The nurse finds the patient pulling on the nasogastric tube (NGT) and surgical drain and fears that the patient will pull them out
Which nursing intervention should the nurse implement to maintain the patient's self-esteem and avoid applying restraints? a. Cover or camouflage tubes and drains.
b. Provide constant activity for the patient.
c. Instruct family members to watch the pa-tient.
d. Keep the patient close to the nurses' sta-tion.
B
The nurse keeps the patient busy with nursing care and activities that provide an effective dis-traction to limit awareness of the NGT and surgical drain; in this manner the nurse avoids the need for restraints and maintains the patient's self-esteem. Covering or camouflaging the tubes is unlikely to be an effective method of avoiding restraints because the patient is likely to find the tubes despite the disguise. Engaging the family in the care of the patient is reasonable; however, the nurse does not rely on the family to provide nursing care. Keeping the patient out by the nurses' station allows the nurse to observe the patient closely; however, this is likely to lower the patient's self-esteem because his or her problem is on public display.
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According the Maslow, the highest level of need is _____________________
ANS:
The student nurse received a low score on the first exam of the course. Which of these strategies is MOST appropriate?
a. changing majors b. comparing scores with others in the class c. determining why each question was missed d. studying more for the next exam
A client is taking an IV diuretic for fluid volume excess. Which of the following assessments should the nurse report to the physician?
a. Decrease in edema b. Decrease in potassium level c. Increase in urine output d. Weight loss
The nurse understands that methocarbamol is contraindicated:
a. in clients with acute muscle spasms. c. for use as a pediatric muscle relaxant. b. as a centrally acting muscle relaxant. d. for oral administration.