Patient Safety and Restraint Techniques Quiz
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Questions and Answers

Which of the following is NOT a risk associated with the use of restraints?

  • Improved mobility (correct)
  • Pressure ulcers
  • Falls
  • Delirium
  • What is the correct position for the elbows when using a walker?

  • Fully extended
  • Flexed at 15 degrees
  • Flexed at 45 degrees
  • Flexed at 30 degrees (correct)
  • What is the purpose of graduated compression stockings?

  • To promote venous return (correct)
  • To prevent falls
  • To reduce joint mobility
  • To improve balance
  • What information must be included in a medication order?

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

    Which of the following is NOT a situation in which hand hygiene should be practiced?

    <p>After touching a contaminated item</p> Signup and view all the answers

    What is the purpose of standard precautions?

    <p>To prevent and control infection in all hospitalized patients</p> Signup and view all the answers

    Which of the following is NOT a principle of sterile technique?

    <p>Spilling fluids on a sterile field does not contaminate it</p> Signup and view all the answers

    What are airborne precautions used for?

    <p>Prevent transmission of pathogens through air via moisture or dust particles</p> Signup and view all the answers

    Which one of these is NOT one of the rights of medication administration?

    <p>Right Dosage/Amount</p> Signup and view all the answers

    What should be checked before administering medication to a patient?

    <p>Patient's allergies</p> Signup and view all the answers

    What is the recommended position for administering oral medications?

    <p>High fowler's position</p> Signup and view all the answers

    Which type of medication should not be crushed?

    <p>Enteric coated</p> Signup and view all the answers

    Which position should a patient be in for the administration of suppositories?

    <p>Left-lying sim's position</p> Signup and view all the answers

    What is the recommended angle for subcutaneous injections?

    <p>30-45 degrees</p> Signup and view all the answers

    Which route of administration is used for antibiotics, hormones, and vaccines?

    <p>Intramuscular</p> Signup and view all the answers

    What is the purpose of the Z track technique in intramuscular injections?

    <p>To prevent leakage of medication into the needle track</p> Signup and view all the answers

    Which of the following is NOT a type of precaution for protecting immunocompromised patients?

    <p>Wearing gloves and a gown</p> Signup and view all the answers

    What is the primary cause of unintentional injuries throughout life?

    <p>History of falls</p> Signup and view all the answers

    What is the first step in the RACE acronym for fire safety?

    <p>Rescue anyone in immediate danger</p> Signup and view all the answers

    What is the last resort for managing a patient's freedom of movement?

    <p>Physical restraint</p> Signup and view all the answers

    Which mode of transmission is identified as the major cause of pathogen spread in healthcare settings?

    <p>Unwashed hands of a healthcare worker</p> Signup and view all the answers

    What is the difference between medical asepsis and surgical asepsis?

    <p>Medical asepsis involves clean techniques to reduce the transfer of pathogens, while surgical asepsis involves sterile techniques to keep objects and areas free from microorganisms</p> Signup and view all the answers

    When should healthcare workers perform hand hygiene?

    <p>Before touching a patient, before clean or aseptic technique, after body fluid exposure risk, after touching a patient, after touching patient surroundings</p> Signup and view all the answers

    Match the following age groups with their primary safety risks:

    <p>Neonate = Infection, falls, and SIDS Toddler = Falls, cuts, burns, suffocation/drowning School-aged child = Burns, drowning, broken bones, concussions Adolescent = Motor vehicle accidents, drowning, guns and weapons</p> Signup and view all the answers

    Match the following precautions with their required Personal Protective Equipment (PPE):

    <p>Airborne = Gown, N95 mask, Goggles Droplet = Gown, Surgical mask, Gloves Contact = Gown, Gloves</p> Signup and view all the answers

    Match the following procedures with their safety measures during a seizure:

    <p>Reduce environmental stimuli = Lower sound, light intensity Bed positioning = Bed in lowest position Bedside equipment = Oral suction, Bite block or oral airway, Oxygen, Padded rails</p> Signup and view all the answers

    Match the following steps of the RACE fire safety protocol with their descriptions:

    <p>R = Rescue anyone in immediate danger A = Activate the fire code and notify appropriate person C = Confine the fire by closing doors and windows E = Evacuate patients and other people to a safe area</p> Signup and view all the answers

    Match the following rights of medication administration with their descriptions:

    <p>Right Patient = Ensuring the medication is given to the correct individual Right Dosage/Amount = Correct quantity of the medication to be given Right Documentation = Proper recording of the medication administration Right to refuse = Patient's freedom to deny medication</p> Signup and view all the answers

    Match the following nursing considerations with their definitions:

    <p>Three Checks = Process of checking medication three times before administration Check for allergies = Review patient’s chart for allergies and contraindications before administration Specific parameters = Considering patient's specific conditions like blood pressure for certain drugs 2 patient identifiers = Verification step using two unique patient details</p> Signup and view all the answers

    Match the following medication administration types with their characteristics:

    <p>Oral Medications = More prolonged, less toxic effect Topical Medications = Used for local effects; gloves required Insulin = Requires a 2 nurse check ALWAYS Enteric coated, extended release, capsules = Cannot be crushed</p> Signup and view all the answers

    Match the specific patient groups with their medication administration considerations:

    <p>Children = Difficulty swallowing tablets and capsules; use liquid form or mix with soft foods Older adults = May need extra time to administer medications; may require assistance with schedule Patients in a coma = Check their wristband for identification Patients refusing medication = Assess the reason why &amp; educate; encourage patient for time sensitive medications</p> Signup and view all the answers

    Match the following asepsis principles with their descriptions:

    <p>Medical asepsis = Procedures and practices that reduce the number and transfer of pathogens Surgical asepsis = Practices used to keep objects and areas free from microorganisms Proper hand hygiene = Includes various moments such as before touching patient, before clean or aseptic technique, after body fluid exposure risk, after touching patient, and after touching patient surroundings Good hand hygiene techniques = Scrubbing for at least 20 seconds with 1 tsp of soap without letting your clothes touch the sink</p> Signup and view all the answers

    Match the following asepsis techniques with their examples:

    <p>Medical asepsis = Hand hygiene, wearing gloves, giving a flu shot, nasogastric tubes Surgical asepsis = Urinary catheter, IV catheter, sterile dressing change Proper hand hygiene = Using alcohol-based hand rubs for 15 seconds when hands are not visibly soiled Good hand hygiene techniques = Using soap and water as the best technique</p> Signup and view all the answers

    Match the following terms with their definitions:

    <p>Asepsis = Prevention of infection or breaking the chain of infection Medical asepsis = Clean technique, involves procedures and practices that reduce the number and transfer of pathogens Surgical asepsis = Sterile technique, practices used to keep objects and areas free from microorganisms Hand hygiene = A key part of medical asepsis, involves scrubbing hands for at least 20 seconds with soap and water or using alcohol-based hand rubs</p> Signup and view all the answers

    Match the following assisted devices with their primary usage:

    <p>Walker = Improve balance by increasing support Canes = Widen support, providing improved balance Crutches = Help strengthen one or both legs Graduated compression stockings = Used for patients at risk for deep vein thrombosis and pulmonary embolism</p> Signup and view all the answers

    Match the following restraint types with their purpose:

    <p>Bed rails 2-3 side rails up = Safety Bed rails 4 side rails up = Restraint Extremity restraint = Restrict movement of hands, wrist or ankles Quick-release knot = Used to tie the restraint to the bed frame</p> Signup and view all the answers

    Match the following effects of immobility on the body systems:

    <p>Increased cardiac workload = Cardiovascular system Impaired gas exchange = Respiratory system Altered digestion and utilization of nutrients = Digestive system Decreased muscle size, tone and strength = Musculoskeletal system</p> Signup and view all the answers

    Match the following medication administration principles with their descriptions:

    <p>Properly label medicines = Ensure correct identification Take extra care with patients on anticoagulants = Increased risk for bleeding If anything is missing in the medication order = You cannot give the medication &amp; you must call the provider Give correct information about a patient’s medications = Educate patients about their medications</p> Signup and view all the answers

    Match the following medication administration methods with their descriptions:

    <p>Eye Drops = Administered in the conjunctival sac, avoiding touching the eye with the dropper Suppositories = Inserted into anus, position patient in left-lying sim's position Inhalers = Handheld device that uses aerosol spray to administer medication into the lungs Intradermal injection = Injected into the dermis, used for allergy tests, local anesthesia, tuberculosis</p> Signup and view all the answers

    Match the following injection types with their characteristics:

    <p>Intradermal injection = Into the dermis, longest absorption time, used for allergy tests Subcutaneous injection = Into the adipose tissue, slow and sustained rate of absorption Intramuscular injection = Into the muscles, slow, sustained release over hours, days, or weeks Insulin injection = Double checked by 2 licensed nurses, high-risk drug</p> Signup and view all the answers

    Match the following steps of insulin injection with their descriptions:

    <p>Shake it = Step before placing the spacer mouthpiece into mouth Release one puff and inhale slowly = Step after placing the spacer mouthpiece into mouth Hold for 5-10 seconds = Step after releasing one puff and inhaling slowly Wait 1-5 minutes between each puff = Step after exhaling slowly</p> Signup and view all the answers

    Match the following types of insulin with their characteristics:

    <p>NPH insulin = Long acting, cloudy Regular insulin = Short acting, clear Rapid acting insulin = Clear, must be at bedside to avoid hypoglycemic shock Insulin = Must be double checked by 2 licensed nurses</p> Signup and view all the answers

    Match the following precautions with their correct descriptions:

    <p>Standard precautions = Used in the care of all hospitalized patients regardless of diagnosis; prevent and control infection Airborne precautions = Prevent transmission of pathogens through air via moisture or dust particles Droplet precautions = Prevent transmission through coughing, sneezing, talking, etc. by an infected person Contact precautions = Prevent transmission of infectious agents that are spread by the direct or indirect contact with the patient or the patient’s environment</p> Signup and view all the answers

    Match the following principles of sterile technique with their descriptions:

    <p>Sterile objects remain sterile only when touched by another sterile object = Objects must be kept sterile by only coming into contact with other sterile objects A sterile object or field out of range of vision or an object held below a person’s waist is contaminated = Objects not in sight or held in a certain position are considered contaminated Sterile objects become contaminated by prolonged exposure to air = Objects can lose their sterility over time when exposed to air The edges of a sterile field or container are considered to be contaminated = Borders of sterile areas are not considered sterile</p> Signup and view all the answers

    Match the following actions with their appropriate containers:

    <p>Dispose of feces and urine = Toilet Dispose of contaminated items, such as blood = Biohazard bag Place needles, sharps, and scalpels after use = Puncture-resistant containers</p> Signup and view all the answers

    Match the following diseases with their transmission-based precautions:

    <p>Measles, Tuberculosis, Varicella (chicken pox) + COVID = Airborne precautions Diphtheria, Rubella, Adenovirus, Pneumonia (DRAP) = Droplet precautions MRSA, C. diff, VRE = Contact precautions</p> Signup and view all the answers

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