Nursing Fundamentals Chapter 13

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What is a primary goal of using restraints on a patient?

To facilitate patient mobilization

To promote patient independence

To maintain patient safety (correct)

To enhance patient comfort

What is an important consideration when assessing a patient's risk for falls?

The patient's cognitive impairment (correct)

The patient's ability to ambulate

The patient's ability to use a call light

The patient's medical diagnosis

Which of the following is a restraint alternative?

Bed alarm (correct)

Wrist restraint

Sitter

Physical therapist

What is a key factor in creating an unsafe patient environment?

All of the above Signup and view all the answers

What is the correct sequence of actions in responding to a fire in a healthcare facility?

Rescue, alarm, confine, extinguish Signup and view all the answers

When is bilateral application of restraints necessary?

Only when clinically indicated Signup and view all the answers

What is a critical step in responding to a patient's call light?

Assessing the patient's needs Signup and view all the answers

How often should restraints be checked?

Every 2 hours Signup and view all the answers

Where should mitt restraints be secured?

To the patient's wrist Signup and view all the answers

What is the primary goal of fall prevention strategies?

To ensure patient safety Signup and view all the answers

What is an important consideration for a nurse to minimize the risk of falls in a patient?

Keeping the patient's bed in a low position Signup and view all the answers

A nurse is caring for a patient who has been placed in restraints. What is an important consideration for the nurse to ensure the patient's safety?

Keeping the patient's call bell in reach Signup and view all the answers

What is a potential environmental factor that can contribute to a patient's risk of falls?

A patient's recent history of falls at home Signup and view all the answers

A nurse is assessing a patient using the Morse Fall Scale. What is an indication of a higher risk of falls?

A patient score above 70 Signup and view all the answers

What is an alternative to restraints that a nurse can consider for a patient who continually attempts to scratch an area of the body?

Applying mitt restraints bilaterally Signup and view all the answers

What is the primary strategy for preventing falls in a healthcare facility?

Keeping the patient's bed at the lowest level at all times Signup and view all the answers

What is a critical step in responding to a patient's call light?

Intervening promptly to address the patient's needs Signup and view all the answers

What is a key factor in creating an unsafe patient environment?

Using restraints on patients without a physician's order Signup and view all the answers

What is an alternative to using restraints on a patient?

Using bed alarms to monitor patient activity Signup and view all the answers

When should a patient's bed be raised?

When the patient needs to be transferred Signup and view all the answers

When a patient is in restraints, what is the nursing staff required to do by the CMS and The Joint Commission?

Offer fluids to the patient Signup and view all the answers

How often should the nursing staff assess the patient's extremities when they are in restraints?

Every 30 minutes Signup and view all the answers

What is the primary goal of implementing fall prevention strategies?

To reduce the risk of patient falls Signup and view all the answers

What is a critical step in responding to a patient's call light?

Responding immediately to the patient's call Signup and view all the answers

What is an important consideration when creating a safe patient environment?

Reducing the risk of falls Signup and view all the answers

Nursing Fundamentals Chapter 13

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Questions and Answers

What is a primary goal of using restraints on a patient?

What is an important consideration when assessing a patient's risk for falls?

Which of the following is a restraint alternative?

What is a key factor in creating an unsafe patient environment?

What is the correct sequence of actions in responding to a fire in a healthcare facility?

When is bilateral application of restraints necessary?

What is a critical step in responding to a patient's call light?

How often should restraints be checked?

Where should mitt restraints be secured?

What is the primary goal of fall prevention strategies?

What is an important consideration for a nurse to minimize the risk of falls in a patient?

A nurse is caring for a patient who has been placed in restraints. What is an important consideration for the nurse to ensure the patient's safety?

What is a potential environmental factor that can contribute to a patient's risk of falls?

A nurse is assessing a patient using the Morse Fall Scale. What is an indication of a higher risk of falls?

What is an alternative to restraints that a nurse can consider for a patient who continually attempts to scratch an area of the body?

What is the primary strategy for preventing falls in a healthcare facility?

What is a critical step in responding to a patient's call light?

What is a key factor in creating an unsafe patient environment?

What is an alternative to using restraints on a patient?

When should a patient's bed be raised?

When a patient is in restraints, what is the nursing staff required to do by the CMS and The Joint Commission?

How often should the nursing staff assess the patient's extremities when they are in restraints?

What is the primary goal of implementing fall prevention strategies?

What is a critical step in responding to a patient's call light?

What is an important consideration when creating a safe patient environment?

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