When caring for a patient with bilateral wrist restraints, a nurse can delegate which of the following to a certified nursing assistant (CNA)?
1. Education of restraint alternatives
2. Checks and releases of the restraints
3. Assessment of bilateral radial pulses
4. Teaching of when restraints can be removed
ANS: 2
You might also like to view...
A client received maintenance doses of trifluoperazine (Stelazine) 30 mg po daily for 1.5 years. The
clinic nurse notes the client is grimacing and seems to be constantly smacking her lips. Her neck and shoulders twist in a slow, snakelike motion. The nurse should suspect the presence of a. agranulocytosis. b. tardive dyskinesia. c. Tourette's syndrome. d. anticholinergic effects.
A condition that causes an excessive breakdown of tissue protein, loss of sodium and other cations, and involuntary dehydration is called:
1. alkalosis. 2. hyperglycemia. 3. ketosis. 4. hypernatremia.
The patient reports relief from headaches when she rubs the temples on each side of the head. The nurse understands that this is a form of:
1. Acupressure. 2. Acupuncture. 3. Reflexology. 4. Hydrotherapy.
Deep-breathing and coughing exercises help prevent:
a. Infection and skin breakdown. b. Muscle and joint pain. c. Incision pain. d. Respiratory complications.