Restraints and Protocols for Licensed and Unlicensed Individuals
35 Questions
2 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

In older adults, age-related functional deterioration in immune system function leads to:

  • Increased immune response and cell production
  • Increased production of lymphocytes
  • Decreased ability to produce antibodies (correct)
  • Decreased susceptibility to infections

Which of the following is a source of infection categorized as endogenous?

  • Overgrowth of patient’s flora due to altered environment (correct)
  • Microorganisms from outside of the individual
  • Organisms that do not exist as normal flora
  • Infection from a medical procedure

What is the first step for donning sterile gloves?

  • Wash hands
  • Examine package for intactness
  • Select correct size/type of gloves (correct)
  • Inspect hands and nails

Which intervention is considered least invasive for fall prevention in older adults?

<p>Consistent rounding (C)</p> Signup and view all the answers

What is the last step in the nursing process?

<p>Evaluation (D)</p> Signup and view all the answers

What does PES statement in nursing diagnosis stand for?

<p>Problem, Etiology, Symptoms (D)</p> Signup and view all the answers

What does subjective data refer to in nursing assessment?

<p>What the patient says (B)</p> Signup and view all the answers

Which factor contributes to decreased immune response in older adults?

<p>Poor nutrition (A)</p> Signup and view all the answers

What is the primary principle of sterility when donning sterile gloves?

<p>&quot;Open package carefully&quot; (A)</p> Signup and view all the answers

What is the best predictor of risk for falls in older adults?

<p>Past history of falls (C)</p> Signup and view all the answers

What does the nursing diagnosis component 'P' represent in a PES statement?

<p>Problem (A)</p> Signup and view all the answers

Which intervention is considered most invasive for fall prevention in older adults?

<p>Pharmaceutical sedation (A)</p> Signup and view all the answers

Which type of isolation is needed for diseases like influenza, adenovirus, and group A strep?

<p>Airborne precautions (D)</p> Signup and view all the answers

What type of PPE is needed for patients requiring contact precautions?

<p>Gown, mask, goggles, gloves (D)</p> Signup and view all the answers

Which condition is considered a 'never event' in hospitals?

<p>Catheter-associated UTI (C)</p> Signup and view all the answers

When should hand hygiene be performed according to the text?

<p>Before direct contact with patients; between patient contacts; after contact with blood, body fluids, and secretions; immediately after gloves are removed (D)</p> Signup and view all the answers

What type of precautions are needed for diseases like VRE, MRSA, and C. diff?

<p>Contact precautions (C)</p> Signup and view all the answers

What do 'never events' in hospitals refer to?

<p>Serious medical errors that should never occur (D)</p> Signup and view all the answers

Which procedure requires donning PPE in the following order: gown, mask, goggles, gloves?

<p>Respiratory hygiene and cough etiquette (C)</p> Signup and view all the answers

What are the manifestations of poor glycemic control considered as 'never events' in hospitals?

<p><strong>DKA</strong> (A)</p> Signup and view all the answers

What is the main purpose of using protective environment for allogenic hematopoietic stem cell transplants?

<p>To minimize the risk of airborne infections (A)</p> Signup and view all the answers

What should be done if needle recapping is necessary according to the text?

<p>Use one-handed scoop method (B)</p> Signup and view all the answers

When should alcohol-based hand rub be used?

<p>After contact with spores (D)</p> Signup and view all the answers

What type of isolation is needed for patients with respiratory syncytial virus (RSV)?

<p>Contact precautions (A)</p> Signup and view all the answers

In hospitals, what is the maximum duration for each original restraint order for adults (18 years +)?

<p>4 hours (B)</p> Signup and view all the answers

What is the responsibility of a registered nurse (RN) regarding assessing patients under restraint?

<p>Assess every 2 hours for violent patients (B)</p> Signup and view all the answers

What is the role of a licensed practical nurse (LPN) in relation to taking patients out of restraints?

<p>Cannot take the patient out of restraints (B)</p> Signup and view all the answers

What is the maximum duration for each original restraint order for children under 9 years in hospitals?

<p>1.5 hours (B)</p> Signup and view all the answers

What is the goal in using restraints on patients?

<p>To prevent interruption of therapy (B)</p> Signup and view all the answers

When are restraints considered appropriate in healthcare settings?

<p>After trying least invasive measures first (B)</p> Signup and view all the answers

What is the responsibility of a healthcare provider if restraints are needed due to violence or self-destructive behavior?

<p>Assess the patient within 60 minutes (A)</p> Signup and view all the answers

What skill related to restraint use and appropriate assessment cannot be delegated to non-RN staff?

<p>Correct placement of restraint (B)</p> Signup and view all the answers

What must a provider specify when ordering restraints?

<p>The location and type of restraint to be used (A)</p> Signup and view all the answers

What is the primary responsibility of a nurse in instructing assistive personnel about restraints?

<p>To instruct about correct placement of restraints and changing position (D)</p> Signup and view all the answers

What must be done if restraints are found to be needed due to violence or self-destructive behavior?

<p>The RN must inform the healthcare provider immediately (C)</p> Signup and view all the answers

More Like This

Use Quizgecko on...
Browser
Browser