While providing hygiene care to a confused older adult client diagnosed with Alzheimer's disease, the nures is called to the nursing station. To ensure patient safety the nurse must do what?
A) Ask a family member to stay with him.
B) Cover him with a blanket for warmth.
C) Reattach the restraints.
D) Put side rails up before leaving the client.
Ans: D
The issue is safety of a confused client, so the side rails must be up. It is not the family's responsibility to maintain his safety, a blanket is not for safety, and restraints are not routinely used.
You might also like to view...
A 30-year-old male client is admitted to the psychiatric unit with a diagnosis of bipolar disorder
His family reports that for the past 2 months he has been in constant motion, sleeping very little, spending lots of money, and has been "full of ideas." During the initial assessment with the client, the nurse would expect him to exhibit which of the following? A. Short, polite responses to interview questions B. Introspection related to his present situation C. Exaggerated self-importance D. Feelings of helplessness and hopelessness
A patient presents to the emergency department complaining of increased urine output. The patient has been drinking alcohol and is still visibly impaired
He is aware of his condition and apologizes, stating that he has never gotten drunk before and if he survives he never will again, but he knows that if he drinks too much he will lose potassium and die. The nurse realizes that the patient is dealing with: a. antidiuretic hormone (ADH) suppression. b. ADH stimulation. c. insensible water loss. d. angiotensin II release.
The cerebral spinal fluid cushions the brain and spinal cord
True False
The parents of a 2.5-year-old boy are concerned about their child's finicky eating habits. While counseling the parents, which statements by the nurse would be accurate? Select all that apply
1. "Nutritious foods should be made available at all times of the day so that the child is able to ‘graze' whenever he is hungry." 2. "The child is experiencing physiologic anorexia, which is normal for this age group." 3. "A general guideline for food quantity at a meal is one quarter cup of each food per year of age." 4. "It is more appropriate to assess a toddler's nutritional demands over a 1-week period rather than a 24-hour one." 5. "The toddler should drink 16 to 24 ounces of milk daily."