An aggressive client has been placed in restraints after all other interventions have failed. Which protocol would apply in this situation?

1. An in-person evaluation by a physician or other licensed independent practitioner must be conducted within 1 hour of the initiation of the restraints.
2. An in-person evaluation by a physician or other licensed independent practitioner must be conducted within 2 hours of the initiation of the restraints.
3. An in-person evaluation by a physician or other licensed independent practitioner must be conducted within 3 hours of the initiation of the restraints.
4. An in-person evaluation by a physician or other licensed independent practitioner must be conducted within 4 hours of the initiation of the restraints.


1
Rationale: The Joint Commission (formerly the Joint Commission on Accreditation of Healthcare Organizations [JCAHO]) requires that an in-person evaluation by physician or other licensed independent practitioner be conducted within 1 hour of the initiation of restraint or seclusion.

Nursing

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Which of the following are considered to be risk factors associated with peptic ulcer disease (PUD) and hyperacidity? Select all that apply

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A hospitalized patient with Parkinson's disease who is receiving apomorphine to treat "off" episodes develops nausea and vomiting. The nurse will discuss the use of which medication with the patient's provider?

a. Levodopa [Dopar] b. Ondansetron [Zofran] c. Prochlorperazine [Compazine] d. Trimethobenzamide [Tigan]

Nursing

The patient brings suit against a health care provider. How does this action affect the confidentiality of the patient's medical record?

1. The record remains confidential and may only be accessed by the patient's attorney. 2. The record becomes discoverable by all parties to the suit. 3. The record loses confidentiality and is discoverable by any interested party. 4. The record is used only as needed to preserve confidentiality.

Nursing