If side rails are ordered for a patient, they should be
A) used as the point of attachment for restraints.
B) attached securely before you leave the room.
C) raised before your gloves are removed.
D) used to secure the catheter bag to the bed.
B
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A patient with Bell's palsy asks the nurse why she has to wear an eye shield at night. What would be the nurse's best response?
A) "A patient with Bell's palsy often can't close the eye, which causes insomnia." B) "A patient with Bell's palsy needs an eye shield at night to prevent injury to the eye." C) "A patient with Bell's palsy can't blink, so the eye shield keeps the eye moist." D) "A patient with Bell's palsy needs extra coverage for their eye."
A patient, diagnosed with malnutrition, had an intradermal tuberculin skin test 3 days ago. The site is currently showing no signs of induration. The nurse realizes this finding would indicate which of the following?
1. no exposure to tuberculosis 2. an intact immune system 3. the test needs to be repeated 4. anergy
The nurse is caring for seven patients this shift. After completing their assessments, the nurse states that he doesn't know where to begin in developing care plans for these patients. Which of the following is an appropriate suggestion by another nurse?
a. "Choose all the interventions and perform them in order of time needed for each one." b. "Make sure you identify the scientific rationale for each intervention first." c. "Decide on goals and outcomes you have chosen for the patients." d. "Begin with the highest priority diagnoses, then select appropriate interventions."
A client has to undergo a surgery and will be hospitalized for more than a week. The
client seems reluctant to eat hospital food. What is the nurse's role in such a condition? A) Ask her family members to help in feeding hospital food. B) Try to alternate the client's hospital food with home food. C) Obtain permission to let client's family get food from home. D) Try to convince the client that hospital food is good for health.