A nurse is applying a belt restraint to a client who has become physically aggressive. Which of the following actions should the nurse take?
Apply the restraint under the client's clothes.
Tie the restraint to the railing of the client's bed.
Place the client in a sitting position.
Ensure the restraint is placed across the client's chest.
The Correct Answer is C
a. Applying the restraint under the client's clothes: Restraints should be applied over the client's clothes to avoid direct skin contact and reduce the risk of skin irritation or injury.
b. Tying the restraint to the railing of the client's bed: Restraints should not be tied to bed rails or any other fixed objects. This can increase the risk of injury to the client and should be avoided.
c. Placing the client in a sitting position is appropriate when applying a belt restraint, as it helps prevent respiratory compromise and allows the client to maintain a safer and more comfortable posture.
d. A belt restraint should be placed around the client's waist, not across the chest, to avoid restricting breathing.
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Related Questions
Correct Answer is C
Explanation
Explanation
C. Initiate contact precautions
Clostridium difficile is a bacterium that causes diarrhea and can be easily transmitted from person to person. Contact precautions are necessary to prevent the spread of the infection. This includes wearing gloves and a gown when providing direct care to the child, ensuring proper hand hygiene, and implementing proper disinfection protocols for the environment.
The other options are not necessary or specific to the care of a child with Clostridium difficile:
Using an N95 respirator in (option A) is not necessary for the care of a child with Clostridium difficile. Respirators are typically used for airborne precautions, which are not indicated for this specific infection.
Instructing the parents to avoid bringing fresh flowers into the room in (option)is not specific to the care of a child with Clostridium difficile. While it is generally recommended to minimize potential sources of contamination in healthcare settings, this particular instruction is not specific to this infection.
Placing the child in a room with a HEPA filtration system in (option D) is not necessary for the care of a child with Clostridium difficile. HEPA filtration systems are typically used for airborne precautions, which are not indicated for this specific infection.
Correct Answer is C
Explanation
Explanation:
The Pavlik harness is a device used to treat developmental dysplasia of the hip (DDH) in infants. It helps position the hips in a way that promotes proper hip joint development. By keeping the hips in a flexed and abducted position, the harness helps to align the hip joint properly, allowing for normal development.
A- Applying lotion under the straps of the harness is not recommended as it can interfere with the harness's effectiveness and may cause skin irritation.
B- The harness should not be removed for sleeping unless specifically instructed by the healthcare provider. It is typically worn continuously to ensure consistent hip positioning and optimal treatment outcomes.
D- Placing the diaper over the strap of the harness is not recommended as it can cause discomfort for the infant and may interfere with the proper fit and function of the harness. The diaper should be placed under the harness straps to ensure a secure and comfortable fit.
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