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Week 10 Safety Exam

Week 10 NOC Safety Exam

QuestionAnswer
What is the purpose of the gait belt? It provides a means to steady a patient at the center of gravity
A combative patient comes into the emergency room and is swinging his fists at the nurses. With the assistance of security, the charge nurse places wrist restraints on the patient. What would be a priority action at this time? Notify the health care provider for follow-up evaluation.
The patient begins to cough and choke while the nurse is feeding him. What should the nurse do? Suction the airway as necessary
The nurse checks the patient's extremity restraints hourly. What is the nurse looking for specific to this type of restraint? Select all that apply. - Distal pulses - Temperature of the skin distal to the restraint - Proper placement of the restraint - Sensation of the distal part of the extremity - Color of skin distal to the restraint
Which of the following can be delegated? (select all that apply) - Transfer from bed to chair - Applying restraints
If a patient has dysphagia (difficulty swallowing), which of the following foods found on the patient's tray may be cause for concern or require further intervention? (Select all that apply). - Grape Juice - Sausage patty - Toast with butter ?
A nurse is determining which type of restraint to apply to a toddler who recently had facial surgery and is pulling at her sutures and oxygen tubing and rubbing her face. Which type of restraint would likely be the least restrictive and most effective? Elbow restraint
What should the nurse do prior to applying physical restraints? Initially, provide, a restraint-free environment
The nurse manager is reviewing the use of restraints during an in=service with the staff. Which of the following is inaccurate information that should not be included in the discussion? Restraints provide a reliable method to prevent falls without serious complications.
The nurse is caring for an elderly person who has suffered a stroke and now has left-sided weakness and dysphagia. The nurse is being careful to prevent the patient from aspirating by taking which of the following measures? (Select all that apply). - Having the patient maintain an upright position for 30-60 minutes after eating. - Having the patient tilt her head forward slightly when swallowing
The daughter of an elderly patient comes to visit her mother, who was recently admitted to the hospital. The daughter notices a yellow band on her mother's wrist and asks what it is for. What information should the nurse include? Select all that apply). - age over 65 - new and different environment - history of a fall - having an IV- Taking muscle relaxants
The nurse is providing an in-service on patient safety and reducing the risk of patient falls. What information should the nurse include in this discussion? (Select all that apply). -Organize a predictable daily routine that alternates activity and rest for the patient. - Respond promptly to a patient's call light.- Keep the bed in a low, locked postition
A patient with left sided weakness needs to be transferred to a wheelchair. On which side of the bed should the nurse place the wheelchair? On the patient's strong (unaffected) side.
Created by: Brandi Sizemore
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