When applying a belt restraint to a patient, it is important for the nurse to:
a. apply the belt under the hospital gown.
b. place the restraint around the abdomen.
c. have the patient in a sitting position.
d. apply the belt as tightly as possible.
C
Have the patient in a sitting position. Remove wrinkles or creases in clothing. Bring ties through slots in a belt. Apply a belt over clothes, gown, or pajamas to prevent damage to the skin. Make sure to place the restraint at the waist, not at the chest or abdomen. Avoid applying the belt too tightly.
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A child in the pediatric intensive care unit is started on cortisone. When the nurse enters the room to check his blood glucose, the parents are concerned that he is now a diabetic. Which response by the nurse is the most appropriate?
A. "Being critically ill can raise a patient's blood glucose." B. "I'm sorry; we should have been checking this all along." C. "Increased blood glucose can be a side effect of steroids." D. "The doctor is curious about how his glucose levels are."
Which of the following are nursing diagnoses that would apply to the client with multiple myeloma? (Select all that apply.)
a. Impaired tissue inte-grity d. Risk for infection b. Chronic pain e. Disturbed body im-age c. Risk for injury
The priority intervention for a victim exposed to ricin is to:
a. wash the entire body with large amounts of soap and water b. remove clothing c. remove from exposed area or get outside d. rinse out the eyes
The nurse is preparing an analgesic for a patient with leukemia. Which route is preferred for this patient?
A. Oral B. Subcutaneous C. Intravenous D. Intramuscular