The nurse applies a physical restraint to the client. Which should the nurse document after applying physical restraints?
1. Performed restraint application reluctantly
2. Applied bilateral soft lamb's wool wrist restraints
3. Will perform neurovascular assessment every 4 hours
4. Will review provider's prescription for PRN restraints
2
2. The nurse documents the type of restraint applied in the progress notes to communicate the information to the health care team.
1. The nurse does not document subjective statements about the nurse.
3. Neurovascular assessments of a client's extremity must take place at least every 2 hours because skin breakdown can occur very quickly.
4. The nurse does not accept PRN prescriptions for restraints according to nursing standards and federal regulations.
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The nurse manager is planning critical incident defusing for staff who provided care for patients injured in a house fire
What should be included in this planning? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Plan for each session to last 2 to 3 hours. 2. Gather groups of no more than 6 to 8 staff members. 3. Develop groups according to shift worked. 4. Emphasize strict confidentiality within the group. 5. Record level of participation in the groups.
A nurse is conducting a needs assessment but has a limited budget. Which of the following data sources would the nurse most likely eliminate?
a. Community forums b. Examination of community indicators c. Focus groups d. Surveys
The wife of a recently deceased patient states that she can't think of anything other than her husband. She wakes up at night and goes to look for him before realizing that he is dead. The nurse understands that the wife is in which stage of grief?
A) Shock B) Protest C) Disorganization D) Reorganization
Body movement occurs as a result of which type of muscles working together with the bones?
A. involuntary B. skeletal C. smooth D. visceral