A client becomes confused after surgery. He is in a room farthest away from the nurses' station. The client tries to get out of bed several times during the shift. The nurse informs the physician and obtains an order for soft restraints
In addition she moves the client close to the station and assigns a sitter to watch him. Which of the following did the nurse utilize (select all that apply)? a. Critical thinking
b. Problem solving
c. Autocratic decision
d. Financial decision
A, B
Critical thinking and decision-making strategies were utilized in determining the measures that would promote patient safety and prevent a fall.
You might also like to view...
The nurse is caring for a child who has undergone stem cell transplantation for severe combined immune deficiency. The nurse would monitor closely for which of the following to assess for graft-versus-host disease?
A) Wheezing B) Malar rash C) Maculopapular rash D) Chronic or recurrent diarrhea
The mother of a 12-year-old child informs the nurse that the child's father died from sudden cardiac death at 44 years old. Which of these laboratory tests should the nurse anticipate the physician to order?
1. CBC with differential 2. Lipid profile 3. Chest x-ray 4. EEG
The nurse is assisting with a transabdominal ultrasound procedure to determine fetal age. The nurse should:
A. Ask the woman to sign an operative consent form prior to the procedure. B. Have the woman empty her bladder before the test begins. C. Assist the woman into a supine position on the examining table. D. Instruct the woman to not eat two hours before the scheduled test time.
Which of the following is true of an antigenic drift?
A. When the virus undergoes a major change in its surface proteins such as hemagglutinin and neuraminidase, it is considered an antigenic drift. B. Small changes in viral surface proteins are known as an antigenic drift and result in decreased vaccine effectiveness. C. Antigenic drift can prevent the antibody from recognizing the organism if exposure reoccurs. D. None of these are correct.