A nurse is caring for a client who is restrained to each extremity. Which of the following assessments should the nurse perform first?

Elimination needs

Comfort level

Skin integrity

Peripheral pulses.

Answer and Explanation

The Correct Answer is D

When a client is restrained to each extremity, it is important for the nurse to assess the client’s peripheral pulses first to ensure that circulation is not compromised.

Choice A, Elimination needs, is important but not the first priority in this situation.

Choice B, Comfort level, is also important but not the first priority in this situation.

Choice C, Skin integrity, is important but not the first priority in this situation.

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Correct Answer is B

Explanation

This is the nurse’s priority intervention for a client undergoing a total laryngectomy because it is important for the client to understand how to use an artificial larynx to communicate after the surgery.

Choice A is wrong because explaining the techniques of esophageal speech is not the priority intervention for a client undergoing a total laryngectomy.
Choice C is wrong because determining the client’s reading ability is not the priority intervention for a client undergoing a total laryngectomy.
Choice D is wrong because scheduling a support session for the client is not the priority intervention for a client undergoing a total laryngectomy.

A. Assault. B. Defamation of character. C. False imprisonment. D. Battery.

Correct Answer is A

Explanation

This tort is committed by an assistive personnel who threatens to put a client in restraints for not following a provider’s prescription for strict bed rest because assault is defined as an intentional act that causes another person to fear that they will be harmed.
Choice B is wrong because defamation of character is not the tort committed in this situation.
Defamation of character involves making false statements that harm another person’s reputation.
Choice C is wrong because false imprisonment is not the tort committed in this situation.
False imprisonment involves intentionally restricting another person’s freedom of movement without their consent.
Choice D is wrong because the battery is not the tort committed in this situation.
Battery involves intentionally touching another person in a harmful or offensive manner without their consent.

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A nurse is caring for a client who is restrained to each extremity. Which of the following assessments should the nurse perform first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the nurse's priority intervention for a client undergoing a total laryngectomy?

Correct Answer is B

Explanation

What tort is committed by an assistive personnel who threatens to put a client in restraints for not following a provider's prescription for strict bed rest?

Correct Answer is A

Explanation

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