A physician or health care provider orders that a confused and disoriented patient be placed in a full hand restraint because of excessive scratching of skin. The nurse acknowledges that:
A. restraints are used on an as-needed basis.
B. no orders or patient consents are needed.
C. restraints must be removed on a regular basis to allow for skin assessment, toileting, and nutrition.
D. an order for restraints may be used indefinitely until the patient no longer needs to be restrained.
C
Restraints are only used when other less restrictive measures fail to prevent interruption of therapies. The physician's or health care provider's orders are necessary. The need for restraints must be reevaluated every 24 hours.
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The nurse is aware that the 82-year-old patient returning from surgery will need special attention relative to:
a. combating thirst. b. maintaining respiratory status. c. stabilizing blood pressure. d. maintaining core body temperature.
The surgeon is about to finish surgery and requests a sponge count. Who would normally perform this task? (Select all that apply.)
a. Scrub nurse b. Registered nurse first assistant c. Circulating nurse d. Certified registered nurse anesthetist e. Surgical technician
A patient who has recently started therapy on an HMG-COA reductase inhibitor drug asks the nurse, "How long will it take until I see an effect on my LDL cholesterol?" The nurse correctly states
a. "At least 6 months is required to see a change." b. "A reduction usually is seen within 2 weeks." c. "Blood levels normalize immediately when the drug is started." d. "Cholesterol will not be affected, but triglycerides will fall within the first week."
The federal Health Insurance Portability and Accountability Act (HIPAA) of 1996 addresses patient rights within the healthcare system. Which of the following actions may constitute a violation of HIPAA?
A) A nurse identifies a patient whom he recently cared for on his Facebook page. B) A nurse completes a charting entry without providing her initials after the entry. C) A nurse inserts a central venous catheter without the consent of the patient. D) A nurse makes a crude comment to a patient while providing morning hygiene.