A critically ill patient who is intubated and agitated is restrained with soft wrist restraints. Based on research findings, what is the best nursing action?
A) Maintain the restraints to protect patient safety.
B) Remove the restraints periodically to check skin integrity.
C) Remove the restraints periodically for range of motion.
D) Assess and intervene for causes of agitation.
D
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The nurse is assisting the client to ambulate in the hall when the client suddenly complains of dizziness. Which action by the nurse is the priority?
1. Escorting the client back to the room and into bed 2. Calling for help to escort the client back to the room 3. Assisting the client to sit on the nearest chair with the head between the legs, and going to find assistance 4. Assisting the client to a horizontal position on the floor if no chair is available
Raths, Harmin, and Simon (1978) formulated a theory of values clarification and proposed a three-step process for valuing. The three steps in the process include which of the following? Select all that apply
a. choosing c. acting b. prizing d. deciding
In which of the following clients would syrup of ipecac be used in the event of a poisoning?
1. client who is 4 months of age 2. pregnant client 3. 32-year-old client who swallowed aspirin 4. client with severe heart disease
What are some of the untoward events categorized in the Institute of Medicine (IOM) report about medical errors? (Select all that apply.)
a. Wrong-site surgery b. Adverse drug events c. Improper transfusions d. Restraint related deaths e. Poor staffing patterns