The nurse is developing an interdisciplinary plan of care using the Roper-Logan-Tierney Model of Nursing for a patient who is currently unconscious. Which interventions would be most critical to developing a plan of care for this patient?
a. Eating and drinking, personal cleansing and dressing, working and playing
b. Toileting, transferring, dressing, and bathing activities
c. Sleeping, expressing sexuality, socializing with peers
d. Maintaining a safe environment, breathing, maintaining temperature
ANS: D
The most critical aspects of care for an unconscious patient are safe environment, breathing, and temperature. Eating and drinking are contraindicated in unconscious patients. Toileting, transferring, dressing, and bathing activities are BADLs. Sleeping, expressing sexuality, and socializing with peers are a part of the Roper-Logan-Tierney Model of Nursing; however, these are not the most critical for developing the plan of care in an unconscious patient.
You might also like to view...
A patient is starting tamoxifen for breast cancer. The nurse will instruct her to expect which side effect?
a. Increased hot flushes b. Vaginal dryness c. Bruising d. Facial swelling
Emile Durkheim argued in his book Suicide that only social factors could explain suicide. In Durkheim's view, suicide often occurs because society fails to either control individual impulses or:
a. provide an individual with a sense of individual identity in the crowd b. allow individuals a sense of social connectedness and hope c. give its members freedom to be autonomous and make individual choices d. provide a safe haven for those who have nontraditional beliefs about death
The ____________ instrument is a generic tool that provides a framework for evaluating, developing, and implementing clinical practice guidelines based on six quality domains
a. AGREE II b. Appraisal c. EPC d. NGC
What does the Rehabilitation Act of 1973 require? (Select all that apply.)
a. Agencies must develop an individualized written care plan for each client. b. All buildings that benefit from federal funds must be free of physical barriers. c. Employers must make their site accessible to all disabled employees, regardless of cost. d. Children are entitled to free public education in the least restrictive setting. e. Preference must be given to disabled job applicants if they are otherwise qualified for the position. f. Employers must include in their employment notices the fact that preference will be given to handicapped applicants.