A nurse is planning care for a hospitalized client who is immobile and in a continuous mitten restraint. Which of the following interventions should be included in the client's care plan? (Select all that apply.)
Ensure two fingers can fit between the device and the client.
Perform a neurovascular check every 2 hours.
Secure the restraint to the bedrail.
Obtain a prescription renewal every 72 hours.
Implement passive range-of-motion exercises.
Correct Answer : A,B,D,E
A. Ensuring two fingers can fit between the device and the client is crucial for monitoring circulation and preventing skin breakdown.
B. Performing a neurovascular check every 2 hours is necessary to assess circulation and nerve function, ensuring that the restraint is not causing harm.
C. Securing the restraint to the bedrail is not appropriate; restraints should be secured to the movable part of the bed frame to avoid causing injury.
D. Obtaining a prescription renewal every 72 hours is required for ongoing restraints, as it ensures continued monitoring and justification for their use.
E. Implementing passive range-of-motion exercises is essential to maintain joint mobility and prevent complications associated with immobility.
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Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
A. Ensuring two fingers can fit between the device and the client is crucial for monitoring circulation and preventing skin breakdown.
B. Performing a neurovascular check every 2 hours is necessary to assess circulation and nerve function, ensuring that the restraint is not causing harm.
C. Securing the restraint to the bedrail is not appropriate; restraints should be secured to the movable part of the bed frame to avoid causing injury.
D. Obtaining a prescription renewal every 72 hours is required for ongoing restraints, as it ensures continued monitoring and justification for their use.
E. Implementing passive range-of-motion exercises is essential to maintain joint mobility and prevent complications associated with immobility.
Correct Answer is B
Explanation
A. A strategic budget is typically focused on long-term goals and initiatives, rather than specific equipment purchases.
B. A capital budget is specifically designated for significant investments in long-term assets such as equipment, buildings, or technology, making it the appropriate choice for purchasing new infusion pumps.
C. A unit of service budget relates to the costs associated with providing a specific service but does not directly encompass capital expenditures for equipment.
D. An operating budget pertains to the day-to-day expenses of running a unit, such as salaries and supplies, rather than major purchases like infusion pumps.
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