A nurse manager is leading a discussion on legal guidelines for the use of restraints. Which of the following information should the nurse include?
"You can place a client in a chair with a table or tray blocking them as an alternative to restraints."
"Monitoring the client less often than required can be considered negligence."
"Family members cannot file a lawsuit when restraints are used for clients who have a mental illness."
"Chemical restraints are allowed when there is a high client-to-nurse ratio."
The Correct Answer is B
A. "You can place a client in a chair with a table or tray blocking them as an alternative to restraints.": Using furniture to block a client can restrict their movement and may still be considered a form of restraint. Legal guidelines emphasize the importance of promoting client safety and dignity, so alternative measures should be explored that do not involve restricting movement.
B. "Monitoring the client less often than required can be considered negligence.": Monitoring a client in restraints less frequently than required breaches the duty of care and can lead to harm. Proper monitoring is crucial for the safety and well-being of clients, ensuring that their physical and psychological needs are adequately addressed while they are in restraints.
C. "Family members cannot file a lawsuit when restraints are used for clients who have a mental illness.": Family members retain the right to file lawsuits if they believe that the use of restraints was inappropriate or caused harm, regardless of the client's mental health status. Legal rights apply equally to all clients, including those with mental illness, ensuring accountability in the use of restraints.
D. "Chemical restraints are allowed when there is a high client-to-nurse ratio.": The use of chemical restraints is subject to strict regulations and cannot be justified based solely on staffing levels. These restraints should only be used when necessary for the client's safety and must align with established legal and ethical guidelines, ensuring that they are not used as a solution for managing staffing challenges.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Report of back pain associated with twisting at the waist. Back pain is a common musculoskeletal issue among agricultural workers due to repetitive movements and heavy lifting. While it requires intervention, it is not immediately life-threatening and does not take priority over acute symptoms that may indicate poisoning or a severe reaction.
B. Absence of a dental health provider. Lack of dental care can contribute to long-term health complications, but it does not pose an immediate risk requiring urgent intervention. Addressing acute medical conditions takes precedence over routine preventive care.
C. Lives in a home with 25 other agricultural workers. Overcrowded living conditions can increase the risk of communicable diseases and poor hygiene-related health issues. However, it is a social determinant of health rather than an urgent clinical concern that requires immediate action.
D. Report of muscle twitching and skin rash. Muscle twitching and skin rash can indicate pesticide poisoning, a common occupational hazard for agricultural workers. Pesticide exposure can lead to serious neurological and systemic effects, making this the priority for immediate assessment and intervention.
Correct Answer is D
Explanation
A. High-risk individuals should receive immunoglobulin E (IgE): High-risk individuals do not receive immunoglobulin E for botulism. The treatment for botulism involves the use of antitoxin to neutralize the toxin, along with supportive care to manage symptoms.
B. Implement airborne precautions for clients who have botulism: Airborne precautions are not required for botulism because it is not transmitted through the air. Botulism is primarily contracted through ingestion of contaminated food or wound contamination, so standard precautions are generally sufficient.
C. Administer an aminoglycoside medication: Aminoglycosides are not indicated for treating botulism. The mainstay of treatment includes administering botulinum antitoxin and providing supportive care. Antibiotics may be necessary for any secondary infections but are not the primary treatment for botulism itself.
D. Rinse skin with soap and water following exposure to the botulism toxin: Rinsing the skin with soap and water after exposure to the botulism toxin is an appropriate action. This practice helps eliminate the toxin from the skin, reducing the risk of absorption and potential harm.
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