A resident keeps trying to pull out her feeding tube. Which restraint is the least restrictive?
a. Mitt restraint
b. Jacket restraint
c. Vest restraint
d. Belt restraint
A
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The clinic nurse uses the acronym "PAINS" when teaching a woman about warning signs associated with her intrauterine device (IUD). Warning signs include which of the following? (Select all that apply.)
A. Breast tenderness B. Fever and/or chills C. Inability to feel the strings D. Spotting E. Vaginal discharge
The nurse is providing education for a client diagnosed with systemic lupus erythematosus (SLE). Which statement by the client indicates an understanding of the teaching?
A) "I can anticipate my care to be managed solely by my rheumatologist." B) "I can expect to no longer need treatment after I finish my prescribed medications." C) "My medications are the mainstay of my treatment." D) "I will use high sun protection factor (SPF) sunscreen when I spend time outdoors."
The nurse is preparing to administer oral medications to a client with visual impairment. The nurse should approach the client:
a. by loudly calling the client's name to ensure being heard. b. by approaching the client very quietly to prevent startling the individual. c. by not speaking until being directly in front of the client. d. by announcing oneself in a normal tone while entering the client's room.
The nurse completes a safety assessment during a home visit to an older adult client. Of the fol-lowing observations made by the nurse, the one that is of greatest concern for this client who has evidence of sensory impairment is:
1. Low-pile carpeting throughout the home 2. A handrail on the stairs that extends the full length 3. Higher wattage incandescent lighting in all the rooms 4. The gray/black settings on the stove handles