A nurse is considering the use of restraints. The nurse should:
Ensure that the patient has been adequately monitored.
Proceed with the application of restraints.
Explore alternative interventions to address the patient’s behavior.
Obtain verbal consent from the patient’s family.
The Correct Answer is C
Choice A rationale
Ensuring that the patient has been adequately monitored is important, but it is not the first step when considering the use of restraints. The nurse should first explore alternative interventions.
Choice B rationale
Proceeding with the application of restraints without considering alternatives can lead to unnecessary use of restraints, which can cause physical and psychological harm to the patient.
Choice C rationale
Exploring alternative interventions to address the patient’s behavior is the first step. Restraints should only be used as a last resort when other interventions have failed.
Choice D rationale
Obtaining verbal consent from the patient’s family is important, but it is not the first step. The nurse should first explore alternative interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
Step 1 is to determine how many tablets to administer. The client needs 650 mg of aspirin and each tablet contains 325 mg.
Step 2 is to perform the calculation. 650 mg ÷ 325 mg/tablet = 2 tablets The nurse should administer 2 tablets.
Correct Answer is A
Explanation
Choice A rationale
Providing information is the communication technique used by the nurse in this scenario. The nurse is giving the patient information about the benefits of taking pain medication before physical therapy, which helps the patient understand and manage their pain effectively.
Choice B rationale
Confrontation involves addressing discrepancies or conflicts directly, which is not what the nurse is doing in this scenario. The nurse is providing information, not confronting the patient.
Choice C rationale
Summarizing involves restating the main points of a conversation to ensure understanding. While the nurse is providing information, they are not summarizing the conversation.
Choice D rationale
Probing involves asking questions to gain more information. The nurse is not asking questions in this scenario but is providing information to the patient.
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