Author Question: The nurse is caring for a confused, combative patient. Which action would be considered last by the ... (Read 32 times)

Mimi · **on:** Jul 23, 2018

The nurse is caring for a confused, combative patient. Which action would be considered last by the nurse to control behavior of the client?

a. Orient the patient frequently.
b. Apply restraints.
c. Move the patient to a room close to the nurse's station.
d. Encourage the family to spend time with the patient.

Question 2

The nurse is ambulating her patient back from the bath when the patient begins to have a seizure. Which of the following actions should the nurse do first?

a. Lower the patient to the floor if standing.
b. Move sharp or hard objects away from the patient.
c. Turn the patient to his/her side to prevent aspiration.
d. Attempt to place a tongue blade to prevent choking.

Missbam101 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B
All alternatives to physical restraints should be considered prior to their use.

Answer to Question 2

ANS: A
During a seizure, a patient should be protected from injury by first lowering the patient to the ground if he/she is standing. The nurse should then place the head on a soft surface and turn it to the side to prevent aspiration and move sharp or hard objects out of the way. You should never attempt to force any object into a seizing patient's mouth.