ATI RN Fundamentals 2019 | Nurselytic

Questions 48

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ATI RN Fundamentals 2019 Questions

Extract:


Question 1 of 5

A nurse is caring for a client who has wrist restraints after an episode of violent behavior. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: The correct answer is A: Remove one restraint at a time. This is the safest approach as it ensures the client's safety while allowing for gradual removal of restraints to assess their behavior and prevent sudden outbursts. Removing both restraints simultaneously can escalate agitation and pose a risk to the client and staff. Tying restraints to the side rail (
B) can lead to entanglement and injury. Securing restraints with a square knot (
C) may make it difficult to remove quickly in case of emergency. Removing restraints every 3 hours (
D) is not as safe as removing one at a time based on the client's behavior.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

Similar Questions

A nurse is caring for a client who has restraints to each extremity. Which of the following assessments should the nurse perform first?
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A nurse is preparing to administer gentamicin 2 mg/kg IV to a client who weighs 220 lb. How many mg should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
A nurse is planning care for a client who is scheduled for an intravenous pyelogram. Which of the following actions is appropriate for the nurse to include?
A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take?

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