When assessing a patient,a nurse notes that the skin distal to a restraint is pale and cool to the touch.The nurse should:

Question

Quizplus · Accepted Answer

If a patient has altered neurovascular status of an extremity,such as cyanosis,pallor and coldness of skin,or complaints of tingling,pain,or numbness,remove restraint immediately,and notify physician.
Loosening the restraint may not effectively restore adequate circulation.
An improperly-sized restraint may not provide the protection for the patient that is needed.
Pale and cool skin distal to the restraint requires additional assessment,and the restraint needs to be removed.

When Assessing a Patient,a Nurse Notes That the Skin Distal