What are some things to consider when using a restraint?
What will be an ideal response?
Things to consider when using restraints are: restraints may only
be used with the written order of a physician, apply restraints
only when directed to by a licensed nurse, avoid the need for
restraints, follow federal guidelines, apply restraints properly,
and provide for the patient's basic needs.
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The preceptor is working with a new nurse to provide care for a patient with a new tracheostomy
Which actions by the new nurse indicate need for additional teaching about the procedure? (Select all that apply.) a. The outer cannula is cleaned with the brush and half-strength H2O2. b. The new tracheostomy holder is secured before the old soiled one is removed. c. A Yankauer suction catheter is used to remove secretions from the patient's mouth. d. Sterile gloves are applied before the soiled dressing is removed from the tracheostomy. e. Half-strength H2O2 is used to remove crusted secretions around the tracheostomy site. f. Pain medication is administered to the patient prior to suctioning.
The nurse knows that a child on Digoxin (Lanoxin) requires frequent monitoring of:
1. Sodium levels. 2. Potassium levels. 3. Complete blood count. 4. Creatinine levels.
A newborn appears pale and weak, and laboratory tests reveal the infant has iron deficiency anemia. The mother asks the nurse if it would better to breastfeed her infant or feed him a formula high in iron. What should the nurse's response be?
1. Breastfeed, because breast milk has higher levels of iron compared to formula 2. Breastfeed, because although breast milk has lower levels of iron compared to formula, it is more easily absorbed by the infant 3. Formula-feed, because formula has higher levels of iron compared to breast milk 4. Formula-feed, because although formula has lower levels of iron compared to breast milk, it is more easily absorbed by the infant
A nurse is discussing the side effects of opioid medications with a group of cancer patients. Which signs and symptoms are side effects of chronic opiate use that should be discussed? (Select all that apply)
a. Sedation b. Orthostatic hypotension c. Hypertension d. Nausea e. Diarrhea