The patient requests that one bed siderail be fully up for use in assisting with turning. Is this considered a restraint?
1. Yes, bedrails should never be in the full-up position unless the patient is being transported.
2. Yes, this is a restraint that requires an order by a physician.
3. No, if the patient requests the restraining device, it is not a restraint.
4. No, the bedrail in this case is being used as an assistive device, not a restraint.
4
Rationale: In this instance, the patient is requesting the bedrail be up to act as an assistive device, so it is not considered a restraint. The nurse should fully document the request and the patient's use of the siderail.
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A patient has just been diagnosed with TB. She is extremely upset and is asking questions concerning the medications she will have to take and how long she will have to take them. Which of the following is an appropriate response by the nurse?
A) "Oh, please don't worry. Your doctor will explain everything to you." B) "You will take one drug for 1 month." C) "You will have multidrug therapy for 6 to 24 months." D) "We will discuss this when you are calmer."
When a client is admitted to the ED with respiratory distress and rapid-sequence induction (RSI) is needed to intubate the client, the nurse should first
a. apply nasal oxygen. b. establish intravenous (IV) access. c. hyperventilate with 50% oxygen. d. insert a nasogastric tube.
Which term describes how the body affects drug activity?
a. Drug potency b. Pharmacodynamics c. Therapeutic effect d. Pharmacokinetics
When abusive parents who have had a child removed by the courts are expecting another child, the pregnancy should be regarded as likely to be
a. A normal response to the grief of losing a child b. A sign of continued poor judgment c. A pathological reaction d. An attempt to receive additional attention from the nurse