Question

 7. A newly licensed nurse is applying wrist restraints to a client .Which of the following actions should the nurse take?

 a. Secure the restraints using a quick-release tie.

 b. Ensure four fingers fit under the restraint to prevent constriction

 e. Secure the restraint to the lowest bar of the side rail. d. Anticipate removing the restraint every 4 hours. 8. During a shift report, a staff member briefly describes

 the history of a patient admitted with chronic gastrointestinal bleeding. In which SBAR topical area would this information be presented?

 a. Situation

 b. Background

 c. Assessment

 d. Recommendation

 9. A nurse is caring for a client who refuses treatment and asks to be discharged from the hospital against medical advice. The nurse notifies the client's provider, who tells the nurse to restrain the client, if necessary, to prevent him from leaving the hospital. Restraining this client would be considered which type of civil action by the nurse?

 a. Invasion of privacy

 b. Assault

 c. Battery

 d. False imprisonment

 10. The nurse is caring for a patient who was just made NPO. The nurse is to administer carvedilol (Coreg) 25 mg PO to the patient for control of high blood pressure. What is the best action of the nurse?

 a. Crush the medication and administer to the patient mixed with apple sauce

 b. Administer the medication to the patient and with a small sip of water

 e. Contact the patient's physician and clarify the order d. Administer the equivalent medication dose through the patient's IV

 11. A nurse is caring for an older patient who was alert and oriented at admission, but now seems increasingly restless and intermittently confused. Which of the following actions should the nurse take to address the client's safety needs?

 a. Call the family ask them to stay with the client

 b. Move the client to a room closer to the nurse's station c. Appl wrist and leg restraint to the client

 d. Administer medication to sedate the client

 12. The nurse has been hired for her first job and is nervous about making errors in clinical judgment. It is important for the nurse to realize that clinical reasoning and the ability to make decisions in a clinical setting: a. has been instilled in the content covered in nursing school.

 b. is solely based in clinical experience.

 c. develops over time with increased knowledge and expertise.

 d. is an expectation of all nurses regardless of

Answer 1

Answer for Question no 7 is

a. Secure the restraints using quick-release tie (To use in case of an emergency.)

Answer for Question no 8 is

b. background (S-situation, B-background, A-assessment, R-recommendation. Situation refer to current condition, Background refers to past history, assessment refer to identified problems and recommendation refers to interventions that should be initiated.

Answer for Question no 9 is

d. False imprisonment (it occurs when a person intentionally restricts another person movement within any area without legal authority, justification or consent)

Answer for Question no 10 is

c. Contact patient's physician and clarify the order (For patient's on NPO oral drugs cannot be administered and carvedilol (coreg) is not available in IV dosage form, Hence any changes in the drug needs to be clarified and prescribed by patient's physician)

Answer for Question no 11 is

b. Move the client to a room closer to the nurse's station (it will be easier and closer for the staff to observe the client unsafe and inappropriate behavior)

Answer for Question no 12 is

c. develops over time with increased knowledge and expertise (clinical judgement mainly based on nurses knowledge and experience, their knowledge, intuition, clinical thinking and evidence based practice skills.