To obtain the clearest clinical information about a patient, a nurse who used several secondary sources, including the patient's spouse and the report of the admitting psychiatrist, will seek validation from:
a. the patient.
b. psychiatric nursing textbooks.
c. the patient's extended family.
d. the use of psychiatric behavioral rating scales.
A
Patients should be regarded as a source of validation.
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A student nurse has been asked by the registered nurse with whom the student nurse is working to apply wrist restraints to a patient who is confused and is trying to remove the endotracheal tube
The student nurse knows that it is important to tie the restraints to which part of the bed? a. Side rails b. Part of bed frame that moves up and down with the patient c. Footboard d. Headboard
In caring for autografts of a client's burn wound, the nurse would follow strict aseptic care of the donor site and the newly grafted wound, and take which of these actions?
a. Irrigate each site with prescribed antibiotic solution, and let the wound air dry. b. Massage the tissue around the grafts to in-crease the blood supply and speed up healing. c. Apply the prescribed pressure dressings to the sites. d. Remove the pressure dressings every other day.
When assessing jugular pulsation, which of the following cardiac events causes the A wave?
A) Atrial relaxation B) Filling of the right atrium C) Contraction of the right atrium D) Bulging of the closed tricuspid valve
EPA and DHA, omega-3 fatty acids in fish, are recommended in the diet following a heart attack because they can:
a. increase protein. b. increase blood clotting. c. stabilize cardiac rhythm. d. increase inflammatory response.