Which site will the nurse use to measure the patient’s pulse rate before administering the cardiac medication Digoxin?

Choice A reason: This is an incorrect choice because tying the restraints to the footboard is not a safe or appropriate option when the nurse is applying soft wrist restraints to the patient. The footboard is the part of the bed that supports the foot end of the mattress. Tying the restraints to the footboard can cause the patient to slide down the bed and increase the risk of strangulation, pressure ulcers, or nerve damage.

Choice B reason: This is the correct choice because tying the restraints to the bedframe is the safest and most appropriate option when the nurse is applying soft wrist restraints to the patient. The bedframe is the metal or wooden structure that supports the mattress and the box spring. Tying the restraints to the bedframe can ensure that the restraints are secure and stable, and that the patient has enough room to move without causing injury or discomfort.

Choice C reason: This is an incorrect choice because tying the restraints to the headboard is not a safe or appropriate option when the nurse is applying soft wrist restraints to the patient. The headboard is the part of the bed that supports the head end of the mattress. Tying the restraints to the headboard can cause the patient to slide up the bed and increase the risk of strangulation, pressure ulcers, or nerve damage.

Choice D reason: This is an incorrect choice because tying the restraints to the side rails is not a safe or appropriate option when the nurse is applying soft wrist restraints to the patient. The side rails are the bars that run along the sides of the bed to prevent the patient from falling out. Tying the restraints to the side rails can cause the patient to twist or bend their wrists and increase the risk of circulation impairment, nerve damage, or skin breakdown.

Choice A reason: This is an incorrect choice because the patient has a history of noncompliance with prescribed therapeutic regimens is not a reason why this nursing diagnosis is considered to be a collaborative problem. A collaborative problem is a potential or actual health problem that requires the intervention of multiple health care professionals from different disciplines to achieve optimal patient outcomes. The patient's history of noncompliance is not related to the nature of the problem or the type of intervention required.

Choice B reason: This is an incorrect choice because the patient must be closely monitored in an intensive care unit is not a reason why this nursing diagnosis is considered to be a collaborative problem. A collaborative problem is a potential or actual health problem that requires the intervention of multiple health care professionals from different disciplines to achieve optimal patient outcomes. The patient's need for close monitoring is not related to the nature of the problem or the type of intervention required.

Choice C reason: This is an incorrect choice because prevention of septic shock is not a measurable patient outcome is not a reason why this nursing diagnosis is considered to be a collaborative problem. A collaborative problem is a potential or actual health problem that requires the intervention of multiple health care professionals from different disciplines to achieve optimal patient outcomes. The measurability of the patient outcome is not related to the nature of the problem or the type of intervention required.

Choice D reason: This is the correct choice because both nursing and physician-prescribed interventions are required is a reason why this nursing diagnosis is considered to be a collaborative problem. A collaborative problem is a potential or actual health problem that requires the intervention of multiple health care professionals from different disciplines to achieve optimal patient outcomes. The problem of septic shock is a complex and life-threatening condition that involves multiple organ systems and requires both medical and nursing interventions to prevent, treat, and monitor the patient's status.