A staff nurse caring for a client with a head injury notes that the client is restless and pulling at the intravenous (IV) line. The client's physician does not want to prescribe sedation, and the family has requested that the client not be restrained. Which action by the nurse is appropriate?
A. Asking a family member to sit with the client
B. Asking a nursing assistant to monitor the client
C. Staying with the client and consulting with the nurse manager about the situation
D. Telling the family that the application of wrist restraints is critical in preventing injury to the client
Answer: C. Staying with the client and consulting with the nurse manager about the situation
You might also like to view...
According to Hans Seyle, if a person does not adapt to the stress in his or her surroundings, eventually the person will experience:
A. Fright or flight. B. Exhaustion. C. Resistance. D. Adaptation.
A nurse who works in oncology questions the need to attend an education session on aneuploidy. What rationale would the nurse manager provide?
1. The hospital is offering cross-training to nurses so that they have more job security. 2. Accreditation agencies require cross-specialty education for all nurses. 3. Aneuploidy, transcription, and tumor suppression are related. 4. Many more newborns are being born with precancerous conditions.
A client who was treated 1 year ago for testicular cancer now has an elevated serum al-pha-fetoprotein level. Which topic is most important for the nurse to teach this client about?
a. Sperm banking options b. Effects of chemotherapy c. Hospice philosophy d. Importance of yearly monitoring
The nurse is planning care for parents who are experiencing fatigue following the birth of their first child. The nurse suggests which of the following to the parents?
1. Ask the physician for medication to restore energy 2. Ask the neighbors to babysit one night a week 3. Take turns with night feedings to allow each parent to rest to rest 4. Increase exercise time each week to promote energy