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A nurse is applying soft limb restraints to a child who is acting aggressively toward staff. Which of the following actions should the nurse take?

A.

Tie the restraints to the side rails of the child's bed.

B.

Request that the provider renew the prescription for restraints every 48 hr.

C.

Secure the restraints with a quick-release knot.

D.

Assess the child every 4 hr while in restraints.

Answer and Explanation

The Correct Answer is C

A.    Tying restraints to the side rails poses a risk of injury to the child and is not a recommended practice.
B.    Renewing the prescription for restraints every 48 hours is important, but it does not directly address the proper application of restraints.
C.    Securing restraints with a quick-release knot allows for quick removal in case of emergency and is the correct method for applying restraints.
D.    Assessing the child every 4 hours while in restraints is important, but it does not address the proper application of restraints.
 


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Related Questions

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"A"}}

Explanation

Proper perineal hygiene is essential in preventing recurrent urinary tract infections.

Teaching the child about proper hygiene practices is important for preventing future UTIs.

Sulfamethoxazole and trimethoprim are antibiotics commonly used to treat urinary tract infections. Administering the prescribed antibiotic is appropriate for treating the UTI.

Salicylic acid (aspirin) is contraindicated in children with viral infections due to the risk of Reye's syndrome, a rare but serious condition. Since the child has a fever, which is likely due to the UTI, salicylic acid should not be given.

Fluid intake should be encouraged to help flush out the bacteria causing the UTI. Restricting fluid intake is not appropriate in this situation.

Advising the child's guardian about the use of sunscreen is appropriate, especially if the child will be outdoors. This intervention is not directly related to the UTI but is generally important for the child's overall health and well-being.

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

Explanation

A. Partial thromboplastin time (PTT) is not typically used to diagnose rheumatic fever. It is used to evaluate coagulation disorders.
B. Elevated C-reactive protein (CRP) levels indicate inflammation, which can be associated with rheumatic fever.
C. Elevated erythrocyte sedimentation rate (ESR) is a marker of inflammation and can be elevated in rheumatic fever.
D. Elevated Antistreptolysin O (ASO) titer indicates recent streptococcal infection, which is a predisposing factor for rheumatic fever.
E. Blood urea nitrogen (BUN) is not typically used to diagnose rheumatic fever. It is used to assess kidney function.

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