A nurse is supervising a new graduate who is caring for a patient who has fallen days ago. Which of the following interventions made by the new graduate REQUIRES CORRECTION by the supervising nurse?

The new graduate places all side rails up.

The new graduate ensures the bed is in the lowest position (i.e., closest to the floor).

The new graduate places patient's belongings at within reach.

The new graduate ensures the wheels on the client's bed are locked.

Answer and Explanation

The Correct Answer is A

A. Placing all side rails up may actually increase the risk of injury if the patient tries to climb over them, as it can create a false sense of security. This practice is considered a restraint and should be avoided unless indicated for patient safety.
B. Ensuring the bed is in the lowest position helps prevent falls and is a safe practice.
C. Placing the patient's belongings within reach promotes independence and reduces the risk of the patient trying to get up to retrieve items.
D. Ensuring the wheels on the client's bed are locked is crucial for patient safety to prevent unintended movement of the bed.

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Correct Answer is ["A","B","D","E"]

Explanation

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.

A. adjust the employee's work schedule to decrease stress. B. assist the employee in obtaining professional help. C. act as a therapist for the employee. D. adjust the standard of care to assist the employee.

Correct Answer is B

Explanation

A. Adjusting the employee's work schedule may provide temporary relief, but it does not address the underlying emotional issues that need professional attention.
B. Assisting the employee in obtaining professional help is the most crucial action a nurse manager can take. This ensures that the employee receives the appropriate support and intervention needed to address their emotional challenges.
C. Acting as a therapist for the employee is outside the scope of a nurse manager's role and may lead to ethical and professional boundaries being crossed.
D. Adjusting the standard of care to assist the employee compromises the quality of patient care and is not a viable solution for supporting an emotionally troubled employee.

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A nurse is supervising a new graduate who is caring for a patient who has fallen days ago. Which of the following interventions made by the new graduate REQUIRES CORRECTION by the supervising nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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