Questions and Answers
What is a significant risk associated with keeping patients in a sitting position in bed?
What is the primary purpose of the epidermis layer of the skin?
What can be considered a sentinel event in healthcare?
Why is it recommended to use grab bars for patients with joint impairments?
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Which of the following statements about perspiration is accurate?
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What is an appropriate action if a patient's mental status suddenly changes?
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What is a potential consequence of excessive daytime napping?
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What is an appropriate intervention for a patient with diabetes to prevent burns due to impaired circulation?
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What is the primary benefit of placing patients at risk for falls near the nurses' station?
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What must healthcare workers obtain before using physical restraints?
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Which of the following strategies is suggested as an alternative to the use of protective devices?
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What is a critical action a nurse should take when managing a confused or unsteady patient?
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What should a Safety Data Sheet (SDS) provide information about?
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What is alarm fatigue, and why is it a concern in nursing?
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What precautions should nurses take regarding medical alarms at the beginning of their shift?
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Which of the following statements is true concerning the use of protective devices on patients?
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What is the purpose of responding promptly to alarm beeps?
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What does the acronym PASS stand for in relation to using a fire extinguisher?
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How does low humidity affect patients with respiratory conditions?
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What is the first step the nurse should take before repositioning a patient?
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What technique should a nurse use to transfer a patient who can stand?
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What position is recommended to relieve pressure from the sacral area in semiconscious patients?
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What is the benefit of using high-top sneakers or a footboard for immobile patients?
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What is a common misconception about the use of a wheelchair for semiconscious patients?
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What position is considered a High Fowler's position?
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Which muscle group should be utilized to lift heavy objects from the floor?
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For a patient requiring transfer assistance, what is the best method to reduce gravitational pull?
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What is the most appropriate position for a patient undergoing a rectal examination?
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What is a common risk factor for falls in the elderly?
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What benefit does using a cane provide to an individual?
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What is the maximum angle for a semi-Fowler's position?
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How many people are typically needed to move a patient with increased weight and inability to move up in bed?
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What should a nurse assess before transferring a patient to a chair or ambulating?
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What can occur if a patient is pulled up in bed without being lifted first?
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Which statement is true regarding passive range of motion (ROM) exercises?
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What is the correct method for lowering a patient to the floor to prevent injury during a fall?
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How should a nurse position their hand while assisting a patient with an unsteady gait?
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What technique can help ease the effort required when moving a patient up in bed?
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What is an important consideration for the tightness of a gait belt?
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What is a potential consequence of immobility when a patient first attempts to sit or stand?
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Study Notes
Pressure Ulcers and Care
- Sitting position in bed can lead to increased pressure on the coccyx and bottom, contributing to pressure sores.
- Symptoms of pressure ulcers include redness, swelling, and unhealed areas of skin.
- Staging of pressure ulcers is crucial for proper assessment and treatment.
Body Temperature Regulation
- Diaphoresis (sweating) helps the body cool down; replenishing lost fluids prevents dehydration.
Skin Layers and Protection
- The dermis is the inner skin layer with blood vessels, nerves, and glands, while the epidermis is the outer layer.
- Subcutaneous tissue contains fat and larger blood vessels to support the dermis with nutrients and oxygen.
Safety and Restraint
- Protective devices are essential when patient behavior changes mid-treatment to prevent harm.
- A sentinel event refers to a patient death or serious injury caused by an incident in healthcare.
- Local and federal laws regulate the use of restraints; alternatives such as family supervision are encouraged.
Patient Mobility and Falls
- Moving partially immobile patients to a supine position ensures safety; bed rails should be used.
- Reducing noise on the unit aids patient rest; encourage staff to speak softly in hallways.
- Grab bars and well-lit areas decrease fall risks for patients with mobility issues.
Patient Comfort and Temperature
- Extra blankets and bed socks can help warm patients, particularly those with diabetes or circulation issues.
Patient Monitoring
- Placing at-risk fall patients near the nurse's station enables frequent checks.
- Bed and chair alarms are essential as per the 2019 National Patient Safety Goals to enhance patient monitoring.
Fire Safety
- The PASS technique (Pull, Aim, Squeeze, Sweep) is critical for effectively using a fire extinguisher.
Humidity and Breathing
- Low humidity can dry respiratory passages; vaporizers or humidifiers may be ordered for patients with respiratory conditions.
Patient Transfers
- To safely transfer patients to wheelchairs, they should first sit at the bed's edge with feet on the floor.
- A transfer belt can assist patients who can stand, promoting safety and active exercise.
Patient Positions
- The prone position alleviates pressure on the sacrum for semiconscious or bed-bound patients.
- Waist-high bed height is optimal for nurses to prevent back injuries during patient repositioning.
Orthostatic Hypotension
- Assess immobile patients for dizziness or blood pressure drops when transitioning to sitting or standing.
Preventing Pressure Ulcers
- Avoid shearing forces on bony prominences during patient repositioning to reduce pressure ulcer risk.
- Passive range of motion exercises aid in circulation and prevent contractures for bedfast patients.
Fall Prevention Tactics
- Lower patients threatening to fall to the floor gently to avoid injury.
- Proper use of gait belts and body mechanics is essential for patient stability during transfers.
Examination Positions
- Prone position is used for spinal assessments; supine is for examining the abdomen.
- Fowler's position is beneficial for shortness of breath management and certain procedures.
Handling Heavier Patients
- Moving patients with increased weight requires at least two caregivers and a lift sheet to reduce strain.
- Mechanical lifts aid in patient transfer but are not suitable for adjusting position within the bed.
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Description
This quiz explores the symptoms and staging of pressure ulcers, also known as pressure sores. It focuses on the impact of positioning and the importance of wound care nursing. Review your knowledge on effective prevention and treatment strategies.