When caring for a client who uses a protective device restraint the nurse aide should?

31.When caring for a client who uses aprotective device (restraint), the nurse aide36.The nurse aide can provide a client with asense of security by:(A)performing all activities of daily living(ADL) for the client.(B)leaving the room without speaking.(C) explaining all routines and procedures.(D)talking to another nurse aide whileproviding care.

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32The nurse aide is assisting a client to transferfrom the bed to the wheelchair. Which of thefollowing actionsSHOULDthe nurse aidetake?A client who is confused and disoriented isasking to go home. The nurse aide’sBESTaction would be to:(A) Place the bed in the low position(B) Place a pillow on the wheelchair seat(C) Lower both footrest pedals(D) Release the wheel brakes33.When communicating with a client’s family,37.A client who is confused and disoriented isasking to go home. The nurse aide’sBESTaction would be to:

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the nurse aideSHOULD(A) listen to concerns and offer support.(B)offer advice about the client’s medicaltreatment.

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34.When performing oral care, in what positionSHOULDthe nurse aide place a client who isunconscious?35.The nurse aide notices that a client’s bedside

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lamp cord is draped across a chair in orderto reach the nearest outlet. The nurse aideSHOULD:

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A Check the clients body alignment

explanation

Staff must strictly follow the protocols to maintain the client’s safety when a physician orders a restraint for a client. The nurse aide should become familiar with the policies regarding restraints. The policy will state the defined times to monitor the client, directions for reporting on the client’s status, as well as directions for documenting all observations.

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What is not considered a way to restrain a client?

A restraint may be either physical or chemical. Its purpose is to protect the client from harming himself or others. Only a physician may order a restraint, and guidelines are strict. A pain medication may help calm a client or relieve behavior associated with severe pain, but it is not in the restraint category.

What position should the nurse aide place an unconscious client when giving oral care?

An unconscious patient is placed in the side-lying position when mouth care is provided because this position prevents pooling of secretions at the back of the oral cavity, thereby reducing the risk of aspiration.

When taking a clients radial pulse the nurse aides fingertips should be placed on the clients?

Placed the tips of the first two or three fingers over the groove along the radial (or thumb) side of the patient's inner wrist. Slightly extended or flexed the patient's wrist with the palm down until the pulse was strongest.

In what position should the nurse aide place an unconscious client when giving oral care supine lateral prone Sims?

Provide privacy. Lower the side rail if necessary and put on gloves. Before you begin, position the resident as his condition allows to a semi-Fowler's or lateral position. Turn the resident's head to one side to prevent aspiration during the procedure.