Patient Restraint Guidelines

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Questions and Answers

Which step is necessary when instructing a patient to walk with crutches using the two-point gait?

The patient should advance their opposite foot and crutch simultaneously.

The patient needs to start in the tripod position with weight partially on both feet. (correct)

The patient begins in a straight standing position with their weight evenly distributed.

The patient must first move the crutches without stepping their feet.

When teaching a patient to use crutches, what is the correct initial position for the tripod gait?

Weight on the uninjured leg with the other leg off the ground.

All weight on the uninjured leg. (correct)

All weight on the injured leg.

Weight distributed evenly on both feet.

What action should the patient take when using the swing-through gait?

Lift and swing both legs past the crutches. (correct)

Keep one crutch still while moving the opposite leg.

Step down with both feet simultaneously.

Only move the crutches forward while standing still.

What defines objective data in patient assessment?

Information that can be measured and observed using the senses. Signup and view all the answers

What should you do first when preparing the patient for a bath?

Place a bath blanket or towel over the patient. Signup and view all the answers

In the swing-to gait, what is the correct sequence of movements for the patient?

Advance both crutches, then lift and swing both legs to the crutches. Signup and view all the answers

Which of the following is a correct step for undressing a patient with an IV line?

Remove the gown from the unaffected side first if there is an injury. Signup and view all the answers

How should you handle cleansing a patient around IV sites?

Use caution and avoid direct contact with the IV site. Signup and view all the answers

What is the appropriate method for cleansing the chest and abdomen?

Use long, firm strokes and lift breasts if necessary. Signup and view all the answers

What is the protocol if an IV pump is in use while undressing a patient?

Turn off the pump, clamp the tubing, and then remove the tubing from the pump. Signup and view all the answers

What is the first step to take when preparing to transfer a patient from a bed to a wheelchair?

Adjust the height of the bed to the level of the wheelchair seat. Signup and view all the answers

How should the wheelchair be positioned in relation to the bed?

Facing toward the foot of the bed, midway between the head and foot. Signup and view all the answers

What should you do to secure the wheelchair before attempting the transfer?

Lock the wheels by pushing the handles forward. Signup and view all the answers

Before transferring the patient, how long should the patient be allowed to sit on the edge of the bed?

For a few minutes. Signup and view all the answers

When assisting a patient to sit on the side of the bed, what is the appropriate position for your legs?

Spreading your feet apart to create a wide base. Signup and view all the answers

What is the recommended action if a patient feels dizzy while sitting on the edge of the bed?

Allow them to rest and ask for assistance. Signup and view all the answers

What is the first step in the proper sequence for donning personal protective equipment (PPE)?

Hand Hygiene Signup and view all the answers

Which of the following is a correct step to apply the transfer belt?

Slide the metal end through the teeth and pull to tighten. Signup and view all the answers

Which of the following is an inappropriate application of restraint?

Placing a restraint over an IV access device Signup and view all the answers

What should be done immediately if a patient exhibits signs of altered neurovascular status in a restrained extremity?

Remove the restraint entirely Signup and view all the answers

What should you do with the patient's legs during the process of helping them sit up?

Pivot them over the side of the bed. Signup and view all the answers

When preparing to lift the patient, how should your knees be aligned?

Aligned with the knees of the patient. Signup and view all the answers

Which personal protective equipment is used to protect the eyes from splashes and respiratory droplets?

Goggles Signup and view all the answers

What is the correct action regarding the leg rests on the wheelchair before transferring a patient?

Remove them to avoid trips and falls. Signup and view all the answers

What is a key consideration when restraining a patient on noninvasive positive pressure ventilation (NPPV)?

Restraints should not be used because of aspiration risk Signup and view all the answers

What action is taken last in the sequence for removing personal protective equipment (PPE)?

Hand hygiene Signup and view all the answers

What is an important observation for determining a patient’s level of cleanliness?

Appearance of the skin and body odors Signup and view all the answers

Study Notes

Crutch Walking Techniques

Stand behind the patient, grip the gait belt securely with one hand.
Tripod position: Patient’s weight primarily on the uninjured leg.
Two-point gait: Move one crutch and the opposite foot simultaneously, then the other foot and crutch.
Swing-to gait: Advance both crutches first, then swing both legs to the crutches, supported entirely by them.
Swing-through gait: Advance crutches, then swing both legs past the crutches, allowing them to support all weight.

Patient Assessment: Objective vs Subjective Data

Objective data includes measurable cues obtained through the senses.
Restraint guidelines: Ensure not to interfere with medical equipment, avoid tying restraints to bed rails, and regularly check skin integrity.
Immediate removal of restraints is necessary if there’s a change in neurovascular status.

Personal Protective Equipment (PPE)

PPE includes gloves, masks, goggles, face shields, gowns, head covers, and shoe covers.
Use of goggles provides eye protection from splashes and droplets but not full facial coverage.
Sequence for donning PPE: Hand hygiene, gown, mask, eyewear, head cover, shoe covers, gloves.
Sequence for removing PPE: Gloves, eyewear, gown, mask, shoe covers, followed by hand hygiene.

Hygiene Care for Immobile Patients

Assess cleanliness through skin appearance and odors indicating hygiene issues.
Proper wheelchair positioning: Face toward the foot of the bed, secure wheels, and adjust footrests for safety.
Transfer techniques involve creating a wide base of support and ensuring patient stability.

Bathing Techniques

Use a bath blanket for warmth and modesty during hygiene care.
Cleanse areas methodically, starting with the face, followed by chest, arms, and legs.
Inspect for DVT signs such as warmth, redness, and tenderness during leg cleansing.
Provide perineal care carefully, using appropriate techniques for male and female patients.

Final Care Steps

Assist patients into clean clothing as necessary, ensuring comfort while maintaining dignity throughout the process.
Safely manage linen by placing soiled items in designated bags.
Support patient positioning and ensure a comfortable environment after hygiene tasks are completed.

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Description

Test your knowledge on the proper guidelines for using patient restraints. This quiz covers essential practices to ensure safety and prevent injury while managing restraints in a healthcare setting. Make sure to understand vital aspects such as restraint placement and patient monitoring.