A nurse manager is presenting information to the nursing staff regarding the appropriate use of client restraints. Which of the following should the nurse include? (Select all that apply.)

The provider should renew the prescription for restraints every 48 hr.

The nurse should pad the bony prominences.

The nurse should tie the restraints using a square knot.

The nurse should remove the restraints every 2 hr.

The provider's prescription should include the type of restraint to use.

Answer and Explanation

Correct Answer : B,D,E

A. The provider should renew the prescription for restraints every 24 hours, not 48 hours.
B. Padding bony prominences helps prevent skin breakdown and pressure injuries.
C. Restraints should be tied using a quick-release knot, not a square knot, to allow for rapid removal in an emergency.
D. Removing the restraints every 2 hours allows for circulatory assessment, skin care, and range of motion exercises.
E. The provider's prescription should specify the type of restraint to ensure proper and appropriate use.

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Correct Answer is B

Explanation

A. Levothyroxine is a medication used to treat hypothyroidism by replacing or supplementing thyroid hormone. It is not typically associated with decreased blood pressure.

B. Weight loss can be an indicator that levothyroxine therapy is effective in treating hypothyroidism. Hypothyroidism often leads to weight gain, and successful treatment with levothyroxine can help reverse this trend.

C. Levothyroxine therapy primarily targets thyroid hormone levels and is not directly associated with decreased inflammation.

D. Seizures are not typically associated with hypothyroidism or its treatment with levothyroxine.

The effectiveness of levothyroxine is primarily assessed by monitoring thyroid function tests and clinical symptoms such as weight loss, improved energy levels, and resolution of hypothyroid symptoms.

A. Encourage the client to ambulate in the hallway 1 hr before bedtime. B. Tell the client to avoid drinking fluids 1 hr before bedtime. C. Schedule routine care tasks during hours when the client is awake. D. Advise the client to leave the television in the room on when trying to fall asleep.

Correct Answer is C

Explanation

A. Encourage the client to ambulate in the hallway 1 hr before bedtime - While light exercise during the day can promote better sleep, exercising close to bedtime can actually disrupt sleep.

B. Tell the client to avoid drinking fluids 1 hr before bedtime - While limiting fluids close to bedtime can reduce nighttime awakenings to urinate, it may not directly address difficulty falling asleep.

C. Schedule routine care tasks during hours when the client is awake - This action ensures that the client can maximize restful sleep during the night by minimizing disruptions from care

activities.

D. Advise the client to leave the television in the room on when trying to fall asleep - Screen

time before bed can interfere with falling asleep due to the stimulating effect of light and content.

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A nurse manager is presenting information to the nursing staff regarding the appropriate use of client restraints. Which of the following should the nurse include? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is taking levothyroxine. Which of the following findings should indicate to the nurse that the medication is effective?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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