A nurse is preparing an in-service presentation for a group of newly licensed nurses about the use of restraints. Which of the following should the nurse include as a criterion for applying restraints?

The provider must renew a restraint prescription every 8 hr.

The client must understand the need for the restraints.

The nurse has already considered alternatives to restraints.

The restraints should promote the client's safety and prevent injuries.

Answer and Explanation

The Correct Answer is C

A. The provider must renew a restraint prescription every 8 hr: For adult clients, restraint prescriptions must be renewed every 24 hours, not 8. More frequent review is required in certain populations, such as children.

B. The client must understand the need for the restraints: While it is important to explain restraints to clients when possible, understanding is not a criterion for their application. Clients who are confused or agitated may not comprehend the explanation but may still require restraints for safety.

C. The nurse has already considered alternatives to restraints: Restraints should only be used as a last resort after less restrictive measures, such as reorientation, diversional activities, or closer observation, have been tried and found ineffective.

D. The restraints should promote the client's safety and prevent injuries: While safety is the overall goal, this is a general principle rather than a specific criterion for use. The actual requirement is that all other alternatives are exhausted before restraints are applied.

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Correct Answer is C

Explanation

A. Have the client move each limb independently through its complete range of motion: This describes active range of motion exercises, which involve joint mobility but do not focus on muscle strengthening through tension as isometric exercises do.

B. Ask the client to move her arms and legs while applying slight resistance: This describes isotonic resistance exercises, where movement occurs against an external force. Isometric exercises, in contrast, involve no visible joint movement.

C. Instruct the client to tighten muscle groups for a short period, and then relax: Isometric exercises involve contracting muscles without moving the associated joint. This action maintains muscle strength and circulation during bedrest, reducing the risk of deconditioning.

D. Move the client's limbs through their complete range of motion: This describes passive range of motion, which maintains joint flexibility but does not engage the client’s muscles actively. It does not provide the benefits of isometric strengthening.

A. Glaucoma B. Depression C. Migraines D. Asthma

Correct Answer is D

Explanation

A. Glaucoma: Propranolol is not contraindicated in clients with glaucoma. In fact, beta-blocker eye drops such as timolol are sometimes prescribed to reduce intraocular pressure, showing that this condition does not pose a risk with propranolol therapy.

B. Depression: While propranolol can occasionally worsen depressive symptoms, depression is considered a precaution rather than a strict contraindication. The benefits of blood pressure control often outweigh this risk, provided the client is closely monitored.

C. Migraines: Propranolol is frequently prescribed as a preventive treatment for migraines due to its effectiveness in reducing frequency and severity. Therefore, a history of migraines is not a contraindication but rather a therapeutic indication.

D. Asthma: Propranolol is contraindicated in clients with asthma because its nonselective beta-blocking effect can cause bronchoconstriction. Blocking beta-2 receptors in the lungs increases the risk of bronchospasm, which can trigger life-threatening respiratory complications in asthmatic clients.

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A nurse is preparing an in-service presentation for a group of newly licensed nurses about the use of restraints. Which of the following should the nurse include as a criterion for applying restraints?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is prescribed bedrest. The plan of care indicates that the client should perform isometric exercises every 2 hr. Which of the following actions should the nurse take as directed by the plan of care?

Correct Answer is C

Explanation

A nurse caring for a client who has hypertension and asks the nurse about a prescription for propranolol. The nurse should inform the client that this medication is contraindicated in clients who have a history of which of the following conditions?

Correct Answer is D

Explanation

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