A charge nurse is reinforcing teaching for a newly licensed nurse about how to apply wrist restraints for a client.
Which of the following actions should the charge nurse identify as an indication that the nurse understands the instructions?

Ties the straps of the restraints in a double knot.

Ties the restraints to the side rails.

Places the padding of the restraints against the client's bony prominences.

Inserts one finger between the client's wrist and the restraint.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Using a fire extinguisher should not be the nurse's first action in this situation. The nurse's priority is to ensure the safety of the clients and staff in the vicinity. Attempting to use a fire extinguisher might not be effective and can potentially cause harm, especially if the fire spreads quickly.

Choice B rationale:

Activating the fire alarm is the nurse's priority in this situation. By activating the fire alarm, the nurse can alert everyone in the facility about the fire, ensuring that people are aware and can evacuate safely. This action initiates the facility's fire response protocol, leading to a quicker and organized response to the emergency.

Choice C rationale:

Moving clients to safety is important, but it is not the nurse's immediate priority in this situation. Activating the fire alarm should be done first to ensure that everyone in the facility is aware of the danger, and then the nurse can assist in moving clients to safety if necessary.

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Correct Answer is D

Explanation

Choice A rationale:

A suffix is a word part that is added to the end of a root word to modify its meaning. For example, in the medical term "cardiologist," the suffix '-ologist' means a specialist or expert. A suffix is placed at the end of a root word or a combining form to create a specific medical term.

Choice B rationale:

A word root is the foundational part of a medical term. It contains the core meaning of the term and is not usually modified by prefixes or suffixes. For instance, in the term "cardiology," 'cardi-' is the word root, representing the heart. Word roots provide the essential meaning of the medical term.

Choice C rationale:

A prefix is a word part that is added to the beginning of a root word or a combining form to modify its meaning. Prefixes are important in medical terminology as they indicate locations, numbers, or time. For example, in the term "prehypertension," the prefix 'pre-' means before. Prefixes are added at the beginning of a word.

Choice D rationale:

A combining form is a word root combined with a vowel (usually 'o') that can be joined with other word parts to create a medical term. Combining forms are used as a connector to join a root word and a suffix or another root word. For example, in the term "gastritis," 'gastr-' is the combining form, representing the stomach. Combining forms facilitate the construction of complex medical terms.

A. Counting a regular pulse for 30 seconds and doubling the number to obtain the rate. B. Palpates the femoral artery in the groin of the client. C. Palpates both carotid pulses at the same time. D. Palpates the radial artery on the thumb side of the wrist.

Correct Answer is A

Explanation

Choice A rationale:

The client's respirations are faster and deeper than normal due to expelling too much carbon dioxide. This condition is known as hyperventilation. Hyperventilation can occur due to various reasons such as anxiety, pain, fever, or metabolic acidosis. When the body expels excessive carbon dioxide, it leads to respiratory alkalosis, resulting in faster and deeper breathing to compensate for the decrease in carbon dioxide levels in the blood.

Choice B rationale:

This option is incorrect. Hypoxemia, or low blood oxygen levels, typically leads to rapid, shallow breathing (tachypnea) rather than deep and fast respirations.

Choice C rationale:

This option is incorrect. Inflammation of the phrenic nerve does not directly affect the depth and rate of respirations. Phrenic nerve inflammation is more likely to cause pain during breathing or hiccups.

Choice D rationale:

This option is incorrect. Using intercostal muscles to breathe is a normal physiological process, especially during deep or labored breathing. However, it does not explain the specific situation described in the question, where the respirations are faster and deeper than normal.

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A charge nurse is reinforcing teaching for a newly licensed nurse about how to apply wrist restraints for a client.Which of the following actions should the charge nurse identify as an indication that the nurse understands the instructions?

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Naxlex Comprehensive Predictor Exams

Macroglossia means:

Correct Answer is D

Explanation

A nurse is assessing peripheral pulses on a client and is aware that which action is a safety issue when assessing the client's peripheral pulses?

Correct Answer is A

Explanation

A nurse delegates the application of wrist restraints for a client who is confused to an assistive personnel (AP) The AP padded the wrist restraints and secured the straps to the bed frame with a double knot. Which of the following actions should the nurse take?

A nurse explains to a client's family that the client's respirations are faster and deeper than normal because of what?

The nurse prepares to assess a client's temperature.Which should the nurse keep in mind that can falsely lower the body temperature? (Select all that apply.)

A nurse is caring for a client when the safety on the bed plug's electrical outlet pops and begins to smoke. Which of the following actions is the nurse's priority?

Which vowel is most commonly used when combining word parts?

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A nurse is providing reinforcing discharge instructions to a client who has a prescription for oxygen use at home.Which of the following information should the nurse include? (Select all that apply.)

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A charge nurse is reinforcing teaching for a newly licensed nurse about how to apply wrist restraints for a client.
Which of the following actions should the charge nurse identify as an indication that the nurse understands the instructions?