For an unconscious patient, which of the following interventions are necessary to provide for patient safety? Select all that apply
a. Talk to the patient as you provide care.
b. Incorporate more touch in the plan of care.
c. Give frequent eye care if blink reflex is absent.
d. Keep the siderails up and bed in low position.
e. Perform diligent oral care by irrigating with diluted mouthwash.
ANS: A, C, D
You might also like to view...
The nurse is caring for an older adult client with gallbladder disease recovering from a cholecystectomy. Which risk factors increase this client's susceptibility to infection?
Select all that apply. A) Dry skin B) Advanced age C) Intact mucous membranes D) Non-intact skin E) Active bowel sounds
A patient has just returned to the surgical unit after varicose vein stripping and ligation. The best technique by the nurse to evaluate pain relief is:
1. checking the patient's record for the last dose of pain medication administered. 2. asking the patient to rate the severity of the pain on a scale of 1 to 10. 3. asking the family if they think that the patient is having pain. 4. telling the patient to ask for pain medicine when it is needed.
The nurse is performing an assessment on the client with breast cancer who has just returned from brachytherapy. The nurse is expecting which of the following findings on assessment?
1. Skin damp with sweat 2. Intact skin 3. Dry skin 4. Stretched skin
Many elderly have physiological changes affecting response to medications. In addition, other factors may place the elderly at higher risk for drug-related problems. The nurse understands that those factors include all the following except:
a. short-term memory loss, making it difficult to remember instructions. b. loss of smell, making it difficult to take unpleasant tasting medication. c. visual loss, making it difficult to read labels on medication bottles. d. hearing loss, making it more difficult to hear instructions.