A nurse is supervising a new graduate who is caring for a patient who has fallen days ago. Which of the following interventions made by the new graduate REQUIRES CORRECTION by the supervising nurse?
The new graduate places all side rails up.
The new graduate ensures the bed is in the lowest position (i.e., closest to the floor).
The new graduate places patient's belongings at within reach.
The new graduate ensures the wheels on the client's bed are locked.
The Correct Answer is A
A. Placing all side rails up may actually increase the risk of injury if the patient tries to climb over them, as it can create a false sense of security. This practice is considered a restraint and should be avoided unless indicated for patient safety.
B. Ensuring the bed is in the lowest position helps prevent falls and is a safe practice.
C. Placing the patient's belongings within reach promotes independence and reduces the risk of the patient trying to get up to retrieve items.
D. Ensuring the wheels on the client's bed are locked is crucial for patient safety to prevent unintended movement of the bed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"C"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"}}
Explanation
- Admission notes: Knowledge
Admission notes provide insights into the patient's medical history and current condition, which requires understanding and context, indicating knowledge. - Orders: Wisdom
The orders reflect clinical judgment and decision-making based on the patient's condition and needs, indicating wisdom. - Laboratory findings: Data
Laboratory findings present measurable results (e.g., blood glucose, serum ketones, pH), representing raw data. - Patient profile: Data
The patient profile includes demographic information and medical history, which are factual data points. - Vital signs: Data
Vital signs are quantitative measurements that provide objective data on the patient's physiological status.
Correct Answer is C
Explanation
A. While using a fire extinguisher is important, ensuring the safety of clients is the immediate priority.
B. Closing fire doors can help contain the fire, but moving clients away from danger is more critical at this moment.
C. Moving any clients in the immediate vicinity is essential to ensure their safety and prevent harm from the potential fire.
D. Activating the fire alarm is important to alert others, but it should be done after ensuring the safety of clients in the immediate area.
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