Exam (elaborations)
Safety Exam Solution
- Course
- Safety
- Institution
- University Of California, Irvine School Of Law
Exam of 9 pages for the course Safety at University Of California, Irvine School Of Law (Solution)
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Safety: Exam SolutionWhat is the purpose of a gait belt?
It keeps patients from ambulating too fast by holding onto them.
It measures the distance a patient has ambulated by counting steps.
It provides a means to steady a patient at the center of gravity.
It identifies patients who are at risk for a fall and require assistance.
It is a type of restraint used as a safety measure. Answer: It provides a means to steady a patient at
the center of gravity.
A gait belt is used to transfer a patient safely or as a safety measure to steady a patient who has poor
balance. NAP or nurses may use a gait belt.
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?
Notify the health care provider for follow-up evaluation.
Tie the restraint straps in a knot so the patient does not get loose.
Tie the restraints to the bedside rail or frame of the wheelchair.
Assess, but avoid removing the restraints every 2 hours because the patient is violent. Answer:
Notify the health care provider for follow-up evaluation.
When a restraint is used for violent or self-destructive behavior, a licensed health care provider must
evaluate the patient in person within 1 hour of the initiation of restraints and orders obtained.
Restraints should be tied to the movable frame of the bed so if the position of the head of bed is
, changed, the patient's extremity will not be compromised. Restraints should never be tied to the side
rail. Restraints should be secured with a quick-release tie in case of an emergency. The restraints should
be released every 2 hours. If the patient is violent or noncompliant, remove one restraint at a time or
have staff assistance.
The patient begins to cough and choke while the nurse is feeding him. What should the nurse do?
Give the patient some water.
Allow the patient to rest.
Suction the airway as necessary.
Notify the health care provider immediately. Answer: Suction the airway as necessary.
The nurse should first use suction equipment if necessary to clear food from the airway and position the
patient in the high-Fowler's position or, if unable to do so, position the patient on the patient's side. If
choking occurs repeatedly, stop feeding the patient and notify the health care provider. Provide oxygen
if the patient's color has failed to return to normal. Offering the patient water may only increase
choking, because thin liquids such as water and fruit juice are difficult to control in the mouth and are
more easily aspirated. As a preventive measure, the nurse should allow the patient to rest throughout
feeding.
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?
Belt restraint.
Extremity restraint.
Mitten restraint.
Elbow restraint. Answer: Elbow restraint.
Elbow restraints are used to prevent a patient (usually a child) from reaching the head and face area to
pull at stitches and tubes or scratch at skin irritations. A belt restraint secures a patient in bed or on a
stretcher. An extremity/limb restraint (wrist or ankle) may be used to immobilize one or all extremities.
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