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- What consideration should the nurse keep in mind regardingthe use of side rails for a confused patient?a. They prevent confused patients from wandering.b. A history of a previous fall from a bed with raised siderails is insignificant.c. Alternative measures are ineffective to prevent wandering.d. A person of small stature is at increased risk for injuryfrom entrapment.The nurse is performing a neurologic assessment on a patient with an artificial eye. How would the nurse confirm identification of the natural eye? 10nly the natural eye would produce tears and lubrication. 2 The arcificial eye would have more natural movement. 3 The arsificial eye would respond siightly to a ligh stirrlis: # Netammodition wotld anly i present in the natinal eye.Veterinary medicine: INGUINAL hernia surgery: 1. Patient Classification 2. Anesthesia protocol 3. Describes the process of preparation for anesthesia and physicological parameters
- Answer the following? The Joint Commission issues guidelines regarding the use ofrestraints. In which case is a restraint properly used?a. The nurse positions a patient in a supine position prior toapplying wrist restraints.b. The nurse ensures that two fingers can be inserted betweenthe restraint and patient’s ankle.c. The nurse applies a cloth restraint to the left hand of apatient with an IV catheter in the right wrist.d. The nurse ties an elbow restraint to the raised side rail of apatient’s bed.The nurse is performing neurologic assessment on patient with an arsficial eye. How would the nurse confirm identification of the natural eye? 1 Only the natural eye would produce tears and lubrication. 2 The arcificial eye would have more natural movement. 3 The arsificial eye would respond siightly to a light stmulus. 4 Accommadation would only be present n the natural eye.A visiting nurse is performing a family assessment of ayoung couple caring for their newborn who was diagnosedwith cerebral palsy. The nurse notes that the mother’s hairand clothing are unkempt, the house is untidy, and themother states that she is “so busy with the baby that I don’thave time to do anything else.” What would be the priorityintervention for this family?a. Arrange to have the infant removed from the home.b. Inform other members of the family of the situation. c. Increase the number of visits by the visiting nurse.d. Notify the care provider and recommend respite care forthe mother.
- A nurse discovers that she made a medication error. Whatshould be the nurse’s first response?a. Record the error on the medication sheet.b. Notify the physician regarding course of action.c. Check the patient’s condition to note any possible effect ofthe error.d. Complete an incident report, explaining how the mistakewas made.The nurse is caring for a patient a toddler in the pediatric unit who is about to receive stitches for an abrasion to his upper arm. They both are concerned about the procedure being painful. What can the nurse tell both the parent and child that will alleviate the fears of pain? A. We will ask the parents to leave the room so the child will quiet down. B. We will apply topical lidocaine on the affected area prior to procedure, so he will not any pain during the procedure. C. We will administer inhaled gases for anesthesia, prior to procedure, so he will not any pain during the procedure. D. Ask the parents to stay the room and hold the child’s hand so the child will quiet down. 2. The nurse is reviewing types of anesthesia with newly student nurses during their clinical rotation. The students are correct when they state which type(s) of anesthesia is/are administered using lidocaine? (Select all that apply.) Which ones are included in balanced anesthesia? Select all that apply.…A nurse is caring for a male patient with a severe hearingdeficit who is able to read lips and use sign language. Which nursing intervention would be best to prevent sensory altera-tions for this patient? a. Turn the radio or television volume up very loud and closethe door to his room.b. Prevent embarrassment and emotional discomfort as muchas possible.c. Provide daily opportunity for him to participate in a socialhour with six to eight people.d. Encourage daily participation in exercise and physicalactivity.
- What is the priority assessment for the nurse to evaluate the effectiveness of the furosemide for this patient? A. Assess breath sounds B. provide incentive spirometer C. begin CPR D. raise the head of the bed E. apply oxygenInclude the following aspects in the discussion: List 5 things about your state’s HIPAA laws. Discuss the 3 most important things you learned that will help you as a Medical Administrative Assistant. Describe the 1 HIPAA Law that struck an accord with you and why?1. The outgoing nurse endorsed the patient with descending colostomy and upon assessment, you have noticed a stool leakage in the skin barrier. Which of the following is your immediate nursing action?do it A. Ask the outgoing nurse to re-assess the colostomy and ask to change the skin barrier before living. Refer to the medical resident's or fellow on duty. B. None of the above. C. Change the skin barrier immediately. D. Report to the charge nurse.