HURST review (1)|164 Test Question Review With Correct Answers |D0wnload to score A+
prescription for restraints was received at 3am because of combative behavior. on last assessment at 7am, client was still combative. what is the BEST action? a. continue restraints b. remove restraints until HCP writes prescription c. assign UAP to check on client periodically d. obtain prescription from HCP - ️️obtain prescription from HCP *periodical checks is not an acceptable time frame (must give specific hours) how often do you need a prescription for restraints if they are still needed? - ️️every 4 hours *should include why they require restraint & period for using them (no longer than 24 hours) post-op care for a thoracentesis: - ️️-check vitals frequently -examine dressing for bleeding -listen to and percuss lungs -palpate around incision site for air under skin how should a client be positioned post-op for a thoracentesis? - ️️turn them on their unaffected side for at least 1 hour (promote re-expansion of lung and healing of the site) *do not place with affected lung down
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