Author Question: The nurse uses which of the following alternatives to restraints whenever possible? Standard Text: ... (Read 18 times)

Cooldude101 · **on:** Jul 22, 2018

The nurse uses which of the following alternatives to restraints whenever possible? Standard Text: Select all that apply.

1. Place clients who are at risk for falls in an area that is constantly supervised.
2. Lock the wheels on the client's wheelchair.
3. Use environmental restraints.
4. Use rocking chairs to expend energy.
5. Monitor client medications.

Question 2

The nurse brings the neonate from the nursery for breastfeeding and the client asks, Are you sure he's getting enough to eat? I'm not sure if my breasts are producing enough milk. The nurse interprets this statement to indicate the mother is:

1. In the taking hold stage.
2. In the letting go stage.
3. In the taking in stage.
4. Not bonding with the newborn.

gasdhashg · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1,3,4,5
Rationale 1: Supervision is an appropriate intervention.

Answer to Question 2

1
Rationale: In the taking hold stage, the mother is ready to resume control and becomes preoccupied with body function, and might show concern about the quality and quantity of breast milk produced.