Which interventions apply to the care plan of a patient being secluded? Select all that apply
a. Seclusion instituted when verbal intervention ineffective in stopping threatening behavior
b. Written medical order obtained within 2 hours
c. Patient debriefed when seclusion discontinued
d. Patient offered bathroom privileges hourly
e. Fluids offered every 4 hours
A, C, D
The correct interventions meet Medicare and Medicaid guidelines for the psychiatric setting. Other guidelines exist and should also be observed so that care can be evaluated as safe and effective. Fluids should be offered more often than every 4 hours, and a medical order must be secured within 1 hour.
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A nurse serving the community in a public health role would likely perform which of the following functions within a particular community?
a. Tracking the prevalence of gonorrhea between January and June b. Screening for scoliosis among 12- to 14-year-old girls in middle school c. Weighing premature infants receiving phototherapy at home d. Giving the H1N1 vaccine to fire and police personnel
A patient is taking nystatin (Mycostatin) oral
lozenges to treat an oral candidiasis infection resulting from inhaled corticosteroid therapy for asthma. Which instruction by the nurse is appropriate? a. "Chew the lozenges until they are completely dissolved." b. "Let the lozenge dissolve slowly and completely in your mouth without chewing it." c. "Rinse your mouth with water before taking the inhaler." d. "Rinse your mouth with mouthwash after taking the inhaler."
Evidence shows that the most important predictor of a fall is
A. Prior history of a fall B. Cognitive impairment C. Gait and balance disturbance D. Proximal muscle weakness
Upon entering the patient's room, the nurse sees a fire burning in the trash can next to the bed. The nurse removes the patient and reports the fire. What is the nurse's next action?
a. Extinguish the fire. b. Remove all other patients from the unit. c. Close all doors of patient rooms. d. Move the trash can into the bathroom.