A nurse is reviewing the prescriptions for a client who is experiencing dysphagia following a stroke. Which of the following prescriptions should the nurse clarify?

A. Assess the client every hr for circulation, possible injury, and readiness for discontinuation: While regular assessment is necessary, it should be done more frequently than every hour. A check every 15-30 minutes is recommended for safety.

B. Check the client's peripheral pulses and skin integrity every 15 min: Frequent assessments of circulation, skin integrity, and injury help prevent complications like tissue damage or nerve impairment.

C. Assist the client with passive range of motion exercises every 3 hr: Passive range of motion exercises should be done more frequently than every 3 hours to prevent stiffness and joint contractures.

D. Attach the extremity restraint straps to the bed rails using a quick-release buckle: Restraints should never be attached to bed rails, as this increases injury risk. Straps should be secured to a stationary part of the bed frame.

A. Double-bag the linens: Double-bagging is no longer a standard requirement unless the outside of the primary bag is visibly soiled or the bag is punctured. Modern infection control guidelines focus on the integrity of a single, sturdy, leak-proof bag to reduce waste and cost.

B. Rinse the linens prior to removing them from the client's room: Rinsing the linens is not required when removing soiled linens. The main concern is preventing contamination, and double-bagging ensures that the linens are safely contained.

C. Tie the linens' bag securely at the top: The primary goal of isolation protocol is to contain the pathogen within the designated "dirty" area. By tying the bag securely, the nurse ensures that no contaminated fluid or air is released as the bag is moved through the hallways of the facility. Standard practice requires placing linens in a leak-proof laundry bag labeled for biohazardous or contaminated materials.

D. Wear sterile gloves when handling the linens: Sterile gloves are not necessary for handling soiled linens in contact precautions. Clean gloves are sufficient to handle linens. Sterile gloves are typically used for invasive procedures, not for routine linen handling.