Following a violent outburst in the unit, all of the clients are sent to their rooms while the staff restrains and secludes a client. The client's psychiatrist is notified and the order for restraints is written
The milieu appears to be quiet once more. What should the nurse do next? A) Return to the nursing station and document the event according to hospital policy.
B) Make rounds to see how the other clients are responding to the situation.
C) Find a peer and debrief about the event.
D) Set up a time for the staff to engage in a critical incident review.
B
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The nurse is caring for an incontinent male patient who has a deep decubitus ulcer on his sacrum. Which intervention will best manage the patient's urinary incontinence and facilitate healing of the ulcer?
a. Use of disposable absorbable incontinence briefs b. Daily application of perineal barrier cream containing zinc oxide c. Careful perineal care and application of a condom catheter d. Insertion of a single-lumen straight urinary catheter
A patient who works outdoors has frequent contact dermatitis flares secondary to exposure to plant irritants. The patient asks the nurse how to minimize these episodes. The nurse will counsel this patient to perform which action?
a. Apply topical glucocorticoid medication prior to exposure. b. Cleanse the skin immediately after any contact with plants. c. Take systemic diphenhydramine (Benadryl) after being outdoors. d. Use calamine lotion prior to working outdoors.
A client with bipolar disorder is receiving divalproex sodium as part of the treatment plan. When monitoring the client's blood concentration of this drug, which level would alert the nurse to the need to change the dosage?
A) 30 ng/mL B) 55 ng/mL C) 75 ng/mL D) 115 ng/mL
The infant's temperature is monitored and recorded
A) every 15 minutes until stable, then every 4 hours. B) every 30 to 60 minutes until stable, then every 4 hours. C) every 2 hours until stable, then every 6 hours. D) every 4 hours until stable, then every 8 hours.