A patient with heart failure is prescribed bedrest however becomes angry and walks to the bathroom independently to use the commode. How should the nurse handle this situation?

a. Obtain a bedside commode.
b. Walk the patient to the bathroom.
c. Obtain a bedpan for the patient to use.
d. Call for help while holding the patient in bed.


ANS: A
A bedside commode can ensure for the patient's safety, puts less strain on the heart than using a bedpan, and maintains the bedrest order B. This action would not support the order for bedrest. C. A bedpan puts strain on the heart. D. The nurse cannot restrain the patient in bed.

Nursing

You might also like to view...

When a patient in crisis intervention therapy alludes to the possibility of self-harm, the nurse should:

a. arrange for someone to check in on the patient. b. take all steps necessary to ensure the patient's safety. c. advise the patient that such thoughts are common in crisis. d. tell the patient that he or she is too intelligent to consider that as a solution.

Nursing

The client is scheduled for a dressing change. When removing the adhesive tape used to secure the dressing, the nurse should lift the edge and hold the tape in which manner?

a. At a 45-degree angle to the skin surface while pulling away from the dressing b. At a right angle to the skin surface while pulling toward the dressing c. At a right angle to the skin surface while pulling away from the dressing d. Parallel to the skin surface while pulling toward the dressing

Nursing

The nurse is reading the history and physical on a pregnant client and reads that the cervix was noted as soft in texture and nontender during the pelvic examination. The nurse would correctly identify this as which of the following?

1. Piscacek's sign 2. Goodell's sign 3. Chadwick's sign 4. Hegar's sign

Nursing

The nurse is caring for a client who is receiving doxorubicin (Adriamycin). Which serious side effects will the nurse monitor this client for during the assessment?

1. Delayed cardiac toxicity 2. Leaking from injection site 3. Vomiting 4. Decreased white blood cells

Nursing