A Client in the Intensive Care Unit Is Combative and Pulling

question 13

Multiple Choice

A client in the intensive care unit is combative and pulling at the endotracheal tube,which must remain in place.After applying soft hand restraints to protect the client's airway,which action should the nurse take next?

• A) Notify the primary healthcare provider.
• B) Notify the family of the need for restraints.
• C) Reassess the need for the restraints in 8 hours.
• D) Document the application of restraints in the chart.

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Definitions:

Normal Curve

A bell-shaped curve that represents the distribution of a set of data where most occurrences take place around the mean, tapering off symmetrically towards the extremes.

T-statistic

A type of statistic used in hypothesis testing when the sample size is small and the population variance is unknown, it is based on the Student's t-distribution.

Z-score

A statistic that tells you how many standard deviations a given value is from the mean.

Sample Mean

The average value of a sample set, calculated by summing all observations and dividing by the number of observations.