List 10 things the nursing assistant can do to avoid the use of restraints.
What will be an ideal response?
· Care for patients' needs promptly.
· Toilet patients regularly.
· Provide adequate food and fluids.
· Report signs and symptoms of pain or illness.
· Follow positioning and exercise instructions.
· Assist patients to use hearing aids and eyeglasses.
· Answer call signals promptly.
· Check patients frequently.
· Provide appropriate exercise and activities.
· Know which patients are at risk of falls and monitor them.
· Observe patients who walk and transfer independently for safety.
· Report physical and mental changes immediately.
· Provide comfortable chairs with supportive devices if necessary.
· Maintain a safe, quiet, calm environment.
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A nurse cares for a client with hepatic portal-systemic encephalopathy (PSE). The client is thin and cachectic in appearance, and the family expresses distress that the client is receiving little dietary protein. How should the nurse respond?
a. "A low-protein diet will help the liver rest and will restore liver function." b. "Less protein in the diet will help prevent confusion associated with liver failure." c. "Increasing dietary protein will help the client gain weight and muscle mass." d. "Low dietary protein is needed to prevent fluid from leaking into the abdomen."
What ordered dosage for epoetin alfa (Procrit) could the nurse administer without needing to question the order?
A) 0.45 mcg/kg IV once per week B) 1 mg/d IM C) 100 mg/d PO D) 150 units/kg subcutaneously three times per week
A nurse researcher is selecting a topic for an EBP project. Which type of topic would be most appropriate if the researcher is interested in developing an idea from a problem-focused trigger?
a. Treatment of heart failure b. Increased incidence of deep venous thrombosis in trauma patients c. Prevention of nosocomial pressure ulcers d. Community-acquired pneumonia
A patient was an unrestrained driver in a frontal-impact motor vehicle collision. The nurse would expect which finding?
1. Unstable pelvic structure, causing severe pain on palpation 2. Neck muscle spasms caused by hyperextension of the neck 3. Paradoxical movement of the chest caused by multiple rib fractures 4. Unequal pulses in the lower extremities due to possible femur fracture