraints (wrist or ankle) to a bed frame. It is a method of securing a restraint, not the restraint device itself that wraps the body.

Clinical Relevance

Nursing practice connection: Knowing Pediatric Restraints and Their Applications helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
Nurses must use restraints only when absolutely necessary and as a last resort, after alternative methods have failed.
When applying any restraint, it is critical to ensure it is not too tight, to pad bony prominences, and to regularly assess circulation, skin integrity, and the child's overall comfort.
The need for the restraint should be explained to the parents/caregivers to reduce anxiety and gain cooperation.

How to Approach the Question

First, analyze the question to identify the key requirements for the device. The keywords are 'snug wrap', 'scalp venipuncture', 'nasogastric tube', and 'head or neck'.
This indicates the need for a restraint that immobilizes the child's body, leaving the head free for a procedure.
Evaluate each option based on these requirements.
Mummy restraint: This is a wrapping technique for full-body immobilization, which matches the description.
Jacket restraint: This is a vest for fall prevention, which does not match.
Elbow restraint: This only restricts the elbow, not the whole body.

Concept Tested & Keywords

QNK57FtfgbJ8Yp3kwmzidm

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.