Restraints must be released every
A) shift.
B) 4 hours.
C) 2 hours.
D) hour.
C
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A client is scheduled for computed tomography (CT) of the abdomen because of a suspected abdominal aortic aneurysm. The nurse would assess this client for
a. abdominal pain radiating down one or both legs. b. abdominal rebound tenderness. c. painful abdominal distention. d. pulsating abdominal mass.
After analyzing behavior, the nurse determines that a client is demonstrating defense mechanisms. According to Freud, what should the nurse realize as being the cause of this behavior?
1. Anxiety created by conflicts 2. Activation of the conscience 3. Conflict between the id's impulses 4. Immediate pleasure and gratification 5. Underlying motivation for development
A client asks the RN why it is more difficult to use a bedpan for defecating than sitting on the toilet. Which of the following is the best response?
1. The sitting position decreases the contractions of the muscles of the pelvic floor. 2. The sitting position increases the downward pressure on the rectum, making it easier to pass stool. 3. The sitting position increases the pressure within the abdomen. 4. The sitting position inhibits the urge to urinate, allowing one to defecate.
Laboratories commonly report the PT values with which of the following measurement?
A. ISI B. PTT C. DIC D. INR