A nurse is caring for a client who was placed in four-point restraints by the nursing staff following an episode of violent behavior.
Which of the following actions should the nurse take?.

Document the client's behavior in the medical record every 1 hr

Provide range-of-motion exercises to all extremities every 2 hr.

Request the provider renew the prescription in 24 hr.

Keep staff interactions with the client to a minimum.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Documenting the client’s behavior every hour is not necessary. The nurse should monitor and document the client’s condition, but this does not need to be done every hour.

Choice B rationale:

Providing range-of-motion exercises to all extremities every 2 hours is important when a client is in restraints. This helps to prevent muscle stiffness and maintain circulation.

Choice C rationale:

The provider does not need to renew the prescription every 24 hours. The use of restraints should be reassessed regularly, but a new prescription is not required unless the restraints are removed and then need to be reapplied.

Choice D rationale:

Keeping staff interactions with the client to a minimum is not recommended. The client should be monitored closely and regular interaction can help to calm the client and reduce the need for restraints.

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Correct Answer is B

Explanation

Choice A rationale:

This statement is incorrect. Aripiprazole is an antipsychotic medication and is not used for smoking cessation.

Choice B rationale:

This statement is correct. Bupropion is an antidepressant that has been shown to be effective in helping people quit smoking.

Choice C rationale:

This statement is incorrect. Quetiapine is an antipsychotic medication and is not used for smoking cessation.

Choice D rationale:

This statement is incorrect. Risperidone is an antipsychotic medication and is not used for smoking cessation.

A. Preoccupation with details. B. Manipulative behaviors. C. Splitting. D. Impulsiveness. E. Lack of empathy.

Correct Answer is ["B","C","D","E"]

Explanation

Choice A rationale:

Preoccupation with details is more commonly associated with obsessive-compulsive personality disorder, not antisocial personality disorder.

Choice B rationale:

Manipulative behaviors are a common characteristic of antisocial personality disorder. Individuals with this disorder often manipulate others for personal gain.

Choice C rationale:

Splitting, or viewing others as all good or all bad, is a defense mechanism often used by individuals with antisocial personality disorder.

Choice D rationale:

Impulsiveness is a common characteristic of antisocial personality disorder. Individuals with this disorder often act without considering the consequences.

Choice E rationale:

Lack of empathy is a common characteristic of antisocial personality disorder. Individuals with this disorder often have difficulty understanding or sharing the feelings of others.

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A nurse is caring for a client who was placed in four-point restraints by the nursing staff following an episode of violent behavior. Which of the following actions should the nurse take?.

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Correct Answer is B

Explanation

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Correct Answer is ["B","C","D","E"]

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A nurse is caring for a client who was placed in four-point restraints by the nursing staff following an episode of violent behavior.
Which of the following actions should the nurse take?.