A patient is confused and is attempting to get out of the hospital bed. The nurse is tired after working for more than 10 hours and is concerned for the patient's safety
What is the best action that the nurse should take to prevent the patient from harm? a. Restrain the patient with wrist restraints.
b. Place the patient with a belt restraint in a chair.
c. Sedate the patient with medication.
d. Ask a family member to sit with the patient.
D
Asking a family member to sit with the patient is the best answer because it does not restrain the patient physically or chemically. The Joint Commission has set guidelines for the use of restraints in hospitals. These regulations set the standard that all patients have the right to be free from seclusion and physical or chemical restraints except to ensure the patient's safety in emergency situations. The standards specifically prohibit restraining patients for staff convenience, punishment, or retaliation.
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A 13-year-old is being admitted to the ED after falling from a roof and sustaining blunt abdominal injuries. To assess for internal injury in the patient's peritoneum, the nurse should anticipate what diagnostic test?
A) Radiograph B) Computed tomography (CT) scan C) Complete blood count (CBC) D) Barium swallow
A patient you meet in a prenatal clinic states that she has a vaginal discharge and asks about douching. Which of the following is a general safe rule regarding douching during pregnancy?
A) Only commercial solutions should be used. B) Routine douching is not advised. C) The solution used never should be acid. D) A room-temperature solution should not be used.
The nurse is performing a middle ear assessment on a 15-year-old patient who has had a history of chronic ear infections. When examining the right tympanic membrane, the nurse sees the presence of dense white patches
The tympanic membrane is otherwise unremarkable. It is pearly, with the light reflex at 5 o'clock and landmarks visible. The nurse should: a. Refer the patient for the possibility of a fungal infection. b. Know that these are scars caused from frequent ear infections. c. Consider that these findings may represent the presence of blood in the middle ear. d. Be concerned about the ability to hear because of this abnormality on the tympanic membrane.
A patient with herpes simplex virus (HSV) encephalitis has been admitted to the ICU. What medication would the nurse expect the health care provider to order for the treatment of this disease process?
A) Cyclosporine (Neoral) B) Acyclovir (Zovirax) C) Cyclobenzaprine (Flexeril) D) Ampicillin (Principen)