A patient is brought to the emergency department (ED) by two policemen. The patient was found passed out on the sidewalk, with his face and hands covered in blood
At present the patient is verbally abusive and is fighting the staff in the ED. The decision is made to place the patient in restraints. What would the nurse caring for this patient document in the patient's chart relative to being in restraints?
A) Allergies
B) Patient's family members
C) Intake and output
D) Patient's response to restraints
Ans: D
Feedback: Restraints should be used in tandem with verbal intervention to calm the patient and promote compliance. Restraints must be released according to protocol. Physical observation (eg, skin integrity, circulatory status, respiratory status) is ongoing, and the patient's response is documented.
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The nurse is caring for a patient from a very different cultural group. In delivering care, how can the nurse best demonstrate cultural sensitivity?
A) Ask the family about their cultural beliefs and customs that may apply. B) Assume that the patient and family will adjust to the hospital culture. C) Inform the patient and family that the routines of the hospital take precedence. D) Do a literature search on the patient's culture to determine beliefs.
A patient who has received a transplant is being taught about cyclosporine. Which statement made by the patient would indicate the teaching was effective?
a. "I know this drug prevents my immune system from working." b. "If I find the capsules are hard to swallow, I'll take the liquid." c. "I will need to watch for bruising." d. "I will need to monitor my blood pressure."
An infant is prescribed 50 mg of amoxicillin (Amoxil). The drug on hand is amoxicillin . How many milliliters is the correct dose? _____ mL
What is the answer?
While caring for a patient 4 hours after a surgical procedure, the LPN/LVN notes serosanguineous drainage on the patient's dressing. Which statement should the nurse use to document the finding?
a. "Normal drainage noted." b. "Moderate drainage recently noted." c. "Scant serosanguineous drainage seen on dressing." d. "Pale pink drainage, 2 cm by 1 cm, noted on dressing."