The nursing assistant is caring for a client after a stroke with right-sided paralysis (unable to move right side of body) who keeps trying to remove their indwelling urinary catheter. What action should the nursing assistant take?

Question

Quizplus · Accepted Answer

The nursing assistant observes that the resident cannot move their right side but easily can move their left side to get to the catheter, so securing the catheter to the right side will not prevent the resident from grabbing it. A wrist restraint is more restrictive than a hand mitt, and the least restrictive restraint should be tried first. Restraints must be ordered by the physician and the nurse gets that order. Asking an out-of-state family to take turns sitting with the resident is not a feasible method of preventing the resident from pulling out their catheter.

The Nursing Assistant Is Caring for a Client After a Stroke