List 3 factors that may contribute to safety concerns for the elderly adult.
- ANSWER decreased muscle mass
sensory deficits
use of assistive devices
decreased bone density
postural changes
decreased rom
painful joints
polypharmacy
List the 6 concepts related to safety - ANSWER accountability
advocacy
assessment
clinical decision making
EBP- Evidence-based practice
quality improvement
what is the leading cause of injury in older adults? - ANSWER falls
which of the following places a client at an increased risk of falls? -
ANSWER previous history of falls
List 5 nursing interventions to prevent falls - ANSWER complete a falls
risk assessment
falls risk alerts
regular toileting
call light within reach
orient client
hourly rounding
keep room free and uncluttered
nonskid footwear
gait belts
lock all wheels
, What are 3 types of restraints? - ANSWER chemical
physical
human 1:1
which of the following is an example of inappropriate use of restraints? -
ANSWER a nurse who assigns a sitter to a patient who is disoriented
and keeps trying to get out of bed
list 3 nonpharmacological nursing interventions to avoid the use of
restraints - ANSWER distraction
orientation
frequent observation
diversion activities
true or false?
a nurse may not place a patient in restraints without first obtaining a
physician order - ANSWER false- in an urgent situation a patient can
be placed in restraints
how often are you performing checks for a client in violent restraints -
ANSWER a client in violent restraints requires a 1:1 sitter who is
completing vital signs, assessing mentation and loc every 15 min
list the 4 primary findings of Parkinson's disease - ANSWER
bradykinesia
rest tremors
rigidity
postural and gait impairment
in Parkinson's disease there is a decrease in which neurotransmitter -
ANSWER dopamine
a client with Parkinson's disease is experiencing decreased blinking,
masking, speech abnormalities, stiffness or truncal muscles, stooping
and loss of balance but is still able to complete all activities of daily living
and live independently. what stage is the client in - ANSWER stage 3
- ANSWER decreased muscle mass
sensory deficits
use of assistive devices
decreased bone density
postural changes
decreased rom
painful joints
polypharmacy
List the 6 concepts related to safety - ANSWER accountability
advocacy
assessment
clinical decision making
EBP- Evidence-based practice
quality improvement
what is the leading cause of injury in older adults? - ANSWER falls
which of the following places a client at an increased risk of falls? -
ANSWER previous history of falls
List 5 nursing interventions to prevent falls - ANSWER complete a falls
risk assessment
falls risk alerts
regular toileting
call light within reach
orient client
hourly rounding
keep room free and uncluttered
nonskid footwear
gait belts
lock all wheels
, What are 3 types of restraints? - ANSWER chemical
physical
human 1:1
which of the following is an example of inappropriate use of restraints? -
ANSWER a nurse who assigns a sitter to a patient who is disoriented
and keeps trying to get out of bed
list 3 nonpharmacological nursing interventions to avoid the use of
restraints - ANSWER distraction
orientation
frequent observation
diversion activities
true or false?
a nurse may not place a patient in restraints without first obtaining a
physician order - ANSWER false- in an urgent situation a patient can
be placed in restraints
how often are you performing checks for a client in violent restraints -
ANSWER a client in violent restraints requires a 1:1 sitter who is
completing vital signs, assessing mentation and loc every 15 min
list the 4 primary findings of Parkinson's disease - ANSWER
bradykinesia
rest tremors
rigidity
postural and gait impairment
in Parkinson's disease there is a decrease in which neurotransmitter -
ANSWER dopamine
a client with Parkinson's disease is experiencing decreased blinking,
masking, speech abnormalities, stiffness or truncal muscles, stooping
and loss of balance but is still able to complete all activities of daily living
and live independently. what stage is the client in - ANSWER stage 3
