After discussing the use of restraints with a client

62. After discussing the use of restraints with a client and family, a physician has
written a prescription for wrist restraints to be applied to a client. The nurse
instructs the nursing assistant to apply the restraints. Which of the following
observations by the nurse indicates that the nursing assistant is using the
restraints safely and correctly? Select all that apply.
63. A nurse caring for a 9-month-old who has undergone repair of a cleft palate
applies elbow restraints to the child. The mother visits her child and asks the
nurse to remove the restraints. According to the guidelines for the use of
restraints, what should the nurse do in response to the mother’s request?
64. A community health nurse is asked to assist in developing a community disaster
plan. The nurse determines that this responsibility is a component of which
disaster management phase identified by the Federal Emergency Management
Agency (FEMA)?
65. A nurse is admitting a postoperative client from the postanesthesia care unit to
the surgical nursing unit. Which of the following measures should the nurse take
for the safety of the client?

66. A nurse prepares to teach a client with chronic vertigo about safety measures to
help prevent exacerbation of symptoms and injury. Which instructions should the
nurse provide to the client? Select all that apply.
67. An emergency department (ED) nurse is triaging victims of an explosion at a
nearby manufacturing plant. To which victims should the nurse assign the
emergent (priority 1) designation? Select all that apply.
68. A client with an infection is receiving antibiotics by way of intramuscular (IM)
injection. The client is also receiving subcutaneous (SC) injections of heparin.
Which precaution does the nurse understand is most appropriate to help ensure
the safety of this client?