The resident of a long-term care facility is unable to ambulate without maximal assistance. The patient is restless and frequently attempts to get out of bed. What is the appropriate nursing action?
1. Use four-point restraints to prevent the resident from getting up alone.
2. Use sedation to keep the resident from attempting to get up.
3. Move the resident to a room near the nursing station for closer observation.
4. Inform the family that they need to hire a sitter to keep the resident safe.
3
Rationale: Moving this resident to a room where closer observation is possible is the least restrictive approach to providing safe care. The second best option would be use of a sitter, but the nurse cannot shift all accountability for the resident's safety to that person.
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The charge nurse asks the new vocational nurse to start an intravenous infusion. Because the vocational nurse has not been taught this skill during her educational program, the vocational nurse should:
a. ask a more experienced nurse to demon-strate the procedure. b. look up the procedure in the procedure manual. c. attempt to perform the procedure with su-pervision. d. inform the charge nurse of her lack of training in this procedure.
Assuming that groups of people have certain beliefs and behaviors without reorganizing individual differences within groups is known as:
1. Ethnocentrism 2. Cultural imposition 3. Racism 4. Stereotyping
The nurse is planning to teach a group of adolescents about sexually transmitted infections. What information concerning genital warts should be included?
A. The risk for the development of penile cancer is high in men diagnosed with genital warts. B. Genital warts will result in cervical cancer for the majority of women who get them. C. Hand washing will aid in reducing the spread of genital warts. D. Women who have certain types of genital warts should be vaccinated against other types.
J.B. undergoes surgery. His postoperative course is complicated by pneumonia and poor wound healing
After being hospitalized for 6 weeks, he is discharged to a long-term care facility for care while recuperating for external radiation therapy. He is scheduled to receive 2000 cGy to the head and neck three times weekly for the next 8 weeks. As J.B.'s nurse, which adverse effects of external radiation therapy would most concern you? Radiation to the head and neck produces dry mouth (xerostomia), irritation of the oral mucous membranes (stomatitis), and diminished sense of taste (dysgeusia). Outline independent nursing actions that will assist J.B. in managing mucositis and xerostomia. Mucositis