When positioning an immobile patient, the nurse should:
1. be sure that the patient's knees and hips are flexed.
2. picture how people look while standing and try to have the patient achieve that position while he or she is lying down.
3. reposition no more than every 4 hours.
4. always position the patient on his or her back with the head raised to prevent as-piration.
2
Positioning should be done to maintain joints in their functional positions so that they are not abnormally flexed or extended.
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Which of the following chapters from the Joint Commission's hospital accreditation manual does not fall under the category of patient-focused functions?
a. provision of care, treatment, and services b. medication management c. nursing services d. ethics, rights, and responsibilities
While assessing a client in the emergency department, the nurse identifies that the client has been raped. Which health care team member should the nurse collaborate with when planning this client's care?
a. Emergency medicine physician b. Case manager c. Forensic nurse examiner d. Psychiatric crisis nurse
A nurse is assessing infants for visually related developmental milestones. Which infant is showing a delay in meeting an expected milestone?
1. 4-month-old who has a social smile 2. 8-month-old who has just begun to inspect her own hand 3. 12-month-old who stacks blocks 4. 7-month-old who picks up a raisin by raking
Which statement demonstrates the nurse's critical thinking skills?
A) "Please explain to me why we are changing our procedure for discarding biohazardously contaminated materials." B) "I want you to report any shortness of breath the client may be experiencing to me immediately." C) "You can expect the post operative client to need increased assessment for pain for at least 2 days post surgery." D) "The culturally diverse client will require additional attention when explaining new procedures."