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. What are the likely consequences to Martha being restrained?

Question 32 The nurse starts a continuous IV infusion of hep…

Question 32 The nurse starts a continuous IV infusion of heparin on a client for treatment of deep vein thrombosis. The client’s activated partial thromboplastin time (aPTT) level is 36 seconds. The client’s baseline before the initiation of therapy was 30 seconds. Which action should the nurse anticipate would be needed next?