Exam Guide
Belt Restraint Across the Chest: Why It Is Wrong
Safety & Infection Control · Question from the ATI PN Fundamentals 2023 Proctored Exam study set
Correct answer: Placing the restraint across the client's chest
Why this is the answer
A belt (waist) restraint should be applied at the waist, not across the chest, to avoid restricting respiration and to prevent injury.
The bigger concept
Restraints are a last resort and every detail is tested. A belt restraint goes across the waist over clothing, snug enough to admit two fingers, tied with a quick-release knot to the bed frame — never the side rail. Check circulation and skin every 30 minutes, release for ROM and toileting every 2 hours, and document behavior, alternatives tried, and the provider's time-limited order. Anything across the chest risks restricting breathing.
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