A nurse at a long-term care facility is reviewing the plan of care for a client who has a prescription for mitten restraints. Which of the following tasks should the nurse assign to an assistive personnel?

Evaluate the need for the client to remain in mitten restraints.

Assist the client with range-of-motion exercises of the hands.

Instruct the client's family about the purpose of mitten restraints.

Determine the circulation status of the affected extremities every 2 hr

Answer and Explanation

The Correct Answer is B

Range-of-motion exercises can be safely performed by assistive personnel under the supervision and direction of the nurse. It helps to maintain the mobility and function of the client's hands while in restraints.

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Correct Answer is B

Explanation

The nurse should identify that disposing of contaminated sheets in a linen bag demonstrates effective use of supplies.

Wearing an N95 mask when bathing a client with Clostridium difficile is important, but it is not related to effective use of supplies.

Wearing clean gloves when performing oral hygiene is standard practice for infection control and not specific to the use of supplies.

Empting the sharps container when it is full is also important, but it is not related to effective use of supplies.

A. Occasional small clots in the urine B. Frequent urge to urinate C. Urine output of 300 mL over 8 hr D. Dark red urine

Correct Answer is D

Explanation

After a transurethral resection of the prostate (TURP), it is expected for the client to have some blood in the urine. Initially, the urine may be bright red or pink due to the surgical procedure's trauma to the prostate and surrounding tissues. However, as time passes, the urine should gradually become lighter in color.

If the client's urine remains dark red, it may indicate active bleeding or a significant amount of blood in the urine, which could be a cause for concern.

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A nurse at a long-term care facility is reviewing the plan of care for a client who has a prescription for mitten restraints. Which of the following tasks should the nurse assign to an assistive personnel?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is supervising an assistive personnel (AP) who is providing client care. The nurse should identify that which of the following actions by the AP demonstrates effective use of supplies?

Correct Answer is B

Explanation

A nurse is collecting data from a client who is 1 day postoperative following a transurethral resection of the prostate. Which of the following findings should the nurse report to the provider?

Correct Answer is D

Explanation

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