Which element of therapeutic environmental management has the highest priority?
a. Clearly establishing norms and designating limits
b. Scheduling purposeful activities throughout the day
c. Creating an environment of psychologic and physical safety
d. Promoting a balance between patient dependence and independence
C
Safety is the most basic milieu element and therefore is of highest priority. Norms often contribute to safety. Activities and balance are other important milieu elements but are of lower priority.
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The nurse caring for hospitalized clients includes which actions on their care plans to reduce the possibility of the clients developing shock? (Select all that apply.)
a. Assessing and identifying clients at risk b. Monitoring the daily white blood cell count c. Performing proper hand hygiene d. Removing invasive lines as soon as possible e. Using aseptic technique during procedures
A nurse assesses the following electrocardiography (ECG) strip from a client's telemetry monitor. What does the nurse chart as the client's ventricular heart rate?
a. 40 beats/min b. 80 beats/min c. 120 beats/min d. 160 beats/min
What is an important nursing consideration when a child is hospitalized for chelation therapy to treat lead poisoning?
a. Maintain bed rest. b. Maintain isolation precautions. c. Keep an accurate record of intake and output. d. Institute measures to prevent skeletal fracture.
Regarding the heart’s valves, what is a function of the papillary muscles?
a. The papillary muscles close the semilunar valve. b. These muscles prevent backward expulsion of the atrioventricular valve. c. They close the atrioventricular valve. d. The papillary muscles open the semilunar valve.