- A normal finding
- A sign of infection
- A patent arteriovenous (AV) fistula/graft
- A DVT

Category: BS Nursing
- Engage in verbal de-escalation for 30 minutes
- Call for assistance, ensure safety of all, and consider physical restraint or rapid tranquilization as per protocol
- Yell at the patient to stop
- Leave the patient alone in the room
- Increased risk of hypertension
- Increased risk of gastrointestinal bleeding
- Increased risk of constipation
- Decreased effectiveness of ibuprofen
- Hyperkalemia; administer potassium binders
- Hypokalemia; administer potassium replacement (as ordered) and monitor cardiac rhythm
- Normal potassium level; no action needed
- Hyponatremia; administer sodium
- Bowel sounds
- Heart sounds
- Lung sounds
- Carotid bruits
- Tell them they are not a failure
- Challenge the negative thought and explore evidence for/against it
- Agree with the thought
- Ignore the self-talk
- Surgical mask and gloves
- N95 respirator mask and gown
- N95 respirator mask, gown, and gloves
- Standard procedure mask only
- Offer a glass of water
- Take their blood pressure only
- Obtain an ECG and notify the physician immediately
- Tell them to rest
- Emergent
- Urgent
- Non-urgent
- Routine
- Walk several steps ahead of the patient
- Walk behind the patient, holding their arm
- Walk slightly behind and to the side of the patient, providing support with a gait belt
- Walk alongside them, texting on your phone
- Insomnia
- Diarrhea
- Sedation and risk of dependence
- Hypertension
- Ignoring self-harm behaviors
- Maintaining strict boundaries and consistency, while validating their distress
- Encouraging dependence on the therapist
- Focusing solely on past trauma
- Apply a soft wrist restraint immediately
- Increase environmental stimuli
- Frequent rounding, reorientation, and ensure call light is within reach
- Administer sedatives without specific indication
- All fluids consumed
- Urine, emesis, liquid stool, wound drainage
- Only urine
- Only oral fluids
- Kidney stone
- Abdominal aortic aneurysm (AAA) rupture
- Sciatica
- Muscle spasm
- Answer honestly to build rapport
- Share minimal, professional information and gently redirect focus back to the client
- Ignore the question
- Lie to protect your privacy
- Stop antibiotics when symptoms improve
- Take antibiotics only when feeling unwell
- Complete the entire course of antibiotics as prescribed
- Share antibiotics with family members
- Supine
- Prone
- Left lateral (Sims' position)
- High-Fowler's
- Try to move the patient back to bed immediately
- Assess the patient for injury before moving them
- Call their family first
- Document the fall before assessment
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