A patient has been admitted and placed on fall precautions. The nurse explains to the patient that interventions for the precautions include
a. Encouraging visitors in the early evening.
b. Placing all four side rails in the "up" position.
c. Checking on the patient once a shift.
d. Placing a high risk for falls armband on the patient.
D
Placing a high risk for falls armband on the patient encourages communication among the whole interdisciplinary team. Anyone who interacts with the patient should see this armband, understand its meaning, and assist the patient as necessary. The timing of visitors would not affect falls. All four side rails are considered a restraint and can contribute to falling. Individuals on high risk for fall alerts should be checked frequently, at least every hour.
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The assumption that will be most useful to the nurse planning crisis intervention for any patient who is experiencing a crisis is that the patient:
a. is experiencing a type of mental illness. b. is experiencing a state of disequilibrium. c. has high potential for self-injury. d. poses a threat of violence to others.
The three basic leadership styles are __________, __________, and __________
Fill in the blank with correct word
A patient is receiving intravenous voriconazole (Vfend). Shortly after the infusion starts, the patient tells the nurse, "Colors look different, and the light hurts my eyes." What will the nurse do?
a. Observe the patient closely for the development of hallucinations. b. Reassure the patient that these effects will subside in about 30 minutes. c. Stop the infusion and notify the provider of CNS toxicity. d. Tell the patient that this is an irreversible effect of the drug.
What should the nurse instruct a client with tattooed eyeliner who is scheduled for an MRI?
1. Earplugs will be provided 2. Lie very still. 3. Report any burning sensation. 4. Wear goggles.