25 Questions
What is a primary goal of using restraints on a patient?
To maintain patient safety
What is an important consideration when assessing a patient's risk for falls?
The patient's cognitive impairment
Which of the following is a restraint alternative?
Bed alarm
What is a key factor in creating an unsafe patient environment?
All of the above
What is the correct sequence of actions in responding to a fire in a healthcare facility?
Rescue, alarm, confine, extinguish
When is bilateral application of restraints necessary?
Only when clinically indicated
What is a critical step in responding to a patient's call light?
Assessing the patient's needs
How often should restraints be checked?
Every 2 hours
Where should mitt restraints be secured?
To the patient's wrist
What is the primary goal of fall prevention strategies?
To ensure patient safety
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
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
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
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
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
What is the primary strategy for preventing falls in a healthcare facility?
Keeping the patient's bed at the lowest level at all times
What is a critical step in responding to a patient's call light?
Intervening promptly to address the patient's needs
What is a key factor in creating an unsafe patient environment?
Using restraints on patients without a physician's order
What is an alternative to using restraints on a patient?
Using bed alarms to monitor patient activity
When should a patient's bed be raised?
When the patient needs to be transferred
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
How often should the nursing staff assess the patient's extremities when they are in restraints?
Every 30 minutes
What is the primary goal of implementing fall prevention strategies?
To reduce the risk of patient falls
What is a critical step in responding to a patient's call light?
Responding immediately to the patient's call
What is an important consideration when creating a safe patient environment?
Reducing the risk of falls
Test your knowledge of nursing care concepts, connections, and skills with this quiz based on the 4th edition of Fundamentals of Nursing Care by Burton (2023).
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