A nurse is caring for a client who has a new prescription for a belt restraint. Which of the following actions should the nurse take?

Make sure four fingers fit between the restraint and the client's body.

Apply the belt restraint over the client's gown.

Check the client's skin integrity every 4 hr.

Tie the belt restraint to the side rail of the bed.

Answer and Explanation

The Correct Answer is B

Rationale:

A. Ensuring that four fingers fit between the restraint and the client's body is important to prevent injury and discomfort.

B. Applying the belt restraint over the client's gown may lead to slippage and ineffective restraint.

C. Checking the client's skin integrity every 4 hours is important, but it is not specific to the use of a belt restraint.

D. Tying the belt restraint to the side rail of the bed is not appropriate because it can restrict movement and cause injury.

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Correct Answer is ["B","D"]

Explanation

A. The client is already on a daily dose of Metoprolol, and there is no indication that the dose should be increased. In fact, it is important to monitor the client's blood pressure and heart rate closely due to the potential side effects of Metoprolol.

B. This is the appropriate action since the client is allergic to penicillin, and the prescription for amoxicillin should be reviewed with the provider.

C. There is no indication from the information provided that the client requires a surgical mask when outside their room.

D. The client has been vomiting and experiencing abdominal cramping, which suggests nausea and discomfort. Requesting a prescription for an antiemetic medication is an appropriate action to address these symptoms.

E. There is no indication from the information provided that the client requires contact precautions. The client has a urinary tract infection and is not exhibiting symptoms consistent with a condition that requires contact precautions.

A. Administer prescribed diuretics in the evening. B. Use overhead lighting when checking equipment. C. Keep the door to the client's room closed. D. Provide the client with snug-fitting nightwear.

Correct Answer is C

Explanation

Rationale:

A. Administering diuretics in the evening may increase the client's need to urinate and disrupt sleep.

B. Using overhead lighting when checking equipment may disrupt the client's sleep and should be avoided.

C. Keeping the door to the client's room closed can reduce noise and disturbances from the hallway, promoting a more restful sleep environment.

D. Providing snug-fitting nightwear may be uncomfortable and restrict movement during sleep.

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A nurse is caring for a client who has a new prescription for a belt restraint. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the care of a client who has a urinary tract infection. Exhibits The nurse is reviewing the client's medical record. Which of the following actions should the nurse take? Select all that apply.

Correct Answer is ["B","D"]

Explanation

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Correct Answer is C

Explanation

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