NU 301 Final Review Exam Questions And Already Passed Answers.
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Course
NU301
Institution
NU301
measures to maintain a safe environment for patients - Answer •Lighting
•Obstacles
•Bathroom hazards
•Be sure bed is low, appropriate side rails are up, wheels on bed are locked, and call light is within reach.
•Non-skid socks
**Safety rounds should be performed by the nurse a...
NU 301 Final Review Exam Questions
And Already Passed Answers.
measures to maintain a safe environment for patients - Answer •Lighting
•Obstacles
•Bathroom hazards
•Be sure bed is low, appropriate side rails are up, wheels on bed are locked, and call light is within reach.
•Non-skid socks
**Safety rounds should be performed by the nurse at every nurse-client interaction.
Physical and chemical restraints restrict... - Answer a patient's physical activity or normal access to the
body.
What is a physical restraint? - Answer A physical restraint is any manual method, physical or
mechanical device, material, or equipment that immobilizes or reduces the ability of a patient to move
his or her arms, legs, body, or head freely
Restraints must meet at least one out of four criteria. What are the four criteria? - Answer -Reduce the
risk of patient injury from falls.
-Prevent interruption of therapy.
-Prevent a confused or combative patient from removing life support equipment.
-Reduce the risk of injury to others by the patient.
What must a restraint order include? - Answer reason, type, how long it will be in effect
can restraints be ordered on a PRN basis? - Answer NOOO!
,What should nurses consider when working with a restrained patient? - Answer -Assess skin integrity
every 2 hours.
-Offer fluids, food and provide hygiene.
-Monitor vital signs.
-Offer ROM exercises.
-Pad bony prominences,
-Remove and replace restraints frequently to ensure circulation.
-Use quick release knots to bed frame-no side rails.
-Verify restraints loose enough for two fingers to fit between device and client.
-Never leave patient unattended.
-Document, document, document.
What are some alternatives to restraints? - Answer -family involvement
-put patient in a room near the nurses station
-evaluate if the behavior is caused by medication
-constantly assess patient
general safety - Answer •Keep bed in low position.
•Keep bed locked.
•Keep a light on.
•Two side rails up.
•Use assistive devices.
•Call light within reach of patient.
•No-slip socks or shoes.
•Avoid clutter.
•Good ergonomics(body mechanics)
•Prevent needle sticks.
•Keep cords and fluids off floor.
•Fire Safety Education
, •Keep meds and sharps out of reach.
Correct BP cuff size - Answer ¨Widthof bladder will cover 2/3 length of upper arm.
¤Or
¨Cuff width is 40% of arm circumference
¨Length of bladder encircles 80% of arm.
¨Place above antecubital.
what will the following do to a BP reading?
1. too narrow
2. too wide - Answer 1. high reading
2. low reading
ranges of HR throughout life
1. infant
2. toddler
3. preschooler
4. school-age child
5. adolescent
6. adult - Answer 1. infant: 120-160
2. toddler: 90-140
3. preschooler: 80-110
4. school-age child: 75-100
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