The nurse is caring for a resident who has a security device for safety purposes. What interven-tion should the nurse include in the plan of care?

a. Visually check the resident every hour.
b. Turn and reposition the resident every hour.
c. Assess condition of the skin every 4 hours.
d. Reassess the need for the security device every 4 to 8 hours.


D
The need for continuing the use of the security device must be assessed every 4 to 8 hours. The patient should be visually checked every 30 minutes, and turned and skin assessed every 2 hours.

Nursing

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The nurse is planning to administer an intramuscular injection to an obese adult. What size needle is most appropriate?

a. 27 gauge, 3/8 inch c. 23 gauge, 1-1/2 inch b. 25 gauge, 1 inch d. 21 gauge, 2 inch

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A patient who has a hyphema would be at risk for development of which complication?

a. Glaucoma b. Strabismus c. Diplopia d. Astigmatism

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In survey research, the approach that typically is least expensive is:

A) Personal interviews B) Telephone interviews C) Home-delivered questionnaires D) Mailed questionnaires

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A definitive diagnosis of Down syndrome is based on:

a. facial features c. physical findings b. family history d. karyotyping

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