Martha is a 77-year-old resident in a nursing home. Over th…
Martha is a 77-year-old resident in a nursing home. Over the past several weeks, she has displayed a gradual decrease in function and safety is now a concern. Staff has begun restraining her in her wheelchair with a posey vest as they are afraid, she will fall should she try to walk without help. At night she is restrained in bed with a roll belt with the side rails up. She is referred to the restraint committee for evaluation and recommendations. Answer the following questions regarding Martha. The restraint committee has determined that the nursing home will attempt to reduce the amount of restraints used with Martha. Which of the following would be the most appropriate and safe alternative to try?
Read DetailsQuestion 45 The nurse is caring for a client admitted with a…
Question 45 The nurse is caring for a client admitted with a history of diabetes mellitus and the following findings: Complaints of abdominal pain, nausea and vomiting, confusion, fever, flushed dry skin, pH 7.29, Bicarb 12, BP 88/58, RR 38 rapid and deep. Emergency management of this client would include what nursing care? 1. Monitor serum glucose and potassium 2. Ensure a patent airway in the client 3. Begin intravenous insulin drip at 0.2 units/kg/hour 4. Establish intravenous access with a large bore catheter 5. Begin fluid resuscitation with 0.9 NaCl at 1 liter/hour
Read DetailsQuestion 24 An adolescent tells the school nurse, “My friend…
Question 24 An adolescent tells the school nurse, “My friend threatened to take an overdose of pills.” The nurse talks to the friend who verbalized the suicide threat. The most critical question for the nurse to ask would be:
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