A nurse is considering the use of restraints. The nurse should:

Ensure that the patient has been adequately monitored.

Proceed with the application of restraints.

Explore alternative interventions to address the patient’s behavior.

Obtain verbal consent from the patient’s family.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Ensuring that the patient has been adequately monitored is important, but it is not the first step when considering the use of restraints. The nurse should first explore alternative interventions.
Choice B rationale
Proceeding with the application of restraints without considering alternatives can lead to unnecessary use of restraints, which can cause physical and psychological harm to the patient.
Choice C rationale
Exploring alternative interventions to address the patient’s behavior is the first step. Restraints should only be used as a last resort when other interventions have failed.
Choice D rationale
Obtaining verbal consent from the patient’s family is important, but it is not the first step. The nurse should first explore alternative interventions.

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Correct Answer is B

Explanation

Choice A rationale
The route of administration is important, but it is not the only missing element in this prescription.
Choice B rationale
The frequency of administration is missing, which is crucial for ensuring the medication is given at the correct intervals. Without this information, the prescription is incomplete and can lead to medication errors.
Choice C rationale
The patient’s name is essential, but it is not the only missing element in this prescription.
Choice D rationale
The prescriber’s signature is important for validating the prescription, but the frequency of administration is the critical missing element in this context.

A. Follow the order as prescribed by the physician. B. Administer the medication at a later time. C. Disregard the order and seek approval from another physician. D. Ask the physician to clarify the dosage and route.

Correct Answer is D

Explanation

Choice A rationale
Following the order as prescribed without clarification can lead to errors if the order is unclear or incomplete.
Choice B rationale
Administering the medication at a later time without clarification can also lead to errors and may delay necessary treatment.
Choice C rationale
Disregarding the order and seeking approval from another physician is not appropriate. The nurse should seek clarification from the ordering physician.
Choice D rationale
Asking the physician to clarify the dosage and route ensures that the order is accurate and complete, reducing the risk of medication errors.

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A nurse is considering the use of restraints. The nurse should:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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