All of the following clients are in need of an emergency assessment except ______________.
Answer(s): C
The client with an old injury does not need an emergency assessment because this is not a life-threatening or new situation or condition.
All of the following are causes of vaginal bleeding in late pregnancy except ______________.
Answer(s): B
Eclampsia is a disorder of pregnancy characterized by hypertension, proteinuria, and edema. This condition can cause seizure and/or coma.Placenta previa and abruptio placentae are abnormal conditions that can cause bleeding, particularly in the third trimester.Uterine rupture is a major obstetrical emergency that can cause bleeding internally and externally.
Padding on a restraint helps ______________.
Answer(s): A
Padding distributes pressure so that bony prominences do not receive the brunt of pressure when a client pulls against the restraints.Pressure, especially over bony prominences, causes tissue damage due to ischemia.
What does client and family communication and education concerning restraints do?
Cooperation is more likely if the client and family understand the purpose of and expected gains from restraints. Well-meaning family members might release restraints if their purpose is not clear.
Which of the following statements describes the purpose of client restraint?
The use of restraints as an emergency measure is taken primarily as a last resort to protect a client from harm. Typically, the nurse acts under a physician’s order, but in an emergency, the nurse may restrain a client out of necessity for one hour prior to the client being seen by a physician or an advanced practice mental health provider.
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