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A nurse is preparing to place a belt restraint on a client. In what order should the nurse take the following actions? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Place the client in a lying position.

Thread the ties through the belt.

Apply the belt at the client's waist over his clothing.

Assist the client to a sitting position.

Attach restraint straps to the bedframe.

Answer and Explanation

The Correct Answer is A,D,C,B,E

Place the client in a lying position. This step ensures that the client is in a stable and safe position before applying the restraint.
Assist the client to a sitting position. Once the client is stable, assisting them to a sitting position ensures that they are comfortably positioned for restraint application.
Apply the belt at the client's waist over his clothing. Applying the belt over the clothing at the waist secures the client and prevents movement.
Thread the ties through the belt. Threading the ties through the belt ensures that the restraint is properly secured.
Attach restraint straps to the bedframe. Finally, attaching the restraint straps to the bedframe ensures that the restraint is firmly secured and the client cannot easily remove it.

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Correct Answer is C

Explanation

A. Complete an incident report and notify the nursing supervisor. Completing an incident report and notifying the supervisor is not required for routine tasks like faxing a laboratory report.
B. Direct the provider to the admissions department for the information. Directing the provider to another department is not necessary for this task and does not address the specific request to fax the report.
C. Place a cover sheet on top of the document indicating the recipient. This is the correct action. A cover sheet helps protect patient confidentiality by indicating the intended recipient and purpose of the fax, ensuring secure transmission.
D. Fax the complete medical record to the provider's office. Faxing the complete medical record is inappropriate unless specifically requested. Only the relevant laboratory report should be sent to maintain patient confidentiality and comply with privacy regulations.

A. Secure the cord with electrical tape under area rugs. B. Plug the device into the outlet closest to the tub when bathing. C. Grasp the cord to unplug the device. D. Tape the cord of the device against the baseboard with electrical tape.

Correct Answer is D

Explanation

A. Secure the cord with electrical tape under area rugs. This is incorrect. Securing the cord under rugs can create a fire hazard.
B. Plug the device into the outlet closest to the tub when bathing. This is incorrect and dangerous as water and electricity should never come into contact.
C. Grasp the cord to unplug the device. The correct method is to grasp the plug, not the cord, to avoid damaging the cord and causing a potential electrical hazard.
D. Tape the cord of the device against the baseboard with electrical tape. This is correct. Taping the cord to the baseboard can help prevent tripping hazards and keep the cord secure.

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A nurse is preparing to place a belt restraint on a client. In what order should the nurse take the following actions? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Nursing Test Bank

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