A client has a past history of vancomycin resistant enterococcus (VRE). The nurse knows for isolation precautions to be discontinued for this client, which must occur?

The nurse admits a client to the hospital who was involved in an automobile accident. Upon assessment, the nurse notes the client is wearing soft restraints. The client continues to be combative and is compromising the airway. Which type of restraint is most appropriate for this client?

During a visit to the emergency department, a client requires physical restraint to prevent harm to the staff. Which method effectively disables the client’s ability to use the abdominal muscles?

An order is written to restrain a client that is thrashing in the bed. Which type of restraint should the nurse choose for this client?

A client becomes violent and is in need of restraint. After all efforts to prevent the use of restraints are exhausted, the physician orders a vest restraint. While applying the vest restraint, the nurse should:

The physician orders a urinary catheter for the client stat. After gathering supplies, the nurse should take which action first?

The nurse cares for a client with a history of falls and who continues to attempt to get out of bed. The family is not able to sit with the client, and medications are ineffective in calming the client. After all efforts are exhausted, it is determined restraints are needed. Which action should the nurse take first?

While preparing to move a client higher up on the stretcher, the nurse should first:

The nurse cares for a client who has undergone a bone marrow transplant. While the nurse assesses the client’s IV site, the client’s sister complains of a low-grade fever. The nurse should:

The nurse cares for a client who is diagnosed with methicillin-resistant Staphylococcus aureus (MRSA) and is placed in isolation. The nurse needs to perform an assessment of the client’s wound and administer prescribed medications to the client. The nurse should wear which personal protective equipment (PPE)?

The critical care nurse performs active surveillance cultures on all client admissions. Which is an example of an active surveillance culture?

A client is placed on contact precautions. A dietary worker brings the client’s lunch using regular dishes. The nurse’s first reaction should be:

In which order should the nurse remove personal protective equipment (PPE)?

When implementing restraints, nurses should:

Which statement most accurately describes the use of restraints?

The nurse cares for a 15-year-old that is placed in restraints due to combative behavior. Based on this information, which statement is correct?

A client is given haloperidol (Haldol) as a form of chemical restraint. During physical assessment, the client has blood pressure of 80/50 mm Hg, heart rate of 120 beats/minute, and experiences an acute dystonic reaction. Which statement is most accurate?

A client is admitted to the hospital with influenza. Which action should the nurse take when caring for this client?