Homework Answers
It is a must to see the patient within one hour of restraint application as per the guidelines
Within 24 hours documentation has to be done if verbal or telephone order for restraint is given
12 hours and four fours are usually taken for the assessment frequency time
Ans:1 hour
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A nurse applies restraints to a client who is combative. The nurse informs the physician and...
A nurse is caring for a client who has wrist restraints after an episode of violent...
A nurse is caring for a client who has wrist restraints after an episode of violent behavior. Which of the following actions should the nurse take? Remove the restraints every 3 hr. Remove one restraint at a time. Secure restraints with a square knot. Tie the restraints to the side rail
A nurse is teaching a newly licensed nurse about the care of a client who has...
A nurse is teaching a newly licensed nurse about the care of a client who has a methicillin-resistant Staphylococcus aureus (MRSA) Infection. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? O "I will tell the client's visitors to wear a mask when they are within 3 feet of the client." O "will place the client in a private room." O "I will wear an N95 respirator mask when caring for the client."...
A newly licensed nurse is applying wrist restraints to a client
7. A newly licensed nurse is applying wrist restraints to a client .Which of the following actions should the nurse take? a. Secure the restraints using a quick-release tie. b. Ensure four fingers fit under the restraint to prevent constriction e. Secure the restraint to the lowest bar of the side rail. d. Anticipate removing the restraint every 4 hours. 8. During a shift report, a staff member briefly describes the history of a patient admitted with chronic gastrointestinal bleeding. In which SBAR topical...
informs the nurse that pain medica A nurse is caring for a client who reports a...
informs the nurse that pain medica A nurse is caring for a client who reports a pain level of 5 on a scale from O to 10. The c for managing pain. Which of the following is an appropriate response by the nurse? lient tions are not an option O "Would you like me to give you a back massage?" O "I'm sure it will work if you just give it a chance." O "You may take any herbal remedies...
1. A nurse is caring for a client who was involved in heavy combat and observed...
1. A nurse is caring for a client who was involved in heavy combat and observed war casualties. The nurse should suspect that the client is suffering from posttraumatic stress disorder (PTSD) if the client makes which of the following statements? A "I check any room I enter because the enemy is still after me and could be hiding anywhere." B. "My child was born with a birth defect due to an exposure I had overseas." C "killed four enemy...
4. A client informs the nurse that a bookshelf fell on the client's toe and the toenail fell off. The client asks t...
4. A client informs the nurse that a bookshelf fell on the client's toe and the toenail fell off. The client asks the nurse when to expect the foenail to regrow. What is the best response by the nurse? a 'You will not have regrowth of that toenail." b. "You should have a new nail in about 3 months." c. "You should have a new nail in about 12 to 18 months." d. "The nail will be back in about...
Which of the following statements is an OBRA regulation that the nurse must keep in mind...
Which of the following statements is an OBRA regulation that the nurse must keep in mind when considering applying a restraint to a client? A. Restraints cannot be applied if a family member objects B. Verbal or telephone orders for restraints must be signed within 72 hours. C. The physician's order for restraints must be time limited. D. Apply physical restraints as a first choice intervention in fall prevention
A nurse is implementing seizure precautions for a client who has a seizure disorder the client's...
A nurse is implementing seizure precautions for a client who has a seizure disorder the client's bedside? (Select all that apply.) ✓ Supplemental oxygen supplies T Limb restraints Oral airway Blood glucose monitor Oral suction equipment nurse is assessing a client who has diabetes mellitus prior to performing a blood glucose test. Which of the following findings should the nurse that the client has hyperglycemia? O Shakiness O Cool Skin O Confusion Thirst A nurse is planning care for a...
. The nurse is planning care for the client who has new prescription for parental nutrition,...
. The nurse is planning care for the client who has new prescription for parental nutrition, 20 % detrox and fat embolism which of the following is appropriate to indicate in the plan of care? Prepare the client for central venous line. . Obtain random blood sample glucose daily . Administer PM infusion separately. . Change the IV pump infusion every 48 hours. AaBbCcDdEe AaBbCcDdEe AaBbCcDd No 1. the nurse is caring for a client who reports pain level of...
Discussion Topics 1. A nurse is caring for a terminally ill client who was always a...
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A nurse is teaching a newly licensed nurse about the care of a client who has a methicillin-resistant Staphylococcus aureus (MRSA) Infection. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? O "I will tell the client's visitors to wear a mask when they are within 3 feet of the client." O "will place the client in a private room." O "I will wear an N95 respirator mask when caring for the client."...
informs the nurse that pain medica A nurse is caring for a client who reports a pain level of 5 on a scale from O to 10. The c for managing pain. Which of the following is an appropriate response by the nurse? lient tions are not an option O "Would you like me to give you a back massage?" O "I'm sure it will work if you just give it a chance." O "You may take any herbal remedies...
1. A nurse is caring for a client who was involved in heavy combat and observed war casualties. The nurse should suspect that the client is suffering from posttraumatic stress disorder (PTSD) if the client makes which of the following statements? A "I check any room I enter because the enemy is still after me and could be hiding anywhere." B. "My child was born with a birth defect due to an exposure I had overseas." C "killed four enemy...
4. A client informs the nurse that a bookshelf fell on the client's toe and the toenail fell off. The client asks the nurse when to expect the foenail to regrow. What is the best response by the nurse? a 'You will not have regrowth of that toenail." b. "You should have a new nail in about 3 months." c. "You should have a new nail in about 12 to 18 months." d. "The nail will be back in about...
Which of the following statements is an OBRA regulation that the nurse must keep in mind when considering applying a restraint to a client? A. Restraints cannot be applied if a family member objects B. Verbal or telephone orders for restraints must be signed within 72 hours. C. The physician's order for restraints must be time limited. D. Apply physical restraints as a first choice intervention in fall prevention
A nurse is implementing seizure precautions for a client who has a seizure disorder the client's bedside? (Select all that apply.) ✓ Supplemental oxygen supplies T Limb restraints Oral airway Blood glucose monitor Oral suction equipment nurse is assessing a client who has diabetes mellitus prior to performing a blood glucose test. Which of the following findings should the nurse that the client has hyperglycemia? O Shakiness O Cool Skin O Confusion Thirst A nurse is planning care for a...
. The nurse is planning care for the client who has new prescription for parental nutrition, 20 % detrox and fat embolism which of the following is appropriate to indicate in the plan of care? Prepare the client for central venous line. . Obtain random blood sample glucose daily . Administer PM infusion separately. . Change the IV pump infusion every 48 hours. AaBbCcDdEe AaBbCcDdEe AaBbCcDd No 1. the nurse is caring for a client who reports pain level of...
Discussion Topics 1. A nurse is caring for a terminally ill client who was always a healthy, active person. The client has just seen the newest member of the family, a grandchild. The client tells the nurse, "Life goes on while I am approaching death." Learning Objectivet a. What is the client's frame of mind? ACeptence b. How can the nurse help the client face the situation? 2. The nurse is caring for a young client with terminal illness. The2,3,5,...
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