A charge nurse is teaching a group of nursing staff about the use of client restraints. Which of the following statements by the nursing staff Indicates an understanding of the teaching?

"I should document an assessment of the client every 15 minutes."

"The initial prescription for the client needs to be obtained within 36 hours."

"I should obtain consent from a family member for client restraints."

Restraints can be prescribed for the client on a PRN basis."

Answer and Explanation

The Correct Answer is A

A. Clients in restraints require frequent assessment and documentation, typically every 15 to 30 minutes, to ensure safety and monitor for complications.
B. The initial restraint order must be obtained promptly, usually within 1 hour, not 36 hours.
C. Consent must be obtained from the client or their legal guardian, not just a family member.
D. Restraints cannot be prescribed on a PRN (as needed) basis; orders must be specific and time-limited.

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Correct Answer is ["B","D","E"]

Explanation

A.It is the witnessing nurse’sresponsibility to report the incident, not the person who violated protocol.
B. Reporting the improper handling of a controlled substance helps ensure accountability, investigation, and risk management.
C.Filing an anonymous reportis not the most appropriate or accountable action. It may limit follow-up and clarity. Reporting should be done transparently through the proper chain of command.
D. Including witness names supports the integrity of the report and allows for thorough investigation.
E. Objective, detailed documentation is essential for accurate reporting and resolution of safety and legal concerns.

A. Set up appointments for in-home physical therapy. B. Request a referral for a home safety assessment. C. Provide printed materials for new prescriptions. D. Suggest participating in a community support group.

Correct Answer is B

Explanation

A.Setting up in-home physical therapycan support long-term function but is not the most immediate concern.
B. Since the client has a new diagnosis of COPDand lives alone, ensuring their home environment is safeis the priorityto reduce fall risk, ensure access to oxygen if needed, and prevent complications.
C.Providing printed materialsis important for education but not the highest priority for safety.
D.Suggesting a support grouphelps with emotional needs but is a lower priority than ensuring the client’s immediate physical safety at home.

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A charge nurse is teaching a group of nursing staff about the use of client restraints. Which of the following statements by the nursing staff Indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse witnesses a coworker not following facility procedure when discarding the unused portion of a controlled substance. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["B","D","E"]

Explanation

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Correct Answer is B

Explanation

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