An aggressive patient was placed in four-point restraints and ...

[Haya94]

An aggressive patient was placed in four-point restraints and given an intramuscular dosage of anxiolytic medication. Nursing care of the restrained patient should include: (Select all that apply.)
 
  a. assessment of vital signs and hydration.
  b. constant direct observation until release.
  c. provision of fluids and finger foods.
  d. opportunities for elimination at least hourly.
  e. regular reassessment of mental status.
  f. range-of-motion and comfort needs.

Question 2

During the maintenance phase of treatment, a patient with bipolar disorder asks, Do I have to keep taking lithium even though my mood is stable now? Select the nurse's best response.
 
  a. Do you feel you are ready to stop taking it?
  b. Taking the medication daily helps prevent future relapses and recurrences..
  c. Usually patients take medication for approximately 6 months after discharge..
  d. It's unusual that the health care provider hasn't already stopped your medication..

[Hikerman221]

Answer to Question 1

A, B, C, D, E, F
Patients in restraints are entirely dependent on others for their basic safety and all of their physiological needs. They are also at risk of injury from poor positioning that interferes with their circulation or airway. Therefore all restrained patients must be constantly observed to ensure they are safe and secure. They also are to be provided with adequate nutrition (straws for fluids and finger foods for solids ease intake), regular opportunities for elimination, repositioning or other interventions to provide for periodic range-of-motion exercise, regular assessment of mental status, and attention to other hygiene and comfort needs.

Answer to Question 2

B
Bipolar patients are maintained on lithium indefinitely to prevent recurrences. Helping the patient understand this need will promote medication compliance . It is expected that the patient will take medication for a long time.

[Haya94]

Correct answers!

[Hikerman221]

Great! Please up vote