An older adult patient in a long-term care facility is at risk for injury because of confusion. The patient's gait is stable. What is the best method of restraint to prevent injury to the patient?
a. Geriatric chair
b. Ambularm bracelet
c. Vest restraint
d. Wrist or ankle restraint or both
B
If a physical restraint is used, the least restrictive device is best. This patient has a stable gait, so the alarm bracelet allows the patient to move about freely while preventing him from leaving the premises.
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The nurse is caring for a comatose client with respiratory acidosis. For which intervention will the nurse need to collaborate when caring for this client?
A) Measuring vital signs B) Measuring intake and output C) The client's recent eating behaviors D) Identifying current oxygen saturation level
Reading in the client record that a female client has undergone type II excision of the genitalia, the nurse would understand that there has been excision of the
a. clitoris and labia minora. b. clitoris only. c. entire vulva. d. labia minora and labia majora.
An Asian teenager is admitted with an eating disorder which she contributes to by not meeting the academic expectations of her parents. The nurse is overheard saying, "That isn't the reason; all Asians are really smart." This nurse is demonstrating:
a. cultural humility. b. stereotyping. c. cultural assimilation. d. acculturation.
A nurse at a teen outreach center for pregnant mothers is discussing dental care with patients. Pertinent information for the nurse to teach about would be: (Select all that apply.)
1. Cleaning the infant's teeth with cool, wet washcloths at least every day. 2. Bottles can be given in order for the infant to fall asleep and will not cause damage to the teeth. 3. Juice should not be provided because it increases tooth decay. 4. Providing teething rings can help reduce the pain of teething. 5. Brushing of teeth should only occur every few days.