A confused client on a ventilator was restrained to prevent him from pulling out his endotracheal tube. Which of the following could be a possible alternative measure that the nurse could use to avoid the use of the restraints?
1. Orient the client to the environment and explain the need for the endotracheal tube.
2. Provide a trained sitter to continuously supervise the client.
3. Camouflage the endotracheal tube with stockinette dressing.
4. Promote relaxation techniques.
Question 2
A nurse in the emergency department (ED) of a community hospital notes that an unusually high number of clients have presented in the ED with flulike symptoms,
abdominal pain, nausea, vomiting, bloody diarrhea, hematemesis and itching of the hands, fore-arms, and head. The nurse is concerned with bioterrorism, reports this to the supervisor, and sus-pects an outbreak of:
1. Botulism
2. Anthrax
3. Plague
4. Smallpox
Client on IV patient-controlled analgesia (PCA).
Client position when assessing jugular vein distention.
Mechanical ventilation. The photograph shows a patient receiving breathing assistance by the use of
PPE used to prevent exposure to bloodborne pathogens.
Building a Client Base
Approaching the client for the ophthalmoscopic exam