Which intervention is most important for maintaining the safety of a restrained client? quizlet

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B Inhalation

Rationale: Smallpox, transmitted in air droplets and in the handling of contaminated materials, is highly contagious. Symptoms include fever, back pain, vomiting, malaise, and headache, followed 2 days later by the appearance of papules that progress to pustular vesicles, which are initially abundant on the face and extremities. Enteric, gastrointestinal, and open wounds are not routes of smallpox transmission.

A Handwashing between client contacts
C Discarding needles in puncture-resistant containers
E Wearing a face shield as a part of the protective garb during a wound irrigation
F Wearing a gown and gloves when changing the linens on the bed of a client with a draining lesion of the leg

Rationale: Standard precautions must be practiced with all clients in every setting. These precautions involve handwashing and the use of gloves, masks, eye protection, and gowns, as well as other protective devices, when they are appropriate for client contact. These precautions apply to contact with blood, body fluids, nonintact skin, and mucous membranes. The hands are always washed between client contacts and after (not before) gloves are removed. Needles are not recapped (unless the agency provides special and agency-approved recapping devices for healthcare providers) and are discarded in puncture-resistant containers. Spills of blood or body fluids are cleaned up with a solution of bleach and water (diluted 1:10) or other agency-approved disinfectant. A mask, eye protection, or face shield is worn if client care activities have the potential to result in splashes or spraying of blood or body fluid. A gown is worn if soiling of clothing is likely.

D Preparedness

Rationale: The preparedness phase has many functions, including planning for rescue, evacuation, and caring for disaster victims; the training of disaster personnel and gathering of resources, equipment, and other materials needed in dealing with a disaster; identifying specific responsibilities for various disaster response personnel; establishing a community disaster plan and an effective public communication system; setting up an emergency medical system and a plan for its activation; checking for proper function of emergency equipment; making anticipatory provisions and setting up a location for food, water, clothing, medication, shelter, and other supplies; checking supplies on a regular basis and replenishing outdated materials; and practicing community disaster plans (mock-disaster drills). The mitigation phase refers to actions or measures to either prevent the occurrence of a disaster or reduce the damaging effects of a disaster. The response phase includes putting disaster planning services into action and the actions taken to save lives and prevent further damage. The recovery phase includes actions taken to return to a normal situation after the disaster.

A Saving vomitus for laboratory analysis
C Determining the type and amount of substance ingested
D Removing any visible materials from the nose and mouth
F Assessing the client's airway patency, breathing, and circulation

Rationale: In the event of accidental poisoning, the poison center is called before any attempt at interventions is made. Additional interventions in an accidental poisoning include assessing the client's airway patency, breathing, and circulation; removing any visible materials from the nose and mouth to terminate exposure; determining the type and amount of substance ingested, if possible, to identify an antidote; saving vomitus for laboratory analysis, which may aid further treatment; and positioning the victim with the head to the side to prevent aspiration of vomitus and help keep the airway open. Because of the risk of aspiration, vomiting is never induced in an unconscious client or in a client who is experiencing seizures. Additionally, vomiting is not induced if lye, a household cleaner, a hair care product, grease, a petroleum product, or furniture polish has been ingested, because of the risk of internal burns.

What is important to monitor when a client is placed in restraints?

Which interventions can the nurse use to help eliminate the need for restraints?

What is the monitoring requirement for patients who are restrained?

How do you care for a patient with restraints?