- Administer a sedative without physician order
- Assess for potential causes (e.g., pain, tube dislodgement, anxiety) and notify physician
- Silence the alarms and leave the room
- Increase the ventilator settings

Category: BS Nursing
- Subcutaneous (SQ)
- Intramuscular (IM)
- Intravenous (IV) via central line
- Oral
- Disconnect the IV and restart it
- Increase the infusion rate
- Check the IV line for kinks, clamps, or infiltration
- Administer a bolus of IV fluid
- Confidentiality
- Autonomy
- Non-maleficence (do no harm)
- Beneficence (do good)
- Deep Vein Thrombosis (DVT)
- Arterial occlusion
- Cellulitis
- Muscle cramp
- Allow smoking in the room
- Ensure no open flames or smoking is near the oxygen
- Keep oxygen tanks upright and unsecured
- Store oxygen in direct sunlight
- Palpation, inspection, percussion, auscultation
- Inspection, palpation, percussion, auscultation
- Auscultation, percussion, palpation, inspection
- Percussion, auscultation, inspection, palpation
- Generalized Anxiety Disorder
- Panic Disorder
- Obsessive-Compulsive Disorder (OCD)
- Social Anxiety Disorder
- Physical restraint
- Seclusion
- Verbal de-escalation and offering PRN medication
- Yelling at the patient
- Oral glucose administration
- IV insulin and fluid replacement
- Oral antibiotics
- High-carbohydrate meal
- A contaminated area
- A safe area for non-sterile items
- Part of the sterile field
- An area for discarded supplies
- Call the patient's family
- Begin chest compressions and call for a defibrillator
- Monitor the rhythm for a few minutes
- Document the rhythm change only
- Grimacing
- Moaning
- The patient's self-report
- Elevated heart rate
- Acute Stress Disorder
- Adjustment Disorder
- Post-Traumatic Stress Disorder (PTSD)
- Generalized Anxiety Disorder
- It is a rescue inhaler for acute attacks
- It should be used for immediate symptom relief
- It is a preventative medication and should be taken daily, even without symptoms
- It can be discontinued once symptoms improve
- Leave the bed in the highest position
- Keep pathways clear, use non-slip socks, and ensure adequate lighting
- Apply restraints at all times
- Allow the patient to wander freely
- Myocardial Infarction; administer oxygen
- Stroke; activate stroke team and prepare for rapid assessment/imaging
- Seizure; protect from injury
- Hypoglycemia; administer glucose
- The obligation to report all client secrets
- The obligation to warn an identifiable third party if a client expresses a serious threat of violence against them
- The obligation to warn clients about the risks of therapy
- The obligation to warn families about client's financial issues
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