The nurse is aware that restraining a patient is most likely to result in the patient:
1. Pulling out an endotracheal tube
2. Pulling out an intravenous line
3. Disconnecting ventilator tubing
4. Developing a nosocomial infection
4
Rationale 1: The use of a restraint will not cause the patient to pull out an endotracheal tube.
Rationale 2: The use of a restraint will not cause the patient to pull out an intravenous line.
Rationale 3: The use of a restraint will not cause the patient to disconnect ventilator tubing.
Rationale 4: When people are restrained, they are more likely to develop nosocomial infections.
You might also like to view...
A client previously treated for insomnia with flurazepam (Dalmane) is being switched to eszopiclone (Lunesta)
How would the nurse explain the benefits of the newer nonbenzodiazepines as compared to the benzodiazepines for the treatment of insomnia? 1. Benzodiazepines do not induce sleep. 2. Nonbenzodiazepines lead to more withdrawal. 3. Nonbenzodiazepines trigger a rebound effect. 4. Nonbenzodiazepines do not produce as much hangover effect.
A patient with severe coronary artery disease has persistent angina that is refractory to medical management at maximum drug doses and has severe compromise of activities of daily living from the angina
The patient has had several coronary artery bypass surgeries and has been told that he is not a candidate for any further surgeries or percutaneous interventions such as stents. In discussing options for further therapy, what should the nurse include that would offer the patient the most hope? A) Unless a new medication is invented, there is nothing that can be done. B) Discussion of hospice and palliative support for end-of-life care C) Referral to the social worker for financial assistance D) Referral to the transmyocardial laser revascularization program for evaluation
The nurse is providing postmortem care, and elevates the client's head in order to avoid discoloration of the face secondary to which process?
1. Rigor mortis 2. Livor mortis 3. Algor mortis 4. Post mortis
The novice nurse is learning about the appropriate use of touch with clients with psychiatric dis-orders. Which statement about touch will provide the nurse with the best basis for successful practice in psychiatric nursing situations?
1. Touch carries a different meaning for various individuals. 2. Touch is rarely misinterpreted by clients because of their use of intuition. 3. It is never inadvisable to touch a client to convey interest and warmth. 4. For suspicious clients, procedural touch is best combined with humor.