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

Secure the client's restraints with a square knot.

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

Remove the client's restraints every 2 hr.

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

Answer and Explanation

The Correct Answer is C

Restraints should be removed every two hours to assess skin integrity under the restraints and distal circulation

A. A square knot may be difficult to release in the case of an emergency

B. Restraints should be attached to movable parts of the bed to avoid injury during pulling.

D. Allow two fingerbreadths between the restraint and the wrist

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Correct Answer is D

Explanation

A. Total Parenteral Nutrition (TPN) IV tubing should be changed every 24 hours due to the high risk of infection associated with TPN. Changing it every 48 hours is not recommended and could lead to increased patient risk.

B. Total parenteral nutrition solution bags should be changed every 12 to 24 hrs depending on the constituents

C. Peripheral IV solution bags should be replaced every 24 hrs.

D The Infusion Nurses Society (INS) Standards of Practice recommend changing peripheral IV primary tubing every 96 hours. This is considered a cost-effective practice as it reduces the frequency of changing the tubing, thus saving resources, without compromising patient safety.

A. Assess the staff nurses' knowledge deficit. B. Demonstrate use of the pump during medication administration. C. Plan an -service education program on the unit. D. Pair an inexperienced nurse with an experienced nurse.

Correct Answer is A

Explanation

Proper training begins with identification of the existing gaps to allow tailoring of training to fill the gaps.

Assessing the knowledge deficit allows the charge nurse to choose the most appropriate mode of training to ensure client safety.

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A nurse is providing teaching to 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

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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