A long-term care resident has limited use of the right side of his body, but is coherent at intervals. If this patient develops decubiti, which factor might the facility plead to prevent liability?
1. The resident is unable to obtain proper nutrition because of his refusal to eat.
2. The resident must be confined to bed for prolonged periods of time because of his condition.
3. Nursing notes reveal that the patient is repositioned frequently, but somehow manages to return to the back-lying position.
4. Understaffing prevents the nurses from performing necessary passive range of motion exercises to the patient's affected side.
3
Rationale: Inadequate nutrition is a circumstance that should be addressed to reduce the incident of decubiti. Not addressing this situation could be considered substandard care.
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A patient with cardiac disease is at 32 weeks' gestation and tells the nurse about spells of light-headedness and dizziness every few days. Which interventions should the nurse recommend to the patient?
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A 2-year-old child is being admitted to the hospital for possible bacterial meningitis. When preparing for a lumbar puncture, the nurse's best action is to:
a. prepare child for conscious sedation during the test. b. set up a tray with equipment the same size as for adults. c. reassure the parents that the test is simple, painless, and risk free. d. apply EMLA to puncture site 15 minutes before procedure.
The Joint Commission suggests that padded side rails be used for patients with seizure disorders
Indicate whether the statement is true or false.