A client begins to smash furniture, cannot be "talked down," and refuses medications. Which is the most appropriate nursing intervention?
A. Call a violence code.B. Ask the ward clerk to put in a call for the physician.C. Place the client in seclusion.D. Place the client in four-point restraints.
A
In this situation the nurse must have adequate, trained help to prevent injury to the client or staff. Calling a violence code will access this help.
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The patient is being supported with mechanical ventilation and is requiring very high levels of inspired oxygen to maintain his arterial blood gases at acceptable levels
In an attempt to reduce the amount of oxygen required, positive end-expiratory pressure (PEEP) at 5 cm H2O is added to the ventilator settings. What is the most important effect of PEEP? A) Increases number of open alveoli B) Increases patient comfort C) Assists in ventilator weaning D) Compensates for tubing resistance
A client has developed diabetes mellitus type 1 and no longer produces insulin. What cells of the pancreas have become dysfunctional?
A. Beta cells B. Alpha cells C. Acinar cells D. Kupffer cells
The nurse has administered the Apgar screen tool to assess an older patient's family function status. Upon determining that the family functions at a 4, the nurse
a. prepares to administer a more detailed tool. b. prepares to report reasonable suspicion of elder abuse. c. asks the patient to identify specific family members to include in care planning ses-sions. d. notifies social services that the family is not likely to be of much support to the pa-tient.
A facility that provides care for patients whose average length of stay is less than 30 days and to patients whose average length of stay is longer than 30 days, and who require inpatient and ambulatory care for addictions,
through a spectrum of wellness and illness services and providers, would be considered: a. A healthcare network. b. A tertiary care institution. c. Rehabilitative. d. Long-term care.