A doctor orders restraints for an elderly patient who is disoriented from the pain medication she is taking. Which of the following is an appropriate guideline for applying these restraints?
A) Chemical restraints should be tried before using physical restraints.
B) The restraints can be ordered by the nursing supervisor in emergency situations.
C) The patient's vital signs must be assessed every hour.
D) Adults must be reassessed within 4 hours; children (aged, 9 to 17 years) within 2 hours; and children less than age 9 years within 1 hour.
D
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During his last shift, a nurse realized that he made a medication error by administering a medication to the wrong patient. Which of the nurse's following actions best demonstrates accountability?
A) Administering the correct medication to the correct patient during his next shift B) Assessing the patient vigilantly after discovering the drug error C) Writing up an incident report and taking action to review correct medication administration D) Reviewing his notes on adverse reactions to medications and explaining these to a colleague
The nurse has identified the diagnosis Excess Fluid Volume as appropriate for a client with acute glomerulonephritis. What should the nurse assess to learn the most accurate indication of this client's fluid balance?
A) Vital signs B) Intake and output records C) Daily weight D) Serum sodium levels
A college-age client who became pregnant unexpectedly is deciding whether or not to terminate a pregnancy. She asks the nurse, "What would you do if you were facing this decision?" Which response by the nurse would be most appropriate?
A) "You have your whole life ahead of you. Ending this pregnancy shouldn't be a problem." B) "What I'd do is not really important. What is important is that you have the information you need to make the decision." C) "What's right for me probably wouldn't be what's right for you. It's against my religion to have an abortion." D) "It's really none of your business what I would do. The choice is yours, not mine."
The nurse is caring for a hospitalized young adult male who is uninsured even though he works as a dishwasher at a local restaurant. He states that he would like to get a better job, but he has no education
How can the nurse best assist this patient psychosocially? a. By providing information and referrals b. By telling the patient that he needs to go back to school c. By focusing on the patient's medical diagnoses d. By expecting the patient to be flexible in his decision making