The nurse in a long-term care facility determines the need to place a vest restraint on a patient. The patient does not want the vest restraint applied. The nurse should:
1. apply the restraint anyway.
2. call the physician and obtain an order for the restraint.
3. medicate the patient with a sedative and then apply the restraint.
4. compromise with the patient and use wrist restraints.
2
A physician's order is required for restraint use, and the order must specify the duration and the circumstances under which the restraint may be used.
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A nurse is gathering subjective data when admitting a patient. Which assessment finding reported by the patient is considered subjective data?
a. Complains of chest pain b. Is experiencing dyspnea c. Appears to be anxious d. Expectorates red-tinged sputum
For children who need crystalloid fluid resuscitation, the formula is altered to
a. 20 ml/kg bolus. b. 20 ml/kg/hour. c. 40 ml/kg bolus d. 40 ml/kg/hour.
Which law(s) govern all drug administration by nurses?
a. Drug Regulation and Reform Act b. FDA Amendments Act c. Nurse Practice Acts d. The Controlled Substances Act
The nurse is presenting a class to pregnant patients. The nurse asks, "The fetal brain is developing rapidly, and the nervous system is complete enough to provide some regulation of body function on its own, at which fetal development stage?" It
is clear that education has been effective when a participant responds: 1. "The 17th–20th week." 2. "The 25th–28th week." 3. "The 29th–32nd week." 4. "The 33rd–36th week."