This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: The nurse is caring for a hospitalized patient. Which of the following behaviors alerts the nurse to ... (Read 49 times)

dollx

  • Hero Member
  • *****
  • Posts: 558
on: Jul 22, 2018
The nurse is caring for a hospitalized patient. Which of the following behaviors alerts the nurse to consider the need for restraint?
 
  a. The patient refuses to call for help to go to the bathroom.
  b. The patient continues to remove the nasogastric tube.
  c. The patient gets confused regarding the time at night.
  d. The patient does not sleep and continues to ask for items.

Question 2

The female client is on the surgical unit and being readied for abdominal surgery with general anaesthesia early in the afternoon. Which of the following actions should the nurse take in pre-paring this client for surgery?
 
  a. Leave all of her jewellery intact.
  b. Provide her with sips of water for a dry mouth.
  c. Remove her makeup and nail polish.
  d. Remove her hearing aid before transport to the operating room.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Dominic

  • Sr. Member
  • ****
  • Posts: 328
Reply #1 on: Jul 22, 2018
Answer to Question 1

B
Restraints are utilized only when alternatives have been exhausted, the patient continues a behavior that can be harmful to himself or others, and the restraint is clinically justified. In this circumstance, continuing to remove a needed nasogastric tube would meet these criteria. Refusing to call for help, although unsafe, is not a reason for restraint. Getting confused at night regarding the time or not sleeping and bothering the staff to ask for items is not a reason for restraint.

Answer to Question 2

C
All makeup, including nail polish, should be removed to expose normal skin and nail colour to determine the client's level of oxygenation and circulation during and after surgery.
Jewellery and other valuables should be given to family members or secured for safekeeping. A wedding band can be taped in place unless the client might experience swelling of the hand or fingers. For safety, metal items, such as in pierced areas, should be removed.
The client should be NPO (nothing by mouth) before surgery to prevent vomiting and aspiration with general anaesthesia.
Clients may be allowed to keep personal items such as a hearing aid until they reach the preoper-ative area.


dollx

  • Member
  • Posts: 558
Reply 2 on: Jul 22, 2018
Excellent

Missbam101

  • Member
  • Posts: 341
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

When intravenous medications are involved in adverse drug events, their harmful effects may occur more rapidly, and be more severe than errors with oral medications. This is due to the direct administration into the bloodstream.

Did you know?

Signs and symptoms of a drug overdose include losing consciousness, fever or sweating, breathing problems, abnormal pulse, and changes in skin color.

Did you know?

The Food and Drug Administration has approved Risperdal, an adult antipsychotic drug, for the symptomatic treatment of irritability in children and adolescents with autism. The approval is the first for the use of a drug to treat behaviors associated with autism in children. These behaviors are included under the general heading of irritability and include aggression, deliberate self-injury, and temper tantrums.

Did you know?

In the United States, an estimated 50 million unnecessary antibiotics are prescribed for viral respiratory infections.

Did you know?

When blood is exposed to air, it clots. Heparin allows the blood to come in direct contact with air without clotting.

Nurse bees tending to brood in cells both open and capped with beeswax. Nurse bees tending to brood in cells both open and capped with beeswax.
The nurse needs to inform the patient with impaired vision when a touch is to occur and ask permissi The nurse needs to inform the patient with impaired vision when a touch is to occur and ask permissi
GI endoscopy. (a) Similar to other forms of GI endoscopy, laparoscopy involves the insertion of a sp GI endoscopy. (a) Similar to other forms of GI endoscopy, laparoscopy involves the insertion of a sp
Patient teaching: male genetalia assessment Patient teaching: male genetalia assessment
A pharmacist can explain to a patient why medication may look different and ensure the correct ... A pharmacist can explain to a patient why medication may look different and ensure the correct ...
Round your answer to the nearest tenth. A patient with a pulmonary embolus has Refludan ... Round your answer to the nearest tenth. A patient with a pulmonary embolus has Refludan ...
Video: Physiology of Asthma

For a complete list of videos, visit our video library