Matching questions
1-40 of 40
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In what situation would side rails be considered a restraint?
a. When all side rails are raised on a patient's bed
b. When two side rails are up for safety
c. When a single rail raised to prevent falls
d. When one rail is up during transport
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Answer A: When all side rails are raised on a patients bed.
Rationale: Raising all side rails limits the patient's ability to get out of bed.
Effectively restraining them.
What is the main purpose of a fall risk assessment tool?
a. To document fall incidents
b. To identify patients at risk for falls
c. To replace regular patient assessments
d. To fulfill documentation requirements
,Give this one a try later!
Answer B: To identify patients at risk for falls.
Rationale: The assessment tool helps identify factors that put patients at risk
for falls.
Chemical restraints are typically used for:
a. Preventing falls
b. Controlling behavior through medication
c. Securing patients to the bed
d. Limiting mobility
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Answer: B - Controlling behavior through medication
Rationale: Chemical restraints use medications to manage a patient’s
behavior and are typically used when physical restraints are not effective
or appropriate.
Which of the following is appropriate nursing action for a patient in restraints?
a. Leave restraints on continuously for 24 hours
b. Remove restraints every 2 hours to perform range of motioin exercises
c, Position the patient flat on their back at all times
d. Allow family to adjust the restraints as needed.
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, Answer B: Remove restraints every 2 hours to perform range of motion
exercises.
Rationale: Removing restraints every 2 hours promotes circulation, prevents
muscle atrophy, and provides the patient with necessary movement.
If a patient in restraints exhibits signs of distress, the nurse's first action should be:
a. Notify the family
b. Remove the restraints
c. Call the healthcare provider
d. Document the findings
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Answer B: Remove the restraints
Rationale: Removing the restraints immediately relieves the patient and
allows for further assessment of the distress
Which of the following is a complication associated with prolonged restrain use?
a. Improved mobility
b. Increased independence
c. Muscle atrophy
d. Enhanced cognitive function
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Answer C: Muslce Atrophy
Rationale: Prolonged use of restraints can lead to decreased muscle tone
and strength due to lack of movement
1-40 of 40
Click a definition to match it with a term
In what situation would side rails be considered a restraint?
a. When all side rails are raised on a patient's bed
b. When two side rails are up for safety
c. When a single rail raised to prevent falls
d. When one rail is up during transport
Give this one a try later!
Answer A: When all side rails are raised on a patients bed.
Rationale: Raising all side rails limits the patient's ability to get out of bed.
Effectively restraining them.
What is the main purpose of a fall risk assessment tool?
a. To document fall incidents
b. To identify patients at risk for falls
c. To replace regular patient assessments
d. To fulfill documentation requirements
,Give this one a try later!
Answer B: To identify patients at risk for falls.
Rationale: The assessment tool helps identify factors that put patients at risk
for falls.
Chemical restraints are typically used for:
a. Preventing falls
b. Controlling behavior through medication
c. Securing patients to the bed
d. Limiting mobility
Give this one a try later!
Answer: B - Controlling behavior through medication
Rationale: Chemical restraints use medications to manage a patient’s
behavior and are typically used when physical restraints are not effective
or appropriate.
Which of the following is appropriate nursing action for a patient in restraints?
a. Leave restraints on continuously for 24 hours
b. Remove restraints every 2 hours to perform range of motioin exercises
c, Position the patient flat on their back at all times
d. Allow family to adjust the restraints as needed.
Give this one a try later!
, Answer B: Remove restraints every 2 hours to perform range of motion
exercises.
Rationale: Removing restraints every 2 hours promotes circulation, prevents
muscle atrophy, and provides the patient with necessary movement.
If a patient in restraints exhibits signs of distress, the nurse's first action should be:
a. Notify the family
b. Remove the restraints
c. Call the healthcare provider
d. Document the findings
Give this one a try later!
Answer B: Remove the restraints
Rationale: Removing the restraints immediately relieves the patient and
allows for further assessment of the distress
Which of the following is a complication associated with prolonged restrain use?
a. Improved mobility
b. Increased independence
c. Muscle atrophy
d. Enhanced cognitive function
Give this one a try later!
Answer C: Muslce Atrophy
Rationale: Prolonged use of restraints can lead to decreased muscle tone
and strength due to lack of movement
