Which action is important when applying a restraint to a patient?

Correct Answer: C

Rationale: Securing a restraint to the bed's side rails ensures it holds the patient safely without slipping, preventing injury or escape while allowing some movement. Loose restraints defeat the purpose, risking falls or harm. Applying to the strong arm alone ignores full safety needs restraints typically involve both limbs or a vest. Using them as punishment is unethical; they're for protection, not discipline. Nurses follow this technique to balance safety and ethics, monitoring frequently to minimize use and maintain dignity, per legal and care standards.

Correct Answer: D

Rationale: Cleansing from front to back during perineal care for a female patient prevents contamination by keeping fecal bacteria away from the urethra, reducing UTI risk a key hygiene principle. Back-to-front spreads pathogens, increasing infection likelihood. Cold water discomforts and doesn't clean better lukewarm is ideal. Avoiding soap neglects thoroughness; mild cleansers remove debris safely. Nurses use this directional technique with gentle wiping to maintain cleanliness and protect urinary health, especially in incontinent or dependent patients.

Correct Answer: A

Rationale: Holding the cane on the weaker side promotes safety by supporting the compromised leg, allowing the stronger side to bear weight naturally, enhancing balance during ambulation. Random cane placement reduces stability close, firm positioning is key. Tilting forward risks slipping or poor leverage; it should align vertically. Closed eyes disorient, increasing falls vision guides steps. Nurses ensure proper cane height and grip, reinforcing this technique to maximize support and minimize injury risk in mobility-limited patients.

Correct Answer: B

Rationale: Keeping the catheter bag above the bladder ensures proper hygiene by preventing urine backflow, reducing infection risk a key catheter care principle. Weekly emptying allows bacterial growth and overflow, unhygienic and unsafe. Keeping it above the bladder (corrected from the original intent) avoids reflux below is standard; frequent disconnection breaches sterility, inviting germs. Securing tubing aids comfort but isn't hygiene-focused. Nurses maintain a closed system, position the bag low, and clean daily, safeguarding urinary health effectively.

Correct Answer: C

Rationale: Opening sterile packages away from the sterile field maintains sterility by preventing contamination from hands or breath, ensuring the dressing stays germ-free for wound application. Reused gloves or unwashed hands introduce pathogens, risking infection. Dryness depends on wound type moist healing is often ideal, not avoided. Nurses set up a clean zone, open packs outward, and apply with sterile gloves, following aseptic technique to protect healing tissue, a critical step in wound care.