What is the purpose of a gait belt? - ANSWER It provides a means to steady a patient at the center of gravity or to transfer a patient safely without pulling on the patient's body.
A combative patient comes in to the emergency room and is swinging his fists at the nurses. With the assistance ...
2024 NURS 342 EXAM 4 WITH 100% CORRECT ANSWSERS
AND WELL COMPOSED QUESTIONS.
What is the purpose of a gait belt? - ANSWER It provides a means to steady a
patient at the center of gravity or to transfer a patient safely without pulling on the
patient's body.
A combative patient comes in to 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? - ANSWER 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? - ANSWER Suction the airway as necessary.
The nurse checks the patient's extremity restraints hourly. What is the nurse looking
for related to this type of restraint? - ANSWER • 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.
If a patient has dysphagia (difficulty swallowing), which foods found on the patient's
tray may be cause for concern or require further intervention? - ANSWER • Grape
juice
• Sausage patty
• Toast with butter
The nurse is caring for an elderly person who has suffered a stroke and now has
left side weakness and dysphagia. The nurse is being very careful to prevent the
patient from aspirating by taking which of the following measures? - ANSWER •
Having the patient maintain an upright position for 30 to 60 minutes after eating.
• Having the patient tilt her head forward slightly when swallowing.
Risk factors for falls among inpatients - ANSWER a history of falling
muscle weakness
agitation and confusion
urinary incontinence or frequency
postural hypotension
use of high risk medications (e.g., benzodiazepines, opioids and antihistamines, and
sedative hypnotics)
When should side rails be up? - ANSWER when patient is confused, sedated, or
weak
Physical restraint - ANSWER any manual method, physical or mechanical device,
material, or equipment that immobilizes or reduces the ability of a patient to move
their extremities, body, or head freely.
Restraint options - ANSWER Elbow Restraint
Belt restraint
Extremity (ankle or wrist) restraint
Mitten restraint
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller DOCRISHNA. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $6.59. You're not tied to anything after your purchase.
