Nursing simulation final

Documentation of blood glucose monitoring in the nurses' notes needs to include - answer-the glucose result action taken for abnormal range. patient response. patient teaching provided. When preparing to move a patient in bed, the nurse should first - answer-raise the bed to a comfortable position for the nurse. Two assistive personnel ask the nurse for assistance to transfer a patient from the bed to a stretcher using the three-person lift technique. What is the most appropriate response from the nurse? - answer-Please find the slide board for us to use." While removing the patient's staples, the nurse notices that the incision starts to open larger than the width of two staples. Which action should the nurse take FIRST? - answer-Place several Steri-Strips over the open area in order to close it. When assuming care of a patient in wrist restraints, it is essential for the nurse to - answer-Check the health care provider's order for purpose, type, location, and time of restraint. The nurse is admitting a patient to the medical unit. Which of the following are reasons the nurse may perform a nutritional screening on this patient? - answer-To assess risk for malnutrition To assist with feeding To identify risk for aspiration A child with cerebral palsy can experience difficulty with movement, loss of balance, and lack of muscle control. Which gait does the nurse instruct the parents to use for crutch walking? - answer-Four-point