A nurse is caring for a client who is exhibiting increased agitation. The nurse offered toileting, lowered the lights in the client's room and closed door to client's room.
Complete the following sentence by using the lists of options.
The nurse is at risk for
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
False Imprisonment: This refers to the unlawful restraint of an individual's freedom of movement. By applying wrist restraints without a clear and immediate order from a provider or without proper justification, the nurse could be restricting the client's freedom of movement inappropriately.
Applying wrist restraints to the client: This action is a key factor in the potential for false imprisonment. Restraints should be used only when necessary and with proper authorization and documentation, particularly in non-emergency situations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. "Use wool blankets on your bed" is not recommended as wool is a flammable material that can pose a risk with oxygen use.
B. "Store unused oxygen tanks horizontally" is not correct; tanks should be stored upright to prevent damage or leakage.
C. "Check your oxygen equipment once each week" is insufficient; equipment should be checked more frequently to ensure safety.
D. "Do not adjust the oxygen flow rate" is correct as clients should not make adjustments without medical advice to ensure proper oxygen levels are maintained.
Correct Answer is B
Explanation
Rationale:
A. Acute pancreatitis may require specialized medical management that might be beyond the RN’s experience from a different unit.
B. A client one-day postoperative following a total abdominal hysterectomy is appropriate for an RN with general surgical experience, as it involves standard postoperative care.
C. A client who had a stroke may require more specialized neuro care and assessment than the RN might be familiar with.
D. Terminal end-stage renal disease requires specialized care and experience in managing complex chronic conditions.
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