Author Question: A confused client needs to have restraints to prevent him from pulling out his Foley catheter. Which ... (Read 215 times)

BrownTown3 · **on:** Jul 23, 2018

A confused client needs to have restraints to prevent him from pulling out his Foley catheter. Which of the following can the nurse delegate to the nursing assistive personnel?

1. Applying restraints
2. Obtaining a physician's order to restrain the client
3. Document the events that led to restraining the client
4. Evaluating the effectiveness of the restraints

Question 2

When discussing the new mother's pending discharge from the hospital, the nurse determines that additional client teaching needs to take place because of which of the following comments?

1. My husband has installed the new car seat in the middle of the backseat of our car.
2. I can't wait to put my baby in her new crib with the ensemble that my mom made sheets, blankets, and bumper to match.
3. I need to place my baby on her back to sleep, right?
4. I have checked all my baby's toys to make sure that they don't contain lead paint.

CourtneyCNorton · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 1
Although the nursing assistive personnel can apply the restraints under the nurse's direction, they cannot document, evaluate, or take physician's orders.

Answer to Question 2

ANS: 2
Newborns should not be placed in cribs with loose comforters, bumper pads, etc. The middle of the back seat is the safest place to put the infant car seat. Babies should not be placed on their stomachs with their mouth and nose in close proximity to the mattress, which is associated with sudden death syndrome. Lead paint on infant toys can lead to brain damage.