A nurse is caring for a client who has to be prevented from scratching an open wound
The physician has ordered wrist restraints for the client. What should the nurse do when
restraining the client's hands using soft wrist protective devices?
A) Bring both ends of the tie together and attach them to the side rails
B) Apply the padded portion of the device around the wrist
C) Attach both the straps on the same side of the chair
D) Attach the restraint only to the wrist closest to the wound
B
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Where is the rectum located in a male?
A) Inferior to the anus B) At the junction of the sigmoid and transverse colon C) Superior to the anus D) Superior to the rectal ampulla
A physician orders a dressing to cover a wound that is shallow with minimal drainage. What would be the best type of dressing for this wound?
A) Saline-moistened dressing B) Dressing secured with Montgomery straps C) Hydrocolloid dressing D) Foam dressing
A family with children has too high of an income to qualify for state health insurance, but does not have enough money to purchase private health insurance
Which program would a nurse refer this family to for the children to receive health care coverage? a. Medicare b. Children's Health Insurance Plan (CHIP) c. Medicaid d. Social Security
The primiparous client at 40 weeks' gestation reports to the nurse that she has had increased pelvic pressure and increased urinary frequency. Which response by the nurse is best?
1. "Come in for an appointment today and we will check everything out." 2. "Unless you have pain with urination, we do not need to worry about it." 3. "This might indicate that the baby is no longer in a head down position." 4. "These symptoms usually mean the baby's head has descended further."