The nurse is caring for a hospitalized patient. Which of the following behaviors alerts the nurse to consider the need for restraint?

The patient refuses to call for help to go to the bathroom

The patient continues to remove the nasogastric tube

The patient gets confused regarding theme at night

The patient does not sleep and continues to ask for items

Answer and Explanation

The Correct Answer is B

A.   Refusing to call for help does not necessarily indicate a need for restraints.
B.   Removing a nasogastric tube poses a risk to the patient’s health and may require restraints to prevent
harm.
C.   Confusion may warrant closer monitoring, but not necessarily restraints.
D.   Insomnia and asking for items may need intervention but not restraint.

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Correct Answer is D

Explanation

A. While the bed being flat can help, it’s safer to have assistance or use devices to prevent injury.
B. Side rails should generally be up for safety, but this does not directly support the safe repositioning of the patient.
C. A pillow can be helpful, but it is not sufficient for safe repositioning on its own.
D. Using assistive devices or having additional staff members is critical for safely moving a patient who cannot assist themselves.

A. Speak clearly and loudly B. Turn off the television C. Chew gum D. Use at least 14-point print

Correct Answer is B

Explanation

A. While clarity is important, speaking loudly can be perceived as shouting; speaking clearly is more effective.
B. Reducing background noise, such as turning off the television, helps the patient focus on the conversation, which is crucial for effective communication.
C. Chewing gum can distract from the conversation and hinder clear speech.
D. Using large print may not directly assist in verbal communication for a hearing aid user.

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The nurse is caring for a hospitalized patient. Which of the following behaviors alerts the nurse to consider the need for restraint?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The patient is unable to move himself and needs to be pulled up in bed. For this repositioning to be done safely, the nurse must understand that:

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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