The following is an example of an alternative to restraint use in patient care. (Select all that apply.)
a. Frequent observation of patients
b. Involving patients and families
c. Frequent reorientation
d. Four side rails
e. Lap belt with quick release
A, B, C, E
Modifications of the environment are effective alternatives to restraints. More frequent observa-tion of patients, involvement of family caregivers during visitation, and frequent reorientation are also helpful measures. Having all four side rails up is considered a restraint. A lap belt that the patient can release is not a restraint.
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a. 5–7 days. b. 7–10 days. c. 10–12 days. d. 12–15 days.
A patient receiving chemotherapy for chronic myelocytic leukemia has irritated mucous membranes. Which mouth care intervention should the nurse include in the plan of care?
a. Brush teeth twice a day with a firm toothbrush. b. Use waxed floss between meals and at bedtime. c. Use sponge Toothettes to clean teeth after meals. d. Swab teeth and mucous membranes four times daily with lemon-glycerin swabs.