ATI RN
ATI RN Comprehensive Predictor 2023 Retake 1 Questions
Extract:
Question 1 of 5
A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse manager include?
Correct Answer: B
Rationale: The correct answer is B: Document the client's condition every 15 min. This guideline is crucial for ensuring the client's safety and well-being while in restraints. Regular documentation allows for monitoring of the client's physical and emotional status, helps in detecting any signs of distress or complications promptly, and ensures compliance with regulatory requirements.
Choice A is incorrect because restraints should not be used as a PRN intervention due to the risk of abuse and improper use.
Choice C is incorrect as restraints should be attached to the bed frame, not the side rails, to prevent injury.
Choice D is incorrect as restraints should be removed and reevaluated at least every 2 hours, not every 4 hours, to prevent complications such as skin breakdown and circulation issues.
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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