A nurse is assisting in the use of a fracture bedpan for a client who is immobile due to a cast. Which of the following actions should the nurse take?

Place the shallow end of the fracture pan under the client's buttocks

Hyperextend the client's back while the fracture pan is in place.

Encourage the client to try to defecate for 20 min while on the fracture pan

Keep the bed flat while the client is on the fracture pan

Answer and Explanation

The Correct Answer is A

When using a fracture bedpan, it is important to position the pan correctly to provide proper support and comfort to the client. The shallow end of the fracture pan should be placed under the client's buttocks, as this end is designed to accommodate the body shape and offer a more comfortable position.

Hyperextending the client's back while the fracture pan is in place can cause discomfort, strain, or potential injury to the client. It is important to maintain a comfortable and neutral position for the client during bedpan use.

Encouraging the client to try to defecate for a specific time period, such as 20 minutes, is not recommended. It is more appropriate to allow the client adequate time and privacy to attempt to defecate without time constraints.

Keeping the bed flat while the client is on the fracture pan may not provide the optimal position for comfort and ease of use. Slight elevation of the head of the bed (Fowler's position) can provide a more comfortable position for the client during bedpan use.

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

Explanation

A. "I will apply tape over frayed areas of electrical cords.":Tape should not be used on frayed electrical cords. This can be a fire hazard. Frayed cords should be replaced immediately to avoid electrical fires or shocks.

B. "I need to check my medications for expiration dates.":Checking medication expiration dates is a key part of home safety. Expired medications can be ineffective or potentially harmful, so clients should regularly check their medications and dispose of expired ones properly.

C. "I need to set my hot water heater to 140 degrees Fahrenheit.":The water heater should be set to 120 degrees Fahrenheit to prevent scalding. A temperature of 140 degrees can increase the risk of burns, especially for older adults or those with reduced sensitivity to temperature.

D. "I will use the grab bars when getting in and out of the bathtub.":Grab bars in the bathroom provide stability and prevent falls when getting in or out of the bathtub, which is a high-risk area for injury. This is a great safety measure to reduce the risk of falls.

E. "I need to have a fire escape plan with my family.":Having a fire escape plan is an essential part of home safety. It's important for all family members to know how to exit the house safely in case of an emergency, including designated meeting points.

A. Remove one restraint at a time. B. Tie the restraints to the side rail, C. Secure restraints with a square knot D. Remove the restraints every 3 hr

Correct Answer is A

Explanation

When using restraints for the safety of the client and others, it is important to follow proper procedures to ensure the client's well-being and minimize the risk of injury. Removing one restraint at a time allows for better control and assessment of the client's behavior and response. It also helps maintain the client's safety by ensuring that at least one limb is restrained during the process.

Restraints should never be tied to the side rail as it can cause serious harm or injury to the client. Restraints should be attached to an immobilization device specifically designed for that purpose, such as a bed frame or a designated restraint chair.

Restraints should be secured with a quick-release mechanism, such as a buckle or Velcro, that allows for quick and easy removal in case of emergency or the need for rapid intervention. Tying restraints with a square knot can delay the removal process and may compromise the client's safety.

Restraints should only be used when necessary and as prescribed by the healthcare provider. The frequency and duration of restraint use should be based on the client's condition and the specific order from the healthcare provider. It is not appropriate to remove restraints based solely on a time schedule without considering the client's individual needs and safety. Regular assessments should be conducted to determine if continued use of restraints is required or if alternative interventions can be implemented.

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A nurse is assisting in the use of a fracture bedpan for a client who is immobile due to a cast. Which of the following actions should the nurse take?

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