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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale:

Gastro- refers to the stomach. This prefix is commonly used in medical terminology to indicate conditions related to the stomach or the gastrointestinal system.

Choice B rationale:

Nephro- is the correct medical term for kidney. The prefix nephro- is used to indicate conditions related to the kidney, such as nephritis (inflammation of the kidney)

Choice C rationale:

Oto- refers to the ear. This prefix is commonly used in medical terms related to the ear and hearing, such as otitis (inflammation of the ear)

Choice D rationale:

Uro- refers to the urinary tract. While it is related to the kidneys in the context of the urinary system, it is not the specific term for kidney. Uro- is used in words like urology (the branch of medicine that deals with the urinary system and male reproductive system)

A. Family members who smoke must be at least 10 ft from the client when oxygen is in use. B. Nail polish remover or hair spray should not be used near a client who is receiving oxygen. C. A "No Smoking" sign should be placed on the front door. D. Cotton bedding and clothing should be replaced with items made from wool. E. A fire extinguisher should be readily available in the home.

Correct Answer is ["D"]

Explanation

Choice A rationale:

Tying the straps of the restraints in a double knot is incorrect. This action can make it difficult to quickly release the restraints in case of an emergency. A single, quick-release knot is recommended to ensure the client's safety.

Choice B rationale:

Tying the restraints to the side rails is incorrect. Attaching restraints to the side rails can cause injury to the client and is not a proper restraint application method. Restraints should be tied to the bed frame, not the side rails, to prevent harm.

Choice C rationale:

Placing the padding of the restraints against the client's bony prominences is incorrect. While padding is important to prevent skin breakdown and pressure ulcers, the correct placement of the padding alone does not indicate a comprehensive understanding of proper restraint application.

Choice D rationale:

Inserting one finger between the client's wrist and the restraint is the correct action. This technique ensures that the restraints are not too tight, allowing for proper circulation and preventing injury to the client. The ability to insert one finger indicates that the restraints are snug but not constrictive, maintaining the client's safety and comfort.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which medical term means kidney?

Correct Answer is B

Explanation

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.)

Correct Answer is ["D"]

Explanation

A nurse is reinforcing teaching about home safety for a client who has a history of falls. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

Which suffix means narrowing?

A nurse is assessing a sedated client whose respiratory rate has fallen below 10 respirations per minute.The nurse identifies this condition as what?

A provider orders potassium chloride, 20 mEq, orally, once daily. The nurse knows that the abbreviation mEq stands for which of the following?

When using standard precautions, the nurse knows that standard precautions mandate what?

A nurse is caring for a client who is sitting in a chair and asks to return to bed. Which of the following actions is the nurse's priority?

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 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 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?