Restraints and Protocols in Healthcare Study Guide
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Questions and Answers

What is the maximum duration for an original restraint order for an adult in a hospital setting?

  • 30 minutes
  • 4 hours (correct)
  • 1 hour
  • 2 hours

    • Who is responsible for assessing the patient's behavior, orientation to environment, need for restraints, and the appropriate use of restraints?

  • RN (correct)
  • LPN
  • AP
  • CNA

    • What must be specified in the provider's order for a restraint?

  • Daily meal schedule
  • Preferred restraint color
  • Patient's name and age
  • Circumstances for restraint use (correct)

    • When is it appropriate to use restraints?

    <p>If there is a risk of patient injury</p> Signup and view all the answers

    What is the maximum consecutive hours that orders for restraint renewal are limited to in hospitals for adults?

    <p>24 hours</p> Signup and view all the answers

    What is the responsibility of the licensed practical nurse (LPN) regarding restraint use?

    <p>Taking the patient out of restraints</p> Signup and view all the answers

    What is the required time frame for renewing a provider's order for restraints?

    <p>Within specific time frame</p> Signup and view all the answers

    What does CMS stand for in the context of assessing restrained patients?

    <p>Circulation, Motor, and Sensation</p> Signup and view all the answers

    What is the goal concerning the use of restraints?

    <p>To discontinue use as soon as possible</p> Signup and view all the answers

    What is the responsibility of the nurse regarding assessing restrained patients?

    <p>Assess every 2 hours for nonviolent patients and every 15 minutes for violent patients</p> Signup and view all the answers

    What is the role of the nurse when instructing assistive personnel about restraints?

    <p>Instructing about appropriate restraint use and correct placement of restraint</p> Signup and view all the answers

    What type of precautions are needed for patients with influenza, adenovirus, and group A strep?

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

    What type of isolation is needed for patients with herpes simplex and varicella zoster (disseminated)?

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

    Which of the following is a 'never event' as defined in healthcare?

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

    What is the recommended method for discarding sharps in a healthcare setting?

    <p>In a puncture-resistant container</p> Signup and view all the answers

    When is it recommended to use alcohol-based hand rub for hand hygiene?

    <p>When hands are not visibly soiled</p> Signup and view all the answers

    For which type of isolation do patients need to be placed in a private room or cohort patients, wear gloves and gowns, and have barrier protection?

    <p>Protective environment</p> Signup and view all the answers

    What is the purpose of standard precautions in healthcare settings?

    <p>To protect against the spread of all infections</p> Signup and view all the answers

    'Iatrogenic pneumothorax with venous catheterization' is considered a 'never event' because it:

    <p>Is entirely preventable and should never occur</p> Signup and view all the answers

    'Catheter-associated UTI' is considered a 'never event' because it:

    <p>'Manifests as poor glycemic control in patients'</p> Signup and view all the answers

    What condition requires positive airflow with >12 air exchanges per hour and HEPA filtration for incoming air?

    <p>Protective environment</p> Signup and view all the answers

    What precaution is needed for patients who are colonized with multi-drug resistant organisms such as VRE and MRSA?

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

    When is it necessary to use one-handed scoop method for needle recapping?

    <p>When anticipated patient interaction may involve contact with blood or body fluids</p> Signup and view all the answers

    Which of the following factors contributes to the increased susceptibility of older adults to infections?

    <p>Decreased bone density and osteoporosis</p> Signup and view all the answers

    What is an example of an exogenous source of infection?

    <p>Microorganisms from outside the individual's body</p> Signup and view all the answers

    What is the least invasive fall prevention intervention for older adults?

    <p>Consistent rounding by healthcare staff</p> Signup and view all the answers

    What does the 'P' in a PES statement refer to?

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

    In the nursing process, what kind of data includes what the patient says?

    <p>Subjective data</p> Signup and view all the answers

    What does the term 'endogenous' source of infection refer to?

    <p>Altered normal flora causing an overgrowth</p> Signup and view all the answers

    Which factor is NOT a contributor to the increased susceptibility of older adults to infections?

    <p>Regular exercise routine</p> Signup and view all the answers

    What is an example of a nurse-initiated treatment in the implementation stage of the nursing process?

    <p>Educating a patient about their condition and treatment plan</p> Signup and view all the answers

    Which statement best describes an example of a two-part PES statement?

    <p>A diagnostic label related to its etiology</p> Signup and view all the answers

    What is the primary risk factor for falls among older adults?

    <p>Polypharmacy (use of multiple medications)</p> Signup and view all the answers

    Which type of data involves what can be assessed using senses or measured?

    <p>Objective data</p> Signup and view all the answers

    What does the term 'exogenous' source of infection refer to?

    <p>Organisms from outside the individual’s body</p> Signup and view all the answers

    Which of the following is NOT a condition considered a 'never event' in hospitals?

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

    For which type of isolation do patients need to be placed in a private room or cohort patients, wear gloves and gowns, and have barrier protection?

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

    What is the recommended method for discarding sharps in a healthcare setting?

    <p>Placing them in a puncture-resistant container</p> Signup and view all the answers

    What is the primary risk factor for falls among older adults?

    <p>Weakness or balance problems</p> Signup and view all the answers

    What precaution is needed for patients who are colonized with multi-drug resistant organisms such as VRE and MRSA?

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

    What does the term 'endogenous' source of infection refer to?

    <p>An infection originating from the patient's own microbial flora</p> Signup and view all the answers

    'Catheter-associated UTI' is considered a 'never event' because it:

    <p>Is preventable with appropriate catheter care and maintenance</p> Signup and view all the answers

    'Iatrogenic pneumothorax with venous catheterization' is considered a 'never event' because it:

    <p>Is entirely preventable with proper catheter insertion techniques</p> Signup and view all the answers

    'Latrogenic pneumothorax with venous catheterization' is an example of:

    <p>'Never event' related to medical procedures</p> Signup and view all the answers

    What is the purpose of standard precautions in healthcare settings?

    <p>To prevent transmission of infectious agents from recognized and unrecognized sources of infection in healthcare setting</p> Signup and view all the answers

    What is the primary risk factor for falls among older adults?

    <p>Fear of falling</p> Signup and view all the answers

    Which type of isolation is needed for patients with herpes simplex and varicella zoster (disseminated)?

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

    What must be specified in the provider's order for a restraint?

    <p>Reason for using the restraint</p> Signup and view all the answers

    What is the role of the nurse when instructing assistive personnel about restraints?

    <p>To instruct on alternatives to restraint use</p> Signup and view all the answers

    When is it appropriate to use restraints?

    <p>When managing agitated behavior</p> Signup and view all the answers

    What is an example of an exogenous source of infection?

    <p>Infection from microorganisms outside the individual</p> Signup and view all the answers

    Which factor is NOT a contributor to the increased susceptibility of older adults to infections?

    <p>Fear of falling</p> Signup and view all the answers

    What does the 'P' in a PES statement refer to?

    <p>Problem r/t etiology AEB symptoms</p> Signup and view all the answers

    What type of data involves what can be assessed using senses or measured?

    <p>Objective data</p> Signup and view all the answers

    What is the least invasive fall prevention intervention for older adults?

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

    What is the purpose of standard precautions in healthcare settings?

    <p>To prevent transmission of bloodborne pathogens and other infectious microorganisms in healthcare settings</p> Signup and view all the answers

    What is the maximum duration for an original restraint order for a child under 9 years in a hospital setting?

    <p>1 hour</p> Signup and view all the answers

    In the context of assessing restrained patients, what does CMS stand for?

    <p>Circulation, Motor, Sensation</p> Signup and view all the answers

    What is the primary responsibility of the licensed practical nurse (LPN) regarding restraint use?

    <p>Taking the patient out of restraints</p> Signup and view all the answers

    What must be specified in the provider's order for a restraint?

    <p>Specific duration and circumstances for restraint use</p> Signup and view all the answers

    When is it necessary to use the one-handed scoop method for needle recapping?

    <p>When there is a risk of needlestick injury</p> Signup and view all the answers

    What is an example of an exogenous source of infection?

    <p>Viruses transmitted through respiratory droplets</p> Signup and view all the answers

    What is the goal concerning the use of restraints?

    <p>To discontinue use of restraints as soon as possible</p> Signup and view all the answers

    When is it recommended to use alcohol-based hand rub for hand hygiene?

    <p>Before direct contact with a patient</p> Signup and view all the answers

    Which statement best describes the responsibilities of RNs and LPNs and CNAs regarding restraint use?

    <p>RN must assess, LPN can take patient out of restraints, CNA cannot take patient out of restraints.</p> Signup and view all the answers

    What type of precautions are needed for patients with influenza, adenovirus, and group A strep?

    <p>Droplet precautions</p> Signup and view all the answers

    What is NOT ordered prn in relation to restraint use?

    <p>Renewing orders for restraint duration.</p> Signup and view all the answers

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