Based on current research, which of the following statements about family presence in the acute care setting is accurate?
1. Visitation by family members should be unlimited in the acute care setting with the exception of the ICU.
2. Inclusion of family members in bedside rounds may cause miscommunication and family stress.
3. Inclusion of family members in bedside rounds improves patient/family satisfaction.
4. The inclusion of family members during resuscitation and invasive procedures is appropriate.
3, 4
Rationale:
Unrestricted family visitation increases patient comfort and patient and family satisfaction with care, including in the ICU. Research supports inclusion of family members in bedside rounds because it improves communication and patient/family satisfaction. There is a growing movement to support the presence of family during resuscitation and invasive procedures when guidelines are followed to support the family during the experience.
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A patient will receive atracurium [Tracrium] during surgery for neuromuscular blockade. The nurse caring for this patient will correctly perform which of the following actions?
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The nurse is caring for a client who has undergone peripheral nerve repair. Which priority assessment does the nurse perform postoperatively?
a. Evaluate extremity mobility. b. Assess the skin surrounding the cast. c. Test distal extremities for sensation. d. Auscultate bowel sounds.
The nurse is caring for a patient with amyotrophic lateral sclerosis (ALS). The nurse plans care based on which understanding of the patient's prognosis?
1. The disease progresses slowly and is fatal. 2. The disease will progress over many years but the patient's quality of life will be good. 3. The disease progresses rapidly but can be halted by drug therapy. 4. The disease will progress slowly and can be controlled by medication.
Which of the following statements made by a client with lumbosacral pain alerts the nurse to nerve compression rather than muscle injury as the pain source?
A. "A heating pad helps the pain." B. "The pain increases when I try to move fast." C. "I'm having difficulty starting and stopping my stream of urine." D. "I am most comfortable lying in my recliner chair with my knees bent."