A newly admitted client required seclusion immediately on entering the inpatient unit. Assessment
had not been completed and no medical orders had been written.
Immediately after secluding the
client the priority action of the nurse should be to
a. provide an opportunity for the client to go to the bathroom.
b. notify the physician and obtain a seclusion order.
c. notify the hospital risk manager.
d. debrief staff.
B
Emergency seclusion can be effected by a credentialed nurse but must be followed by securing a
medical order within a period of time specified by the state and the agency. The other options are not
immediately necessary from a legal standpoint.
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The nurse is planning to bathe a client who has thigh-high antiembolism stockings in place. Which of the following actions is correct?
A) Remove the antiembolism stockings during the bath. B) Leave the antiembolism stockings in place, but be sure to remove all wrinkles. C) Fold the antiembolism stockings half-way down to allow assessment of the popliteal pulse. D) Leave the antiembolism stockings in place and spot-clean any soiled areas on the stockings.
Iron dextran is ordered for a young child with severe iron deficiency anemia. Nursing considerations include to:
a. administer with meals. b. administer between meals. c. inject deeply into a large muscle. d. massage injection site for 5 minutes after administration of drug.
When you apply a cold treatment to a patient, you should observe the patient closely for
A. Redness. B. Fainting. C. Dizziness. D. Cyanosis.
In New Zealand, by Section 88, a postpartum woman is entitled to:
a. a minimum of five home visits. b. a midwife to visit up until week 4. c. a visit within 24 hours of postnatal ward discharge, and at least seven postnatal visits in total. d. a maximum of seven postnatal visits.