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

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

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

What is the goal concerning the use of restraints?

<p>To discontinue use as soon as possible (D)</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 (D)</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 (A)</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 (A)</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 (B)</p> Signup and view all the answers

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

<p>All of the above (D)</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 (B)</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 (C)</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 (A)</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 (B)</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 (C)</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' (B)</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 (A)</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 (C)</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 (C)</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 (D)</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 (E)</p> Signup and view all the answers

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

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

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

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

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

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

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

<p>Altered normal flora causing an overgrowth (C)</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 (D)</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 (C)</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 (B)</p> Signup and view all the answers

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

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

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

<p>Objective data (B)</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 (A)</p> Signup and view all the answers

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

<p>Influenza (C)</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 (B)</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 (D)</p> Signup and view all the answers

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

<p>Weakness or balance problems (D)</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 (D)</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 (C)</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 (C)</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 (B)</p> Signup and view all the answers

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

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

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

<p>Fear of falling (C)</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 (C)</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 (D)</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 (B)</p> Signup and view all the answers

When is it appropriate to use restraints?

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

What is an example of an exogenous source of infection?

<p>Infection from microorganisms outside the individual (B)</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 (C)</p> Signup and view all the answers

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

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

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

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

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

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

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

<p>Circulation, Motor, Sensation (D)</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 (A)</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 (C)</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 (C)</p> Signup and view all the answers

What is an example of an exogenous source of infection?

<p>Viruses transmitted through respiratory droplets (B)</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 (C)</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 (D)</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. (A)</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 (D)</p> Signup and view all the answers

What is NOT ordered prn in relation to restraint use?

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

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