Safe and Effective Care Environment NCLEX RN Questions

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Safe and Effective Care Environment NCLEX RN Questions Questions

Extract:

Question 1 of 5

A client has become combative and is attempting to pull out his IV and take off his surgical dressings. The nurse receives an order to apply wrist restraints. Which action of the nurse signifies that restraints are being used safely?

A. The nurse ties the restraints in a square knot to prevent the client from untying them B. The restraints are attached to a movable portion of the bed C. The padded side of the restraint is applied next to the skin of the wrist D. The nurse assesses the client's distal circulation every 24 hours

Correct Answer: C

Rationale: Restraint use must prioritize the safety of the client. When applying restraints around the wrists, the padded side should be placed against the skin to help prevent skin breakdown. Additionally, restraints should be secured in quick-release knots to ensure they can be removed rapidly in case of an emergency.
Choice A is incorrect as restraints should not be tied in a way that could prevent quick removal.
Choice B is incorrect because restraints should not be attached to a movable part of the bed to avoid unintentional movement.
Choice D is incorrect as assessing distal circulation is important but is not directly related to the safe application of restraints.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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Safe and Effective Care Environment NCLEX RN Questions - Nurselytic

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