A charge nurse is reinforcing teaching for a newly licensed nurse about how to apply wrist restraints for a client.
Which of the following actions should the charge nurse identify as an indication that the nurse understands the instructions?
Ties the straps of the restraints in a double knot.
Ties the restraints to the side rails.
Places the padding of the restraints against the client's bony prominences.
Inserts one finger between the client's wrist and the restraint.
The Correct Answer is B
Choice A rationale:
Using a fire extinguisher should not be the nurse's first action in this situation. The nurse's priority is to ensure the safety of the clients and staff in the vicinity. Attempting to use a fire extinguisher might not be effective and can potentially cause harm, especially if the fire spreads quickly.
Choice B rationale:
Activating the fire alarm is the nurse's priority in this situation. By activating the fire alarm, the nurse can alert everyone in the facility about the fire, ensuring that people are aware and can evacuate safely. This action initiates the facility's fire response protocol, leading to a quicker and organized response to the emergency.
Choice C rationale:
Moving clients to safety is important, but it is not the nurse's immediate priority in this situation. Activating the fire alarm should be done first to ensure that everyone in the facility is aware of the danger, and then the nurse can assist in moving clients to safety if necessary.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
The anterior surface of the drape is not the correct choice because it includes the central sterile area, which should never be touched by the nurse. Touching the central sterile area contaminates the field.
Choice B rationale:
The outer 1-inch border of the drape is the correct choice for the nurse to touch. This border is considered non-sterile and can be handled without contaminating the sterile field. It acts as a barrier, preventing contaminants from reaching the central sterile area.
Choice C rationale:
The top inner corners of the drape are part of the central sterile area and should not be touched by the nurse. Touching this area would contaminate the sterile field.
Choice D rationale:
The posterior aspect of the drape is not the correct choice because it is part of the central sterile area. Touching this area would contaminate the sterile field. When preparing a sterile field, it is essential for the nurse to follow strict aseptic techniques to maintain the sterility of the field. This includes touching only the designated non-sterile areas, such as the outer 1-inch border of the sterile drape, to avoid contamination.
Correct Answer is B
Explanation
Choice A rationale:
Gastro- refers to the stomach. This prefix is commonly used in medical terminology to indicate conditions related to the stomach or the gastrointestinal system.
Choice B rationale:
Nephro- is the correct medical term for kidney. The prefix nephro- is used to indicate conditions related to the kidney, such as nephritis (inflammation of the kidney)
Choice C rationale:
Oto- refers to the ear. This prefix is commonly used in medical terms related to the ear and hearing, such as otitis (inflammation of the ear)
Choice D rationale:
Uro- refers to the urinary tract. While it is related to the kidneys in the context of the urinary system, it is not the specific term for kidney. Uro- is used in words like urology (the branch of medicine that deals with the urinary system and male reproductive system)
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