What actions will the nurse follow when using restraints for an older patient in a long-term care facility? Standard Text: Select all that apply
1. Use restraints for 2 hours or less.
2. Obtain a physician's order before using.
3. Waist restraints are the best approach to prevent patient falls.
4. Remove the patient's eyeglasses when applying restraints.
5. Consider the use of restraints for emergency situations only.
1,2,5
Rationale: Restraints are now limited to short-term use of 2 hours or less.
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The parents of a 2-year-old child who sustained severe head trauma from falling out of a second-story window are arguing in the pediatric intensive care unit (PICU) and are blaming each other for the child's accident
The best nursing diagnosis for this family is: 1. Parental Role Conflict related to protecting the child. 2. Hopelessness related to the child's deteriorating condition. 3. Anxiety related to the critical care unit environment. 4. Family Coping: Compromised, related to the child's critical injury.
When caring for a patient, a nurse maintains an environment that is free of negative energy. The nurse is demonstrating care based on nursing theorist
1. Imogene King. 2. Betty Neuman. 3. Martha Rogers. 4. Sister Callista Roy.
During the assessment interview, the client is quiet and answers questions only minimally. What action should the nurse take in response to this apparent unwillingness to share information?
A) Assume that the client has something to hide. B) Ask another nurse to sit in on the next interview attempt. C) Consider any cultural implications of these actions. D) Document that the client is not cooperative.
What finding would the nurse expect to assess in a child with hypothyroidism?
What will be an ideal response?