Because of unusually high acuity on a mental health unit, a patient cannot be safely contained without being placed in physical restraints. What should the nurse recognize as priority concerns on the unit at this time? (Select all that apply.)
1. Decrease in trust level among patients and staff
2. Staffing ratio or mix changes for the following shift
3. Increased length of stay for this patient's admission
4. Decreased reimbursement for this patient's admission
5. Increased risk of physical or psychological injury to patients and staff
1. Decrease in trust level among patients and staff
2. Staffing ratio or mix changes for the following shift
5. Increased risk of physical or psychological injury to patients and staff
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In a person with an upper motor neuron lesion such as a cerebrovascular accident, which of these physical assessment findings should the nurse expect?
a. Hyperreflexia b. Fasciculations c. Loss of muscle tone and flaccidity d. Atrophy and wasting of the muscles
The nurse understands that which statement refers to obstructive peripheral vascular disease (PVD)?
a. It is best treated with nicotinic acid derivatives. b. It is also known as Raynaud's phenomenon. c. It is not responsive to the action of peripheral vasodilators. d. It can usually be controlled by the use of papaverine.
A nurse working in a prenatal clinic is caring for a woman who asks advice on foods that are high in vitamin C because "I hate oranges." The nurse states that 1 cup of which of the following raw foods will meet the patient's daily vitamin C needs?
a. Strawberries b. Asparagus c. Iceberg lettuce d. Cucumber
Which of the following statements regarding rheumatoid arthritis (RA) is INCORRECT?
A. The blood and synovial tissues of RA patients contain an autoantibody directed against the patient's own gamma globulin. B. Immune complexes composed of gamma globulin and autoantibody are deposited in joints of RA patients. C. Antigen-antibody complexes activate complement and generate an inflammation within the joints. D. Lymphocytes and macrophages attracted to the joints by the inflammatory process secrete cytokines (tumor necrosis factor) that damage the joints. E. Drugs that block the effect of tumor necrosis factor have not been useful or effective for treating RA patients.