How often should a nurse remove and release restraints when caring for a patient who requires wrist restraints?
a. Once every 8 hours for at least 30 minutes
b. Once every 4 hours for at least 15 minutes
c. Once every 2 hours for at least 10 minutes
d. Once every 1 hour for at least 5 minutes
C
Physical restraints must be removed and released every 2 hours for 10 minutes. In addition, they should be frequently checked to ensure that the restraint is properly used and is providing ade-quate protection and comfort without impeding circulation or breathing.
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Janet is being prepared for discharge with her newborn. She tells you about the antique crib she inherited from her grandmother and how excited she is about using it for her newborn
Which of the following pieces of information should be cause for concern? a. The crib has been stripped and repainted with a lead-free paint. b. The side rail hardware has been replaced so that the latches remain fastened. c. The crib slats are 3½ inches apart. d. The mattress fits snugly in the crib with ½-inch space around the sides.
A patient reports that bugs are crawling under his skin. The nurse knows that this tactile hallucination is usually associated with what?
A) Medication side effect B) Methamphetamine use C) Brain tumor D) Parkinson's disease
Why is it difficult for a client to be sure the herbal product purchased at the store is made in the same strength as a different brand at another store?
1. All herbal products contain the same amount of active ingredients. 2. Only one active ingredient is in each herb. 3. All herbs are collected under the same conditions. 4. Multiple active ingredients are present in herbs.
The nurse is assisting with teaching a 22-year-old female patient who is diagnosed with a sexually transmitted infection (STI)
She says, "I don't understand. My boyfriend always wears a condom." Which understanding by the nurse should guide teaching in this situation? a. Condoms are a reliable source of protection against STIs. b. It is a myth that condoms provide any protection against STIs. c. Condoms can decrease the risk of STIs, but they are not foolproof. d. Condoms must be used with a spermicide to guarantee protection against STIs.