PCA exam questions with complete
solutions already passed
co worker safety tips for one on one - correct answer ✔✔stay alert
sit facing the patient
no cell phone usage
use the restrictive restraints for managing the patients behavior if ordered
validation therapy - correct answer ✔✔when you try to understand what is "real" for the person with
dementia and respond accordingly.
six factors that could affect a persons vital signs - correct answer ✔✔injury or illness
exercise
emotions
medical conditions
age
gender
normal BP - correct answer ✔✔systolic: 90-140
diastolic: 60-90
Normal oral temperature - correct answer ✔✔97.6-99.6
Normal axillary temperature - correct answer ✔✔96.6-98.6
axillary temperature is taken where - correct answer ✔✔armpit
normal rectal temperature - correct answer ✔✔98.6-100.6
, Normal pulse range - correct answer ✔✔66-100 beats per minute
Normal respiration range - correct answer ✔✔12-20 per minute
normal pulse oximetry - correct answer ✔✔> or equal to 95%
report vital sign measurements immediately to the nurse if they are abnormally _____ or _____. -
correct answer ✔✔High/Low
besides the rate when taking a pulse, what do you need to be aware of? - correct answer ✔✔Rhythm
and Quality
6 reasons a patient may be at risk to fall - correct answer ✔✔history of a fall
aged over 65
taking 3-4 medications daily
problems with the bladder or bowel
poor mobility
sensory imparement
male gender
what is the number one reason patients fall? - correct answer ✔✔They need to use the restroom
what agency issues the standards reguarding the use of restraints? - correct answer ✔✔The joint
commission and CMS
Name a reason a patient may need to be restrained. - correct answer ✔✔if they are at risk for harming
themselves or others.
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