The nurse is caring for a hospitalized patient. Which behavior ...

[sabina]

The nurse is caring for a hospitalized patient. Which behavior alerts the nurse to consider the need for a 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 nurse is discussing about threats to adult safety with a college group. Which statement by a group member indicates understanding of the topic?
 
  a. Smoking even at parties is not good for my body.
  b. Our campus is safe; we leave our dorms unlocked all the time.
  c. As long as I have only two drinks, I can still be the designated driver.
  d. I am young, so I can work nights and go to school with 2 hours' sleep.

[pocatato]

Answer to Question 1

ANS: B
Patients who are confused, disoriented, and wander or repeatedly fall or try to remove medical devices (e.g., oxygen equipment, IV lines, or dressings) often require the temporary use of restraints to keep them safe. Restraints can be used to prevent interruption of therapy such as traction, IV infusions, NG tube feeding, or Foley catheterization. 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

ANS: A
Lifestyle choices frequently affect adult safety. Smoking conveys great risk for pulmonary and cardiovascular disease. It is prudent to secure belongings. When an individual has been determined to be the designated driver, that individual does not consume alcohol, beer, or wine. Sleep is important no matter the age of the individual and is important for rest and integration of learning.