Question

when assessing a client with wrist restraints, the nurse observes that the fingers on the right hand are blue. which action should the nurse implement first? a apply a pulse oximeter to the right hand. b loosen the right wrist restraint. c compare hand color bilaterally. d palpate the right radial pulse.

Explanation:

Blue fingers indicate impaired blood flow from the restraint, an immediate safety risk. The priority is to remove the source of occlusion first to restore circulation, before performing assessments like pulse checks or oximetry.

Answer:

B Loosen the right wrist restraint.