In what situation would the use of side rails not be considered a restraint?
A) The nurse keeps them raised at all times.
B) The institution's policies mandate using side rails.
C) A visitor requests their use.
D) A patient requests they be up at night.
D
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Starting an intravenous (IV) infusion line on a patient against his will may be classified as:
a. assault. b. battery. c. a felony. d. a misdemeanor.
When the nurse enters a patient's room to administer a medication, he calls out from the bathroom, telling her to leave his medication on the bedside table
He reassures her that he will take the medication as soon as he is finished. How should the nurse proceed? a. Inform the patient that she will return when he is finished in the bathroom. b. Wait outside the bathroom door until the patient is ready for the dose. c. Withhold the dose until the next administration time later in the day. d. Document that the dose was omitted in the medication administration record.
A nursing student is caring for a patient who has diabetes mellitus. The patient takes insulin two times per day. Based on the student's knowledge of insulin's onset of action,
he makes sure the patient's meals arrive in coordination with the insulin's effect. The knowledge used by the student is A) Evaluative B) Lacking C) Integrated D) Creative
When assessing the musculoskeletal system, the nurse's initial action will usually be to
a. have the patient move the extremities against resistance. b. feel for the presence of crepitus during joint movement. c. observe the patient's body build and muscle configuration. d. check active and passive range of motion for the extremities.