Author Question: A nursing student is in her senior year of nursing school. She is caring for three patients for a ... (Read 59 times)

dejastew · **on:** Jul 22, 2018

A nursing student is in her senior year of nursing school. She is caring for three patients for a busy surgical unit. One of the patients is confused and has been restrained to prevent him from injuring himself.

Which of the following is a priority as she plans her care for the shift? A. Calling the physician for an order for a chemical restraint
B. Requesting restraint alternatives from the physician for her patient who is restrained
C. Removing the restraints on the patient at least every 2 hours
D. Checking on the restrained patient last because he cannot get out of bed

Question 2

A patient who underwent a minor procedure in an outpatient clinic has requested pain medication. His nurse has an order to give 1 g of acetaminophen PO every 4 hours for pain.

Which of the following is the brand name for the drug that has been ordered? A. Tylenol
B. Acetaminophen
C. N-acetyl-para-aminophenol
D. None of the above

asware1 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
Assess proper placement of restraint, skin integrity, pulses, temperature, color, and sensation of the restrained body part. Remove restraints at least every 2 hours or more frequently as determined by agency policy. If patient is violent or noncompliant, remove one restraint at a time and/or have other staff present while removing restraints.

Answer to Question 2

A
A medication sometimes has as many as three different names. A medication's chemical name is an exact description of the medication's composition and molecular structure. In clinical practice, health care workers rarely use chemical names. An example of a chemical name is N-acetyl-para-aminophenol, which is commonly known as Tylenol. The manufacturer who first develops the medication gives the generic or nonproprietary name with United States Adopted Names Council (USANC) approval. Acetaminophen is an example of a generic name. It is the generic name for Tylenol. The generic name becomes the official name that is listed in publications such as the United States Pharmacopeia (USP). The trade or brand name (e.g., Tylenol) is the name under which a manufacturer markets a medication. The trade name has the symbol to the upper right of the name, indicating that the manufacturer has registered the medication's name.