Answer to Question 1
A, B, C, D
The use of restraints is associated with several serious complications, including pressure ulcers, hypostatic pneumonia, constipation, incontinence, and death.
Answer to Question 2
B
Some health care organizations use standardized care plans for more efficient documentation. These plans, based on the institution's standards of nursing practice, are preprinted, established guidelines that are used in caring for patients with similar health problems. Health care organizations use a patient acuity system as a method of determining the intensity of nursing care required for a group of patients. Acuity measurements for patients on a unit serve as a guide for determining staffing needs. Many health care organizations now have computerized systems that provide concise, summative information in the form of a patient care summary. Flow sheets and graphic records permit concise documentation of nursing information and patient data over time. Records include documentation of routine observations or repeated specific measurements about the patient such as vital signs, intake and output, hygiene, and medication administration.
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