A nurse is planning care for a hospitalized client who is immobile and in a continuous mitten restraint. Which of the following interventions should be included in the client's care plan? (Select all that apply.)

Ensure two fingers can fit between the device and the client.

Perform a neurovascular check every 2 hours.

Secure the restraint to the bedrail.

Obtain a prescription renewal every 72 hours.

Implement passive range-of-motion exercises.

Answer and Explanation

Correct Answer : A,B,D,E

A. Ensuring two fingers can fit between the device and the client is crucial for monitoring circulation and preventing skin breakdown.
B. Performing a neurovascular check every 2 hours is necessary to assess circulation and nerve function, ensuring that the restraint is not causing harm.
C. Securing the restraint to the bedrail is not appropriate; restraints should be secured to the movable part of the bed frame to avoid causing injury.
D. Obtaining a prescription renewal every 72 hours is required for ongoing restraints, as it ensures continued monitoring and justification for their use.
E. Implementing passive range-of-motion exercises is essential to maintain joint mobility and prevent complications associated with immobility.

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Correct Answer is B

Explanation

A. Allowing someone else to use your login credentials compromises patient confidentiality and violates privacy policies.
B. This response correctly emphasizes the importance of maintaining security and confidentiality in electronic health records. Each user must access the system using their credentials to ensure accountability.
C. Signing a note under someone else's password is not acceptable and could lead to misattribution of documentation.
D. Entering information on behalf of another person also violates policies regarding documentation and accountability.

A. Charges B. Contractual allowance C. Prospective reimbursement D. Cost-based reimbursement

Correct Answer is A

Explanation

A. Charges refer to the fees billed for services rendered, which in this case is the administration of each vaccination according to the insurance company's guidelines.
B. Contractual allowance refers to the difference between the billed amount and the amount agreed upon in the contract with the insurance company, which is not the primary focus here.
C. Prospective reimbursement is based on predetermined rates rather than charges billed after services are provided.
D. Cost-based reimbursement is determined by the actual costs incurred in providing services, which does not apply in this context as the billing is based on set charges for vaccinations.

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A nurse is planning care for a hospitalized client who is immobile and in a continuous mitten restraint. Which of the following interventions should be included in the client's care plan? (Select all that apply.)

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