Client has bilateral soft wrist restraints. The client is confused, is trying to get out of
bed, and had pulled out the IV line, which was subsequently reinserted. Which
action(s) by the nurse is appropriate? Select all that apply.
a Document the behavior(s) that require continued use of the restraints.
b Ensure that the restraints are tied to the side rails.
c Provide range-of-motion exercises when the restraints are removed.
d Orient the client.
e Assess the tightness of the restraints.
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a,c,d,e
1. A nurse sees smoke emerging from the suction equipment being used. Which is the
greatest priority in the event of a fire?
a. Report the fire.
b. Extinguish the fire.
, c. Protect the clients.
d. Contain the fire.
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c
The nurse tells a client that he will need to have a bowel prep before going to his
esophagogastroscopy. On what should the nurse focus to improve communication
skills?
a. Pace
b. Intonation
c. Simplicity
d. Clarity
Give this one a try later!
c. Simplicity - A nurse should communicate using words the client will
understand. Many clients do not understand the medical terminology.
A confused client is touching his IV line and the nurse is concerned for his safety. The
nurse wants to consider options for keeping the IV line from being pulled out. Which
of the following options would best meet the client's and nurse's needs? SATA
a Explain the purpose of the IV line.
b Reorient the client by telling him the day and time.
c Cover up the IV site with a long-sleeved gown.
d Apply wrist restraints to both wrists.
e Apply a mitt to both hands without attaching straps to the bed.
Give this one a try later!
bed, and had pulled out the IV line, which was subsequently reinserted. Which
action(s) by the nurse is appropriate? Select all that apply.
a Document the behavior(s) that require continued use of the restraints.
b Ensure that the restraints are tied to the side rails.
c Provide range-of-motion exercises when the restraints are removed.
d Orient the client.
e Assess the tightness of the restraints.
Give this one a try later!
a,c,d,e
1. A nurse sees smoke emerging from the suction equipment being used. Which is the
greatest priority in the event of a fire?
a. Report the fire.
b. Extinguish the fire.
, c. Protect the clients.
d. Contain the fire.
Give this one a try later!
c
The nurse tells a client that he will need to have a bowel prep before going to his
esophagogastroscopy. On what should the nurse focus to improve communication
skills?
a. Pace
b. Intonation
c. Simplicity
d. Clarity
Give this one a try later!
c. Simplicity - A nurse should communicate using words the client will
understand. Many clients do not understand the medical terminology.
A confused client is touching his IV line and the nurse is concerned for his safety. The
nurse wants to consider options for keeping the IV line from being pulled out. Which
of the following options would best meet the client's and nurse's needs? SATA
a Explain the purpose of the IV line.
b Reorient the client by telling him the day and time.
c Cover up the IV site with a long-sleeved gown.
d Apply wrist restraints to both wrists.
e Apply a mitt to both hands without attaching straps to the bed.
Give this one a try later!
