Which of the following conditions assessed by the nurse would contraindicate the use of benztropine (Cogentin)?

Correct Answer: C

Rationale: Benztropine's anticholinergic effects worsen glaucoma and prostatic hypertrophy.

Correct Answer: D

Rationale: Explaining the process and involving the patient as much as possible when making an occupied bed ensures safety by keeping them informed and stable during repositioning. This reduces anxiety, prevents sudden movements, and allows the nurse to adjust based on the patient's ability. Changing linens weekly compromises hygiene and comfort, risking skin issues. Raising all side rails might trap or confuse the patient, increasing fall risk if they try to move. Asking them to leave the bed defeats the 'occupied' purpose and isn't always feasible. Communication and collaboration minimize hazards, aligning with safe, patient-centered care principles.

Correct Answer: C

Rationale: A pressure-reducing mattress redistributes body weight to minimize pressure on bony prominences, reducing the risk of pressure ulcers in immobile patients. It enhances blood flow to vulnerable areas like the sacrum or heels, countering the effects of prolonged stillness. Elevating legs might occur with positioning but isn't the mattress's primary role. Exerting pressure for pain relief contradicts its purpose it relieves, not applies, pressure. Immobilizing during sleep isn't the goal; it's about protection, not restraint. Nurses rely on this tool as a proactive measure, complementing repositioning to maintain skin integrity in at-risk patients.

Correct Answer: B

Rationale: Cleansing the area around an indwelling catheter daily with soap and water removes bacteria and debris, preventing urinary tract infections a common catheter complication. Avoiding cleaning invites infection, compromising hygiene. Lotion might trap moisture, fostering bacterial growth, unlike drying after washing. Using the same gloves spreads pathogens, violating infection control. Nurses prioritize this routine to maintain a sterile field, secure the catheter, and reduce irritation, ensuring patient safety and comfort through consistent, evidence-based hygiene practices.

Correct Answer: C

Rationale: Ensuring all straps are snug and secure before using a mechanical lift prevents the patient from slipping or falling during transfer, prioritizing safety for both patient and nurse. Rapid lifting risks jolting or equipment failure. Quick lowering can cause injury or instability. Lifting alone defies safety protocols lifts require teamwork or proper setup, not independence. Nurses double-check fastenings and positioning, following device guidelines, to execute smooth, secure transfers, minimizing harm in patients unable to move themselves.