Which of the following interventions would be appropriate for a client with a restraint?
a. Assess restraints every 2 hours.
b. Use a square knot.
c. Assess the extremity for circulation and neurological integrity every 2 hours.
d. Secure the restraint strap to the side rail.
ANS: C
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a. A Pavlik harness b. A body spica cast c. Traction d. Triple-diapering
The nurse observes that a client has cyanosis. On which part of the physical assessment should the nurse focus with this client?
1. Activity 2. Heart sounds 3. Oxygen levels 4. Lung sounds
The nurse has just completed administration of a 1000-L bolus of 0.9% normal saline
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Convert 176 pounds to an equivalent amount in kilograms
1. 80 kilograms 2. 387.2 kilograms 3. 94 kilograms 4. 354 kilograms