The nurse is caring for a patient who is immobile and is at risk for skin impairment. The plan of care includes turning the patient. What is the best method for repositioning the patient?
a. Obtain assistance and use the drawsheet to place the patient into the new position.
b. Place the patient in a 30-degree supine position.
c. Utilize a transfer sliding board and assistance to slide the patient into the new position.
d. Elevate the head of the bed 45 degrees.
C
When repositioning the patient, obtain assistance and utilize a transfer sliding board under the patient's body to prevent dragging the patient on bed sheets and placing the patient at high risk for shearing and friction injuries. The patient should be placed in a 30-degree lateral position, not supine position. The head of the bed should be elevated less than 30 degrees to prevent pressure ulcer development from shearing forces.
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Collective bargaining is best described as:
A. An informal problem-solving process. B. A generally informal process involving all staff members. C. A formal procedure governed by labor laws. D. Focused on interpersonal relationships.
The nurse is changing a film dressing over a wound that is showing a large amount of drainage. How should the nurse proceed?
a. Apply a film dressing after culturing the wound. b. Apply a film dressing after cleansing the area. c. Choose another type of dressing for this wound. d. Keep the wound open to air.
Which of the following statements made by the RN preparing to conduct a client's initial health history shows the best understanding of the therapeutic objective of the interview?
1. "It's all about finding out what the problems are and discovering the best way to fix them." 2. "Clients are more comfortable when you take the time to get to know them and their problems." 3. "I use it as an opportunity to show the client that his care is very important to the hospital's staff." 4. "It is the most appropriate way to initiate the therapeutic nature of the nurse-client relationship."
The African American client has panic attacks, is suicidal, and is on an inclient psychiatric unit. The healthcare professional prescribes sertraline (Zoloft) and clonazepam (Klonopin). The client refuses the drugs. The client also requests to have herbs and African objects in his room to "remove the curse." What is the priority action by the nurse?
A. Allow the request without seeking further information from the client. B. Allow the request as long as the herbs and objects do not pose a safety risk for the client or other clients. C. Allow the request after the client signs a release of responsibility to avoid litigation. D. Allow the request after all members of the treatment team agree to it.