Which options reflect a general criterion for restraining a patient?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
1. The patient's inability to care for himself or herself
2. The patient's verbally abusive but nonthreatening behavior toward others
3. The patient's immediate ability to harm self
4. The patient's refusal to take psychotropic medications as prescribed
5. The patient's threat to harm another patient
3,5
Rationale: Inability to care for oneself is not a criterion for use of restraints.
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The primary functions of the pulmonary system are
a. gas exchange and the movement of air in and out of the lungs. b. gas exchange and the transfer of oxygen to the tissues. c. the movement of blood in and out of the lungs and the removal of body waste products. d. gas exchange and the prevention of infections.
The nurse is caring for a patient receiving heparin therapy. The nurse reviews the lab results and notes that the platelet count has dropped to 100,000 mm3 . Further assessment of the patient re-veals purple-tinged fingers and toes and tachypnea
The nurse should suspect __________________ and immediately ____________. a. hemorrhage; administer vitamin K1 b. thrombocytopenia; discontinue heparin c. massive pulmonary embolus; institute ventilator support d. massive myocardial infarction; administer nitroglycerin and oxygen
Mastitis is common in women who are breastfeeding
Indicate whether the statement is true or false
During an assessment, a patient tells the nurse that she is lactose intolerant. The nurse realizes that this food intolerance is common within which cultural groups?
1. Mexican Americans 2. Scandinavian Americans 3. Indian Americans 4. Mediterranean Americans