The nurse is preparing to position a client in semi-Fowler's position. The appropriate support device(s) to utilize include:(Select all that apply) Standard Text: Select all that apply
1. Bedboards
2. Foot boots
3. Chair beds
4. Pillows
5. Footboard
4,5
Rationale: Semi-Fowler's
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You are caring for an alert, oriented 47-year-old patient who is recovering from abdominal surgery. The patient becomes angry and upset and says, "I'm leaving this hospital. Remove my IV and surgical drains or I will do it myself
" To keep him from removing his lines and leaving the hospital, you apply bilateral wrist restraints until you can contact the physician for an order for patient restraint. This is an example of which of the following? a. Assault and battery b. Felony c. False imprisonment d. Quasi-intentional tort
When preparing a patient for an intravenous pyelogram (IVP), the nurse reviews diagnostic data. Which finding should the nurse report to the healthcare provider before sending the patient for the test?
1. blood urea nitrogen (BUN) 55 mg/dL 2. serum creatinine 1.3 mg/dL 3. urine culture <10,000 organisms/mL 4. residual urine of 80 mL
While completing a health history the nurse suspects that the patient is experiencing manifestations of scleroderma. What did the nurse assess to make this clinical decision?
Select all that apply. 1. dysphagia 2. hypotension 3. telangectasias 4. exertional dyspnea 5. pursed-lip appearance
The nurse observes a client pacing the floor. The nurse validates an inference when speaking to the client by stating,
a. "You are anxious, so let's talk about it." b. "Let's try some deep breathing to help you relax." c. "You seem anxious. Will you tell me what is going on?" d. "Clients who pace usually need to talk to a physician. Should I call yours?"