NUR 3480 Med Surg Exam 1 UPDATED QUESTIONS AND CORRECT ANSWERS

NUR 3480 Med Surg Exam 1 UPDATED QUESTIONS AND CORRECT ANSWERS Can I explain the principles of restraints? - CORRECT ANSWER methods have failed Right to be free from unneeded restraints Involve pt family Assessments first! Benefit of use outweigh the risks Ordered by physician Monitor pt & reassess Person, nutritional & elmination needs must be met Skin integrity & ROM Document Why, How, Where & How long What are the alternatives to restraints? - CORRECT ANSWER ∙Consider relocation closer to nurses station ∙Involve family in patient's care ∙Ask someone to "sit" with the patient ∙Use alarm systems to warn of unassisted activity ∙Check environment for hazards ∙Use floor mats on each side of the bed ∙Reduce stimulation ∙Encourage relaxation or diversional activities used only after less restrictive ∙Rule out causes for agitation How often are patients in restraints assessed? Removed? - CORRECT ANSWER Every two hours What are the assessment steps related to the use of restraints? - CORRECT ANSWER Order Reassess q2h (or per facility) hourly Medical 2 fingers under restraint (fist under waist restraint) Skin assessment What are the three types of isolation precautions? - CORRECT ANSWER Contact Principles of Airborne Precautions? - CORRECT ANSWER Airborne, Droplet, spread through the air Negative pressure private room Use respiratory protection Mask on pt if leaves room