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Safety and Hygiene
| Question | Answer |
|---|---|
| Where would you place a patient who is at high risk for falls? | In a room very close to the nurse's station |
| What should the room of a patient who is at risk for falls be like? | Free of clutter, well lit |
| The use of restraints is regulated by ________. | OBRA |
| True or false: A vest restraint is considered a chemical restraint. | False! |
| True or false: a restraint should be used as soon as a patient begins exhibiting potentially harmful behavior. | False! It is a last resort, and you must try alternatives first. |
| If a patient is being restrained, a _____ _______ must be in place for the eventual removal of the restraint | care plan |
| A patient in restraints should be observed and documented on every ______ ________. | 15 minutes |
| True or false: social isolation can result from the use of restraints. | True! |
| True or false: you should avoid giving hygienic care according to your client's preferences because it is time consuming. | False! |
| What type of pressure ulcer involves partial thickness loss of the dermis or epidermis or both? | Stage 2 |
| True or false: Dementia is a risk factor for pressure ulcers. | True, dementia is an example of decreased mental status. |
| True of false: if a patient is not eating enough and is losing weight, this is considered a risk factor for pressure ulcers. | True! |
| Can undermining and tunneling be present in a stage 3 pressure ulcer? | Yes! |
| In what stage of pressure ulcer might you be able to see bone in some cases? | Stage 4 |
| What should the nurse monitor if the patient already has as pressure ulcer? | Size and depth, amount and color of exudate, presence of pain or odor, color of the exposed tissue. |
| True or False: Keeping your patient's skin and clothing dry will help prevent pressure ulcers from forming. | True! |
| True or False: If a patient has as skin tear, the nurse should place a plain gauze pad on the area and tape it to the skin. | False! A NON-ADHERENT dressing should be placed on the area and NO tape should be placed on the skin. |
| How should dentures be placed back into a patient's mouth after cleansing them? | Uppers first, then lowers |
| What types of patients should not have their feet soaked during the bath? | Diabetics, patients with peripheral vascular problems |
| How should the eyes be cleaned during the bath? | With clean water, no soap, from inner canthus to outer canthus. |
| Your patient is taking a blood thinner. What type of razor should be used to shave his face? | Electric razor |
| In what direction should the nurse shave a patient's face with a razor? | In the direction of hair growth |
Created by:
ProfessorGemmel
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