17 Questions
In a hospital, what is the maximum time limit for each original restraint order and renewal for adults (18 years +)?
4 hours
When a restraint is needed, what type of order is required and who must provide the order?
Provider orders required and must be ordered by a healthcare provider
What is the goal regarding the use of restraints for patients?
To discontinue using restraints as soon as possible
Who is responsible for assessing the patient's behavior, orientation to environment, need for restraints, and appropriate use of restraints?
Registered Nurse (RN)
What is the maximum consecutive hours for which orders may be renewed for a patient in restraints?
24 hours
What must a registered nurse (RN) assess for nonviolent patients who are in restraints?
Every 2 hours
What can a Licensed Practical Nurse (LPN) do regarding patients in restraints?
Take the patient out of restraints
Under what circumstances can a restraint be used according to the given information?
To prevent interruption of therapy
Which of the following is NOT a part of standard precautions for infection control?
Wearing gloves only when touching blood and body fluids
What should be used for hand hygiene when hands are not visibly soiled or contaminated with blood or body fluids?
Alcohol-based hand rub
Which type of isolation is needed for diseases transmitted through respiratory droplets?
Droplet isolation
What is recommended regarding artificial fingernails and extenders if duties include direct contact with patients at high risk for infection?
They should be removed during patient care
What is the recommended method for needle recapping?
Using one-handed scoop method
When should hands be washed with non-antimicrobial or antimicrobial soap and water according to the text?
When hands are visibly soiled or contaminated with blood or body fluids
What should be used to wash hands if contact with spores is likely to have occurred according to the text?
Antimicrobial soap and water
"Respiratory hygiene and cough etiquette" includes which of the following actions according to the text?
Having pts cover nose and mouth when sneezing and coughing
What type of isolation is needed for specific diseases transmitted through the air?
Airborne isolation
Study Notes
Restraint Orders and Use
- Maximum time limit for each original restraint order and renewal for adults (18 years +): not specified
- Type of order required when a restraint is needed: physician's order
- Goal regarding the use of restraints for patients: to minimize use and ensure patient safety
- Responsible for assessing patient's behavior, orientation to environment, need for restraints, and appropriate use of restraints: RN
Assessment and Care
- Maximum consecutive hours for which orders may be renewed for a patient in restraints: not specified
- RN must assess for nonviolent patients who are in restraints: circulation, sensation, and movement
- LPN's role regarding patients in restraints: assist with care, but not responsible for assessing or initiating restraints
Infection Control and Isolation
- Circumstances under which a restraint can be used: not specified
- Not part of standard precautions for infection control: none specified
- Hand hygiene when hands are not visibly soiled or contaminated with blood or body fluids: use alcohol-based hand rub
- Type of isolation needed for diseases transmitted through respiratory droplets: droplet precautions
- Recommendation for artificial fingernails and extenders if duties include direct contact with patients at high risk for infection: avoid their use
- Recommended method for needle recapping: do not recap needles
Hand Hygiene and Isolation
- When to wash hands with non-antimicrobial or antimicrobial soap and water: after caring for a patient, after using the bathroom, before eating, and after blowing nose, coughing, or sneezing
- Hand washing solution to use if contact with spores is likely to have occurred: soap and water
Respiratory Hygiene and Cough Etiquette
- Actions included in "respiratory hygiene and cough etiquette": covering the mouth and nose with a tissue, throwing away the tissue, and performing hand hygiene
- Type of isolation needed for specific diseases transmitted through the air: airborne precautions
Prepare for Exam 1 by reviewing information on restraints including their application, protocols, delegation, and appropriateness. Understand the use of physical restraints as a last resort and the necessity of provider orders for their application.
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