Which of these statements regarding the use of physical restraints is TRUE?
a. The need for a health care provider's order varies from state to state.
b. Physical restraints are applied when chemical restraints are ineffective.
c. The nurse's responsibility in meeting the client's basic needs increases.
d. Restraints must be reevaluated during every shift for need and correct placement.
C
The nurse's responsibility in meeting the client's basic needs increases as the client is restrained and unable to meet their own needs. Restraints must be released once every 2 hours, the nurse must assess the color, temperature, sensation motion, and capillary refill in the area distal to the restraint and perform range-of-motion exercises. The client should also be toileted at this time minimally and have fluids in reach at all times unless contraindicated. The call light must also be in reach at all times so the client may call for assistance as needed.
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A pregnant woman experiences frequent leg cramps. Which of the following would you include in her teaching plan as a relief measure?
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A nurse has catheterized a client to obtain urine for measuring postvoid residual (PVR) amount. The nurse obtains 40 mL of urine. What should the nurse do next?
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When using a blade razor, it is important to: a. use cold water on the face first. b. use talcum powder to make the skin smoothbefore shaving
c. shave in the direction that the hair is growing. d. shave in the opposite direction from that which the hair is growing.