Answer the following? The Joint Commission issues guidelines regarding the use of restraints. In which case is a restraint properly used? a. The nurse positions a patient in a supine position prior to applying wrist restraints. b. The nurse ensures that two fingers can be inserted between the restraint and patient's ankle. c. The nurse applies a cloth restraint to the left hand of a patient with an IV catheter in the right wrist. d. The nurse ties an elbow restraint to the raised side rail of a patient's bed.

Answer the following? The Joint Commission issues guidelines regarding the use of restraints. In which case is a restraint properly used? a. The nurse positions a patient in a supine position prior to applying wrist restraints. b. The nurse ensures that two fingers can be inserted between the restraint and patient's ankle. c. The nurse applies a cloth restraint to the left hand of a patient with an IV catheter in the right wrist. d. The nurse ties an elbow restraint to the raised side rail of a patient's bed.

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)

6th Edition

ISBN:9781305964792

Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Chapter44: The Medical Assistant As Clinic Manager

Section: Chapter Questions

Problem 5CR

See similar textbooks

Similar questions

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.
A nurse is providing postmortem care. Which nursing actionviolates the standards of caring for the body after a patienthas been pronounced dead and is not scheduled for anautopsy?a. The nurse places the patient in a sitting position while thefamily visits.b. The nurse places identification tags on both the shroud andthe ankle.c. The nurse removes soiled dressings and tubes.d. The nurse makes sure a death certificate is issued andsigned.
A nurse is performing hand hygiene after providing patientcare. The nurse’s hands are not visibly soiled. Which steps inthis procedure are performed correctly? Select all that apply. a. The nurse removes all jewelry including a platinum wed-ding band. b. The nurse washes hands to one inch above the wrists.c. The nurse uses approximately two teaspoons of liquid soap.d. The nurse keeps hands higher than elbows when placingunder faucet. e. The nurse uses friction motion when washing for at least15 seconds.f. The nurse rinses thoroughly with water flowing towardfingertips.
When completing a safety event report, the nurse should:a. Include suggestions on how to prevent the incident fromrecurring.b. Provide minimal information about the incident.c. Discuss the details with the patient before documentingthem.d. Objectively describe the incident in detail.
Which actions would the nurse perform when using thetechnique of palpation during the physical assessment of apatient? Select all that apply.a. The nurse compares the patient’s bilateral body parts forsymmetry.b. The nurse takes a patient’s pulse.c. The nurse touches a patient’s skin to test for turgor.d. The nurse checks a patient’s lymph nodes for swelling.e. The nurse taps a patient’s body to check the organs.f. The nurse uses a stethoscope to listen to a patient’s heartsounds.
A nurse is preparing a sterile field using a packaged steriledrape for a confused patient who is scheduled for a surgicalprocedure. When setting up the field, the patient accidentally touches an instrument in the sterile field. What is the appro-priate nursing action in this situation? a. Ask another nurse to hold the hand of the patient andcontinue setting up the field.b. Remove the instrument that was touched by the patient andcontinue setting up the sterile field.c. Discard the supplies and prepare a new sterile field withanother person holding the patient’s hand.d. No action is necessary since the patient has touched his orher own sterile field.
A nurse is teaching a student nurse how to cleanse theperineal area of both male and female patients. What areaccurate guidelines when performing this procedure? Selectall that apply.a. For male and female patients, wash the groin area with asmall amount of soap and water and rinse. b. For a female patient, spread the labia and move the wash-cloth from the anal area toward the pubic area. c. For male and female patients, always proceed from themost contaminated area to the least contaminated area.d. For male and female patients, use a clean portion of thewashcloth for each stroke. e. For a male patient, clean the tip of the penis first, mov-ing the washcloth in a circular motion from the meatus outward. f. In an uncircumcised male patient do not retract the fore-skin (prepuce) while washing the penis.
A nurse administers the wrong medication to a patient and thepatient is harmed. The physician who ordered the medicationdid not read the documentation that the patient was allergicto the drug. Which statement is true regarding liability for theadministration of the wrong medication?a. The nurse is not responsible, because the nurse was merelyfollowing the doctor’s orders.b. Only the nurse is responsible, because the nurse actuallyadministered the medication.c. Only the physician is responsible, because the physicianactually ordered the drug.d. Both the nurse and the physician are responsible for theirrespective actions.
A nurse answers a patient’s call light and finds the patient on the floor by the bathroom door. After calling for assis-tance and examining the patient for injury, the nurse helps the patient back to bed and then fills out an incident report. Which statements accurately describe aspects of this proce-dure? Select all that apply. a. An incident report is used as disciplinary action againststaff members.b. An incident report is used as a means of identifyingrisks.c. An incident report is used for quality control.d. The facility manager completes the incident report.e. An incident report makes facts available in case litigationoccurs.f. Filing of an incident report should be documented in thepatient record.
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.…
During the change of an occupied bed, all of the following is correct EXCEPT, O a. Raise the side rails every time you leave the patient to change the gloves or any other action during the procedure. b. You have to change your gloves after you discard the old linen and before touching the new one. O c. It is important to maintain safety of drains and lines (such as wound drains, urinary catheter, or IV tubing), d. it doesn't matter to keep privacy of the patient as the door of the room is closed.