The nurse is caring for a client who has prescribed extremity restraints. The nurse is required to document which of the following?

A) Alternative measures attempted before applying the restraints
B) A verbal order for renewal of the restraints every 48 hours
C) Detailed description of the restraint application process
D) Type of personal protective equipment (PPE) used by the nurse during restraint application


Ans: A
This is not typically documented.

Nursing

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The nursing students are in the first week of their training. Today they are in the skills lab learning about standard precautions. What measures should the students take when following standard precautions?

A) Wear a mask and gown when starting an IV line. B) Wash hands immediately after removing gloves. C) Recap all needles after use to prevent accidental sticks. D) Wear a protective hair cover when caring for a patient who has tuberculosis (TB).

Nursing

The nurse is performing an assessment of a patient. Which assessment findings may indicate a higher risk for genetic disorders?

(Select all that apply.) a. The patient's father was diagnosed with heart disease at 60 years of age. b. The patient's mother was diagnosed with breast cancer at 33 years of age. c. The patient's grandfather died of a cerebral vascular accident at 78 years of age. d. The patient's sister has a history of both renal and lung cancer. e. The patient has two uncles and a grandparent who have been diagnosed with Alzheimer's disease.

Nursing

Mr. Witwicky's temperature is 40°C. This is 100°F

Indicate whether the statement is true or false

Nursing

After a cliff-diving accident, Raul's doctors are unable to see any indication of electrical brain waves. At this point, Raul's doctors will likely deem him __________.

Nursing