A nurse is providing teaching to an assistive personnel about the application of wrist restraints to a client. Which of the following instructions should the nurse include in the teaching?

Attach the restraints to the fixed portions of the frame of the client's bed.

Remove the client's restraints every 2 hr

Secure the client's restraints with a square knot.

Allow 1 fingerbreadth between the restraint and the client's wrists.

Answer and Explanation

The Correct Answer is D

A.   Restraints should not be attached to the bed frame. Instead, they should be secured to a movable part of the bed (such as side rails) to prevent injury. Attaching restraints to the bed frame can cause harm to the patient and limit their mobility.
B.   While it's essential to assess and reposition restraints regularly, removing them entirely every 2 hours is not recommended unless the patient's condition allows for it. Restraints should be removed and repositioned at least every 2 hours to assess skin integrity, circulation, and comfort. However, they should not be removed entirely unless necessary.
C.   Square knots are not recommended for restraining patients because they can be difficult to untie quickly in case of an emergency. Quick-release buckles or Velcro fasteners are safer options.
D.   Allowing 1 fingerbreadth between the restraint and the client's wrists ensures proper circulation and prevents excessive tightness. Properly fitting restraints prevent injury while maintaining patient safety.

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Correct Answer is A

Explanation

A. This statement indicates that the client may have difficulty with activities of daily living (ADLs), such as bathing, due to their rheumatoid arthritis. An occupational therapist can help by providing adaptive techniques or tools to make these tasks easier, thus making this an appropriate referral need.
B. While this statement reflects a common issue for clients with rheumatoid arthritis, it primarily points to a need for pain management and potentially medication adjustments, which are more typically addressed by a rheumatologist or a pain specialist rather than an occupational therapist.
C. This statement is related to nutritional needs and weight management. A dietitian or nutritionist would be the most appropriate professional to help with meal planning and maintaining a healthy weight rather than an occupational therapist.
D. Difficulty with stairs is related to mobility and functional limitations. An occupational therapist can assist by assessing the client’s home environment and recommending modifications or adaptive devices to improve safety and mobility, making this an appropriate reason for referral.

A. Social worker B. Physical therapist C. Occupational therapist D. Speech pathologist

Correct Answer is A

Explanation

A. A social worker is highly relevant in the care of a child with ODD. Social workers can provide support in various ways, including counseling for the child and family, facilitating family therapy, and helping to manage and improve social interactions and relationships. They also assist with connecting families to community resources and support services.
B. Physical therapists focus on improving physical function and mobility through exercises and physical interventions. While physical therapists are crucial for managing physical impairments or developmental delays, they are not usually involved in treating behavioral disorders like ODD.
C. Occupational therapists work on helping individuals develop, recover, or maintain daily living and work skills. While they might be involved if there are specific functional impairments or difficulties with activities of daily living, they are not the primary professionals for managing behavioral issues related to ODD.
D. Speech pathologists specialize in diagnosing and treating communication disorders, including speech, language, and swallowing issues. For a child with ODD, unless there are co-occurring speech or language problems, a speech pathologist would not be the primary specialist needed.

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A nurse is providing teaching to an assistive personnel about the application of wrist restraints to a client. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning discharge for a client who has rheumatoid arthritis. Which of the following statements by the client should the nurse identify as an indication that a referral to an occupational therapist is necessary?

Correct Answer is A

Explanation

A nurse is reviewing the plan of care for a child who has oppositional defiant disorder. Which of the following members of the interprofessional health care team should the nurse plan to consult?

Correct Answer is A

Explanation

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