A nurse caring for a confused patient who is not allowed to get out of bed asks the physician for an order for restraints. Which of the following are guidelines for the use of restraints on patients? Select all that apply
A) Restraints may be used to prevent a patient from falling when the facility is short-staffed.
B) The patient's family must be involved in the decision and plan of care.
C) Alternatives to restraints and less restrictive interventions must have been implemented and failed.
D) The benefit gained from using a restraint must outweigh the known risks for that patient.
E) A physician or licensed independent practitioner must reevaluate and assess the patient every 48 hours.
F) The patient's vital signs must be assessed and the medical patient must be visually observed every 4 hours.
B, C, D
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A client arriving at the emergency department is diagnosed with a dislocation. Assessment would most likely reveal which of the following? Select all that apply
A) Complaint of a popping sound B) Protrusion in the area of the dislocation C) Swelling D) Pain E) Area warm to touch
The nurse is conducting a physical examination of a 9-month-old baby with a flat discolored area on the skin. The nurse would describe this as which of the following in the medical record?
A) Papule B) Macule C) Vesicle D) Scaling
As a health-care professional, which of the following instructions will Dr. Knightley give a patient with lupus erythematosus who intends to discontinue long-term therapy with prednisone?
A. He will tell him to gradually reduce the dose of prednisone over a period of a few months. B. He will tell him to keep reducing the dose of prednisone every other day until he is no longer dependent on the drug. C. He will tell him to stop taking prednisone immediately. D. None of these are correct.
In which order should the nurse conduct the examination of a postpartum client?
1. L–lochia 2. B–bowel 3. B–breast 4. U–uterus 5. B–bladder 6. E–emotional 7. H–Homans/hemorrhoids 8. E–episiotomy/laceration/edema