A patient who underwent surgery for a bowel obstruction yesterday has become confused and has made several attempts to climb out of bed. The nurse is considering options to prevent the patient from harm
Which of the following actions could be delegated to assistive nursing personnel working with the nurse? a. Assessing the patient for appropriateness of restraints
b. Calling the physician for an order for a restraint alternative
c. Discussing the need for restraints with the patient's family
d. Applying restraints after orders received by the nurse
D
The skill of applying a restraint can be delegated to trained nursing assistive personnel. However, the nurse is responsible for assessing a patient's behavior, determining the need for restraint, the type of restraint to use, and performing patient assessments while restraints are in place. Patients, who are confused, disoriented, or who repeatedly fall or try to remove medical devices (e.g., IV lines or dressings) may require the temporary use of restraints to keep them safe. Restraints are not a solution to a patient problem but rather a temporary means to maintain patient safety. All alternatives must be used before placing patients in restraints. Performing an assessment, obtaining orders from the physician and including the family in the discussion of why restraints are necessary are all jobs that cannot be delegated to a nursing assistive personnel (NAP); and must be performed by the nurse.
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A health care organization has provided intensive education to staff regarding benefits and correct methods of delegation
Why has the organization spent the time and money to sponsor these sessions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Good delegation helps to reduce overtime. 2. Absences decrease when delegation is used correctly. 3. Delegation is required by state boards of nursing. 4. Patient satisfaction scores increase when care is efficient and effective. 5. Good delegation increases productivity.
A patient being seen in the clinic tells a nurse, "The pain is in my right side." The patient's phase of illness is
1. Prodromal. 2. Symptomatic. 3. Seeking help. 4. Dependency.
While hospitalized, a client learns that a dear friend has died as a result of an accident. The client is crying and asking God, "Why?" The nurse realizes the client is demonstrating which factor of spiritual distress?
1. Physiological 2. Treatment-related 3. Psychological 4. Situational
The benefits for nursing practice in using a standardized nursing language include which of the following? Select all that apply
a. Define and communicate nursing knowledge b. Assist the nurse in understanding medical diagnoses c. Facilitate nursing research d. Help nurses provide consistent interventions for all patients