NU 301 Final Review Questions With Correct Answers

NU 301 Final Review Questions With
Correct Answers


measures to maintain a safe environment for patients - CORRECT
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ANSWER✔✔-•Lighting
•Obstacles
•Bathroom hazards |




•Be sure bed is low, appropriate side rails are up, wheels on bed are
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locked, and call light is within reach.
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•Non-skid socks |




**Safety rounds should be performed by the nurse at every nurse-client
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interaction.


Physical and chemical restraints restrict... - CORRECT ANSWER✔✔-a
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patient's physical activity or normal access to the body.
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What is a physical restraint? - CORRECT ANSWER✔✔-A physical
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restraint is any manual method, physical or mechanical device, material,
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,or equipment that immobilizes or reduces the ability of a patient to
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move his or her arms, legs, body, or head freely
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Restraints must meet at least one out of four criteria. What are the four
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criteria? - CORRECT ANSWER✔✔--Reduce the risk of patient injury from
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falls.
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-Prevent interruption of therapy.
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-Prevent a confused or combative patient from removing life support
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equipment.
-Reduce the risk of injury to others by the patient.
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What must a restraint order include? - CORRECT ANSWER✔✔-reason,
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type, how long it will be in effect
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can restraints be ordered on a PRN basis? - CORRECT ANSWER✔✔-
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NOOO!


What should nurses consider when working with a restrained patient? -
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CORRECT ANSWER✔✔--Assess skin integrity every 2 hours.
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-Offer fluids, food and provide hygiene.
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-Monitor vital signs. | |




-Offer ROM exercises. | |




-Pad bony prominences,
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, -Remove and replace restraints frequently to ensure circulation.
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-Use quick release knots to bed frame-no side rails.
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-Verify restraints loose enough for two fingers to fit between device and
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client.
-Never leave patient unattended.
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-Document, document, document. | |




What are some alternatives to restraints? - CORRECT ANSWER✔✔--
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family involvement
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-put patient in a room near the nurses station
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-evaluate if the behavior is caused by medication
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-constantly assess patient | |




general safety - CORRECT ANSWER✔✔-•Keep bed in low position.
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•Keep bed locked.| |




•Keep a light on.| | |




•Two side rails up.
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•Use assistive devices.
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•Call light within reach of patient.
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•No-slip socks or shoes. | | |




•Avoid clutter. |




•Good ergonomics(body mechanics)
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