An audit of a large, university medical center reveals that four patients in the hospital have current orders for restraints
You know that restraints are an intervention of last resort, and that it is inappropriate to apply restraints to which of the following patients?
A) A postlaryngectomy patient who is attempting to pull out his tracheostomy tube
B) A patient in hypovolemic shock trying to remove the dressing over his central venous catheter
C) A patient with urosepsis who is ringing the call bell incessantly to use the bedside commode
D) A patient with depression who has just tried to commit suicide and whose medications are not achieving adequate symptom control
Ans: C
Feedback:
Restraints should never be applied for staff convenience. The patient with urosepsis who is frequently ringing the call bell is requesting assistance to the bedside commode; this is appropriate behavior that will not result in patient harm. The other described situations could plausibly result in patient harm; therefore, it is more likely appropriate to apply restraints in these instances.
You might also like to view...
A nurse manager in a women's clinic is meeting with the staff to discuss assessment of substance abuse among pregnant clients. What would the group typically assess as the most frequently abused substance by pregnant women?
1. Caffeine 2. Tobacco 3. Alcohol 4. Cocaine
A home care nurse is teaching a patient's daughter meal planning for her mother who is recovering from a hip replacement surgery
Which of the following meals indicates that the daughter understands the concept of a nutritionally complete choice based upon the Food Guide Pyramid? A) Cheeseburger, carrot sticks and mushroom soup with crackers B) Spaghetti and meat sauce with a salad C) Chicken and pepper stir fry and basmati rice D) Ham sandwich with tomato on rye bread with peaches and yogurt
A patient with acute respiratory failure may require a bronchodilator if which of the following occurs?
a. Excessive secretions b. Bronchospasms c. Thick secretions d. Fighting the ventilator
Range-of-motion exercises are an important part of the care of a patient who has suffered a cerebrovascular accident.
Answer the following statement true (T) or false (F)