A nurse in a long-term care facility determines the need to place a vest restraint on a patient. The patient does not want the vest restraint applied. What nursing action should be implemented?
a. Apply the restraint anyway.
b. Call the physician and obtain an order for the restraint.
c. Medicate the patient with a sedative and then apply the restraint.
d. Compromise with the patient and use wrist restraints.
B
A physician's order is required for restraint use, and the order must specify the duration and cir-cumstances under which the restraint may be used.
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A nonmalignant cancerous tumor affecting cranial nerve VIII that causes unilateral hearing loss, tinnitus, and vertigo is:
A. Otosclerosis B. Acoustic neuroma C. Cholesteatoma D. Squamous cell carcinoma
The nurse has instructed an overweight client to follow a 2000-calorie diet by substituting foods considered low in calories for those higher in calories
How does the client interpret the food label to decide whether a food is low in calories? A) The product label will state "lighter" or "reduced calories." B) The product will contain no more than 11% fat. C) The nutrition facts label will have the letter "L" located in the lower-right corner. D) Nutritional labeling on the product will indicate fewer than 40 calories per serving.
The nurse is watching a video that depicts a patient and therapist interacting. The patient is asked to say whatever comes to his mind. The nurse identifies this as which of the following?
A) Dream work B) Free associations C) Gestalt therapy D) Classical conditioning
The physician orders B.A. to begin a 12-dose, once-weekly regimen of isoniazid (INH) and rifapentine (RPT) as directly observed therapy (DOT)
How will you describe LTBI and DOT to B.A? The medications used to treat LTBI are associated with different side effects. Identify the test used to monitor each possible side effect listed as follows: _____ A. Peripheral neuropathy 1. Audiogram _____ B. Clinical hepatitis 2. CBC (complete blood count) _____ C. Fever and bleeding problems 3. Blood urea nitrogen (BUN), creatinine, and creatinine clearance _____ D. Nephrotoxicity or renal failure 4. AST (aspartate transaminase) and ALT (alanine transaminase) _____ E. Hyperuricemia 5. Physical examination and monofilament testing _____ F. Optic neuritis 6. Red-green discrimination and visual acuity _____ G. Hearing neuritis 7. Uric acid What additional information does B.A. need to receive before leaving the clinic?