Nursing Fundamentals Chapter 13

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Questions and Answers

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?

<p>All of the above (D)</p> Signup and view all the answers

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

<p>Rescue, alarm, confine, extinguish (D)</p> Signup and view all the answers

When is bilateral application of restraints necessary?

<p>Only when clinically indicated (B)</p> Signup and view all the answers

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

<p>Assessing the patient's needs (B)</p> Signup and view all the answers

How often should restraints be checked?

<p>Every 2 hours (D)</p> Signup and view all the answers

Where should mitt restraints be secured?

<p>To the patient's wrist (C)</p> Signup and view all the answers

What is the primary goal of fall prevention strategies?

<p>To ensure patient safety (D)</p> Signup and view all the answers

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

<p>Keeping the patient's bed in a low position (B)</p> 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?

<p>Keeping the patient's call bell in reach (C)</p> Signup and view all the answers

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

<p>A patient's recent history of falls at home (B)</p> 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?

<p>A patient score above 70 (A)</p> 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?

<p>Applying mitt restraints bilaterally (A)</p> Signup and view all the answers

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

<p>Keeping the patient's bed at the lowest level at all times (C)</p> Signup and view all the answers

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

<p>Intervening promptly to address the patient's needs (C)</p> Signup and view all the answers

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

<p>Using restraints on patients without a physician's order (B)</p> Signup and view all the answers

What is an alternative to using restraints on a patient?

<p>Using bed alarms to monitor patient activity (D)</p> Signup and view all the answers

When should a patient's bed be raised?

<p>When the patient needs to be transferred (D)</p> 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?

<p>Offer fluids to the patient (B)</p> Signup and view all the answers

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

<p>Every 30 minutes (B)</p> Signup and view all the answers

What is the primary goal of implementing fall prevention strategies?

<p>To reduce the risk of patient falls (C)</p> Signup and view all the answers

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

<p>Responding immediately to the patient's call (B)</p> Signup and view all the answers

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

<p>Reducing the risk of falls (A)</p> Signup and view all the answers

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