NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
Which of the following would be most important for the nurse to keep in mind regarding the use of side rails for a confused patient?
Correct Answer: A
Rationale: When considering the use of side rails for a confused patient, it is crucial for the nurse to understand that individuals of small stature are at a higher risk for injury from entrapment. Studies have shown that people of small stature are more likely to slip through or between the side rails, making them vulnerable to harm. It is essential to prioritize patient safety and avoid potential risks associated with entrapment. Conversely, a history of previous falls from a bed with raised side rails is significant as it indicates a heightened risk for future serious incidents. The desire to prevent a patient from wandering alone does not justify the use of side rails; instead, alternative measures should be creatively employed to respect the patient's dignity and avoid more serious fall-related injuries.
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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