The Importance of Using Physical Restraint as a Last Resort in Healthcare
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Questions and Answers

Which of the following is considered a physical restraint?

  • Using bed rails with 4 side rails up (correct)
  • Keeping the call bell within reach
  • Encouraging family visitation
  • Offering distractions

    • What is the maximum duration for which physical restraints can be used?

  • 48 hours
  • 12 hours
  • 72 hours
  • 24 hours (correct)

    • What should be done when using extremity restraints?

  • Position the patient with wrist restraints flat in a supine position
  • Ensure two fingers can be inserted between the restraint and patient's extremity (correct)
  • Tie the restraint to the side rail using a quick-release knot
  • Keep the call bell out of reach

    • What is the purpose of using a quick-release knot when tying extremity restraints?

    <p>To easily release the restraint in case of an emergency</p> Signup and view all the answers

    What is the recommended frequency for checking on a patient in physical restraints?

    <p>Every 15 minutes</p> Signup and view all the answers

    What is the purpose of keeping the call bell within reach of a patient in physical restraints?

    <p>To allow the patient to call for help if needed</p> Signup and view all the answers

    What should be done before applying restraints to a patient?

    <p>Check the restraints for correct size</p> Signup and view all the answers

    What should be done if a patient asks for bed rails to be up?

    <p>Consider it as a request for restraint and assess the need</p> Signup and view all the answers

    What should be done if a patient is found in a supine position with wrist restraints flat?

    <p>Remove the restraints immediately</p> Signup and view all the answers

    Match the following developmental stages with their primary accident risks:

    <p>Fetus = abnormal growth and development Neonate = infection, falls, and SIDS Infant = falls, injuries, burns, suffocation/drowning, and inhalation or ingestion of foreign bodies Toddler = falls, cuts, burns, suffocation/drowning, and inhalation or ingestion of foreign bodies</p> Signup and view all the answers

    Match the following stages with their associated safety measures:

    <p>Neonate = Use crib rails, never leave infant unattended Infant = Childproof environment, use car seats properly Preschooler = Poison prevention control, use car seats properly School-aged child = Bicycle safety, wear seatbelts</p> Signup and view all the answers

    Match the following stages with their common accident risks:

    <p>Preschooler = falls, cuts, burns, drowning, inhalation/ingestion, guns and weapons School-aged child = burns, drowning, broken bones, concussions, inhalation/ingestion, guns and weapons, substance abuse Adolescent = motor vehicle accidents, drowning, guns and weapons, inhalation/ingestion Adult = stress, domestic violence, motor vehicle accidents, industrial accidents, drug and alcohol abuse</p> Signup and view all the answers

    Match the following stages with their respective safety measures:

    <p>Adolescent = Safe driving skills, avoidance of tobacco and alcohol Adult = Unsafe health habits and coping strategies Older adult = Accident prevention, safe home environment and medication safety School-aged child = Interventions for safety at home, school, and neighborhood</p> Signup and view all the answers

    Match the following age groups with their primary accident risks:

    <p>Older adult = falls, motor vehicle accidents, elder abuse, sensorimotor changes, and fires Infant = falls, injuries, burns, suffocation/drowning, and inhalation or ingestion of foreign bodies Adolescent = motor vehicle accidents, drowning, guns and weapons, inhalation/ingestion Preschooler = falls, cuts, burns, drowning, inhalation/ingestion, guns and weapons</p> Signup and view all the answers

    Match the following age groups with the respective safety measures:

    <p>Infant = Use car seats properly, rear facing car seats in the back seat Toddler = Childproof environment, poison prevention control Preschooler = Same as toddler Adolescent = Safe driving skills, avoidance of tobacco and alcohol</p> Signup and view all the answers

    Match the stages with their respective accident causes:

    <p>Neonate = Infection, falls, and SIDS Toddler = falls, cuts, burns, suffocation/drowning, and inhalation or ingestion of foreign bodies School-aged child = burns, drowning, broken bones, concussions, inhalation/ingestion, guns and weapons, substance abuse Adult = stress, domestic violence, motor vehicle accidents, industrial accidents, drug and alcohol abuse</p> Signup and view all the answers

    Match the following age groups with their safety measures:

    <p>School-aged child = Interventions for safety at home, school, and neighborhood Adolescent = Safe driving skills, risk of infection with body piercing, guns and violence Adult = Unsafe health habits and coping strategies Older adult = Orient person to their surroundings, safe home environment and medication safety</p> Signup and view all the answers

    Match the following age groups with their primary accident risks:

    <p>Neonate = Infection, falls, and SIDS Toddler = falls, cuts, burns, suffocation/drowning, and inhalation or ingestion of foreign bodies Adolescent = motor vehicle accidents, drowning, guns and weapons, inhalation/ingestion Adult = stress, domestic violence, motor vehicle accidents, industrial accidents, drug and alcohol abuse</p> Signup and view all the answers

    Match the following age groups with their safety measures:

    <p>Fetus = Preventing accidents at developmental stages Infant = Use crib rails, never leave infant unattended School-aged child = Bicycle safety, child abduction awareness, wear seatbelts Adolescent = Safe driving skills, avoidance of tobacco and alcohol</p> Signup and view all the answers

    Match the developmental stages with the corresponding safety hazards:

    <p>Fetus = Abnormal growth and development Neonate = Infection, falls, and SIDS Infant = Falls, injuries, burns, suffocation/drowning, and inhalation or ingestion of foreign bodies Toddler = Falls, cuts, burns, suffocation/drowning, and inhalation or ingestion of foreign bodies</p> Signup and view all the answers

    Match the following accident prevention measures with the corresponding developmental stages:

    <p>Neonate = Use crib rails and never leave infant unattended Infant = Childproof environment and use car seats properly Preschooler = Poison prevention control and use car seats properly School-aged child = Bicycle safety and child abduction awareness</p> Signup and view all the answers

    Match the developmental stages with the corresponding safety interventions:

    <p>Adolescent = Safe driving skills and avoidance of tobacco and alcohol Adult = Unsafe health habits and coping strategies Older adult = Accident prevention and safe home environment</p> Signup and view all the answers

    Match the following safety hazards with the appropriate developmental stages:

    <p>Stress, domestic violence, motor vehicle accidents, industrial accidents, drug and alcohol abuse = Adult Burns, drowning, broken bones, concussions, inhalation/ingestion, guns and weapons, substance abuse = School-aged child Motor vehicle accidents, drowning, guns and weapons, inhalation/ingestion = Adolescent Falls, motor vehicle accidents, elder abuse, sensorimotor changes, and fires = Older adult</p> Signup and view all the answers

    Match the following safety measures with their corresponding developmental stages:

    <p>Wear seatbelts and interventions for safety at home, school, and neighborhood = School-aged child Risk of infection with body piercing and avoidance of tobacco and alcohol = Adolescent Orient person to their surroundings and safe home environment = Older adult Unsafe health habits and coping strategies = Adult</p> Signup and view all the answers

    Match the safety hazards with the related developmental stages:

    <p>Abnormal growth and development = Fetus Infection, falls, and SIDS = Neonate Falls, cuts, burns, suffocation/drowning, and inhalation or ingestion of foreign bodies = Toddler Motor vehicle accidents, industrial accidents, drug and alcohol abuse = Adult</p> Signup and view all the answers

    Match the following safety interventions with the corresponding developmental stages:

    <p>Childproof environment and poison prevention control = Infant Safe driving skills and risk of infection with body piercing = Adolescent Unsafe health habits and coping strategies = Adult Accident prevention and orient person to their surroundings = Older adult</p> Signup and view all the answers

    Match the safety hazards with their appropriate developmental stages:

    <p>Inhalation or ingestion of foreign bodies, falls, injuries, burns, suffocation/drowning = Infant Burns, drowning, broken bones, concussions, inhalation/ingestion, guns and weapons, substance abuse = School-aged child Motor vehicle accidents, drowning, guns and weapons, inhalation/ingestion = Adolescent Stress, domestic violence, motor vehicle accidents, industrial accidents, drug and alcohol abuse = Adult</p> Signup and view all the answers

    Match the following safety precautions with their corresponding developmental stages:

    <p>Use crib rails and never leave infant unattended = Neonate Childproof environment and use car seats properly = Infant Bicycle safety and child abduction awareness = School-aged child Unsafe health habits and coping strategies = Adult</p> Signup and view all the answers

    Match the developmental stages with the corresponding safety interventions:

    <p>Fetus = Preventing accidents at developmental stages Neonate = Use crib rails and never leave infant unattended Infant = Childproof environment and use car seats properly Toddler = Poison prevention control and use car seats properly</p> Signup and view all the answers

    Which age group is at the highest risk for unintentional injuries due to falls?

    <p>Adults aged 65+</p> Signup and view all the answers

    Which of the following is NOT a primary cause of falls in older adults?

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

    What is one of the primary reasons for identifying at-risk patients?

    <p>To prevent further incidents</p> Signup and view all the answers

    What should be done if a patient experiences a fall?

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

    What should be done to prevent further incidents after a fall?

    <p>Institute appropriate measures</p> Signup and view all the answers

    What is one of the interventions to prevent falls in older adults?

    <p>Exercise improves balance</p> Signup and view all the answers

    What should be assessed for risk factors in the home to prevent falls?

    <p>Environmental hazards</p> Signup and view all the answers

    What is the purpose of using a fall risk band (yellow) on a patient?

    <p>To identify the patient as at risk for falls</p> Signup and view all the answers

    What is one of them is considered a primary cause for falls ?

    <p>Unfamiliar environments</p> Signup and view all the answers

    What should be done if a patient asks for bed rails to be up?

    <p>Comply with the patient's request</p> Signup and view all the answers

    Which of the following is NOT a seizure precaution?

    <p>Restraint of the patient</p> Signup and view all the answers

    What are some of the risk factors for seizure?

    <p>To prevent pulmonary aspiration</p> Signup and view all the answers

    What should a nurse do if a fire occurs in a healthcare setting?

    <p>Evacuate patients and other people to a safe area</p> Signup and view all the answers

    Which of the following is a seizure precaution?

    <p>Reducing environmental stimuli</p> Signup and view all the answers

    What is the recommended position to place a patient during a seizure?

    <p>Side-lying position</p> Signup and view all the answers

    What is the purpose of using a bite block or oral airway during a seizure?

    <p>To prevent the patient from biting their tongue</p> Signup and view all the answers

    What is the first step in the RACE fire safety procedure?

    <p>Rescue anyone in danger</p> Signup and view all the answers

    What is the proper body mechanics for a nurse when lifting heavy objects?

    <p>Use the hips and knees, avoiding bending of the back</p> Signup and view all the answers

    What is one of the safety precautions to reduce the risk of falls?

    <p>Loosen any tight clothing</p> Signup and view all the answers

    What is the purpose of using oral suction during seizure precautions?

    <p>To remove excess saliva</p> Signup and view all the answers

    What is one of the safety precautions to prevent falls in older adults?

    <p>Provide a safe environment</p> Signup and view all the answers

    Study Notes

    Physical Restraints

    • A physical restraint is considered when a device or object is used to restrict a patient's movement.
    • Physical restraints should not be used for more than a maximum duration.
    • When using extremity restraints, it is essential to monitor the patient's circulation and skin integrity.
    • The purpose of using a quick-release knot when tying extremity restraints is to enable rapid removal in case of emergency.
    • Patients in physical restraints should be checked on at least every 2 hours to ensure their safety and comfort.
    • Keeping the call bell within reach of a patient in physical restraints allows them to easily call for assistance.
    • Before applying restraints to a patient, the nurse should try alternative methods and ensure that the decision to use restraints is justified.

    Patient Safety

    • If a patient asks for bed rails to be up, it should be done to ensure their safety and prevent falls.
    • If a patient is found in a supine position with wrist restraints flat, it can lead to nerve damage and should be immediately addressed.
    • Patients who are at risk of falling should have their bed rails up, and their call bell should be within reach.

    Developmental Stages and Safety

    • Infants are at risk of suffocation, strangulation, and falls.
    • Toddlers are at risk of poisoning, burns, and falls.
    • Preschoolers are at risk of drowning, poisoning, and falls.
    • School-age children are at risk of injury from sports, poisoning, and falls.
    • Adolescents are at risk of injury from sports, violence, and falls.
    • Older adults are at risk of falls, especially due to decreased mobility, vision, and hearing.

    Fall Prevention

    • Older adults are at the highest risk for unintentional injuries due to falls.
    • Medication is not a primary cause of falls in older adults.
    • Identifying at-risk patients is essential to prevent falls and take necessary precautions.
    • If a patient experiences a fall, they should be assessed for injuries, and necessary interventions should be implemented.
    • To prevent further incidents after a fall, the patient's environment should be assessed for hazards, and necessary modifications should be made.
    • Interventions to prevent falls in older adults include removing hazards, improving lighting, and encouraging exercise.
    • A patient's home should be assessed for risk factors, such as inadequate lighting and slippery floors, to prevent falls.
    • A fall risk band (yellow) is used to identify patients who are at risk of falling.
    • Decreased mobility, vision, and hearing are primary causes of falls in older adults.

    Seizure Precautions

    • Seizure precautions include providing a safe environment, monitoring the patient, and having emergency equipment available.
    • Risk factors for seizures include a history of seizures, epilepsy, and head injuries.
    • If a patient has a seizure, the nurse should clear the area, turn the patient to their side, and provide oxygen.
    • The recommended position to place a patient during a seizure is on their side in a lateral position.
    • The purpose of using a bite block or oral airway during a seizure is to protect the patient's airway.
    • The purpose of using oral suction during seizure precautions is to remove secretions and maintain a patent airway.

    Fire Safety

    • If a fire occurs in a healthcare setting, the nurse should Rescue patients in immediate danger, Activate the fire alarm, Contain the fire by closing doors, and Extinguish or Evacuate.
    • The first step in the RACE fire safety procedure is to Rescue patients in immediate danger.

    Body Mechanics

    • The proper body mechanics for a nurse when lifting heavy objects involves bending at the knees, keeping the object close, and lifting with the legs.

    Safety Precautions

    • Safety precautions to reduce the risk of falls include removing hazards, improving lighting, and encouraging exercise.
    • Safety precautions to prevent falls in older adults include installing handrails, improving lighting, and providing a safe environment.

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    Description

    Learn about the importance of using physical restraint as a last resort in healthcare settings. Discover alternative methods to immobilize or reduce a person's freedom of movement, such as encouraging family visitation and offering distractions. Explore the documentation requirements for implementing physical restraints. Test your knowledge with this informative quiz.

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