Answer to Question 1
D
Restraints should be removed at least every 2 hours (Joint Commission on Accreditation of Healthcare Organizations JCAHO, 2004). If the patient is violent or noncompliant, remove one restraint at a time and/or have staff assistance while removing restraints. Removal provides an opportunity to change the patient's position, offer nutrients, perform full ROJM, and toilet and exercise the patient. After application, evaluate the patient's condition for signs of injury every 15 minutes. Frequent assessments prevent injury to the patient and allow removal of the restraint at the earliest possible time. If the patient shows no sign of impaired circulation or other complications, the restraint does not need to be removed at this time. If the nurse restrains a patient in an emergency situation because of violent or aggressive behavior, this presents an immediate danger; a face-to-face physician assessment is needed within 1 hour to determine the patient's need for the restraint.
Answer to Question 2
C
Gamma rays pose the greatest health risk because the waves penetrate deeply, causing severe burns and internal injury. Radiation does not cause patients to develop an allergy to shellfish and is painless during administration. Confusion and lethargy are not known side effects of radiation.
Nurses may collaborate with social workers, physicians, and other members of the health care team to
Urinary catheterization. The procedure involves the insertion of a flexible tube, or catheter, throu
Patient Information Supplied When Scheduling Hospital Admissions
Use caution if using a steel scraper to remove a gasket from aluminum parts. It is best to use a ...
Patient Physical Status Classification
Patient Physical Status Classification