An older patient diagnosed with dementia has begun behaviors that increase the risk of falling. The patient's son tells the nurse that "physical restraints may be used." The nurse responds
a. "I'll document that, so that the staff can use them when necessary."
b. "Physical restraints are seldom effective on patients with dementia."
c. "The staff will use physical restraints only as a last resort."
d. "There are more effective methods to use to help ensure her safety."
D
Physical restraint use does not prevent falls and therefore should never be employed for "safety precautions." This is the best explanation because the nurse will then need to explain the other measures that will be taken to keep the patient safe.
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Which of these statements about idiopathic thrombocytopenia purpura in children is TRUE?
a. It is self-limiting and resolves within 6 months. b. It occurs as a result of aggressive leukemia therapy. c. It occurs most frequently during adolescence. d. It requires numerous transfusions of platelets to replace those not being produced in the body.
Which of the following disciplines generally make up an ethics committee? Select all that apply
a. Nursing d. Chaplains b. Medicine e. Client's family c. Social work
The nurse is assessing a client who experienced bariatric surgery 5 years ago. The nurse would consider the client's surgery as successful when which of the following is assessed?
1. Current weight is 100 lbs less than the starting weight of 600 lbs. 2. Current weight is 300 lbs with a starting weight of 450 lbs. 3. Current weight is 200 lbs with a starting weight of 400 lbs. 4. Current weight is 50 lbs less than the starting weight of 400 lbs.
A patient, admitted to the ICU with a diagnosis of acute pancreatitis, is prescribed pain medication through a PCA pump. What will the nurse include when teaching the patient and family about the proper use of the pump?
1. The patient should only use the PCA pump when the pain is severe. 2. The family may help by "pushing the button" when they feel the patient is in pain. 3. The PCA allows the patient to administer smaller amounts of pain medication more frequently, which helps to get more effective pain relief. 4. The PCA delivers pain medication every time the button is pushed.