PCA exam questions

PCA exam questions co worker safety tips for one on one stay alert sit facing the patient no cell phone usage use the restrictive restraints for managing the patients behavior if ordered validation therapy 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 injury or illness exercise emotions medical conditions age gender normal BP systolic: 90-140 diastolic: 60-90 Normal oral temperature 97.6-99.6 Normal axillary temperature 96.6-98.6 axillary temperature is taken where armpit normal rectal temperature 98.6-100.6 Normal pulse range 66-100 beats per minute Normal respiration range 12-20 per minute normal pulse oximetry or equal to 95% report vital sign measurements immediately to the nurse if they are abnormally _____ or _____. High/Low besides the rate when taking a pulse, what do you need to be aware of? Rhythm and Quality 6 reasons a patient may be at risk to fall 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? They need to use the restroom what agency issues the standards reguarding the use of restraints? The joint commission and CMS Name a reason a patient may need to be restrained. if they are at risk for harming themselves or others. pneumonia, urine retention/constipation, and sensory deprivation can be caused by long periods of what? immobility what can you as a PCA do to prevent pressure ulcers on the restrained patient? reposition the patient every 2 hours massage or pad the bony area prominences and other vulnerable areas. what is a communicable disease? an infection that can be passed from one person to another what type of environment do pathogens prefer? warm, moist, dark, and areas that have low oxygen you must wash your hands if a patient has what disease and why can you not use the alcohol foam? C-Diff and because the alcohol foam doesn't kill spores. what are some risk factors for getting an infection? age(young and elderly) poor general health, stress, fatigue, and indwelling medical devices. list 5 signs or symptoms of infection that need to be reported to the nurse increased pulse and respiration's nausea/vomiting rash fever diarrhea aseptic practice washing your hands to prevent microbe infections how long should you wash your hands with soap water and friction? 15-20 seconds how much alcohol foam should you use to wash your hands if your hands are not visibly soiled? a quarter sized ball list 6 factors that affect urine production high salt intake age disease certain drugs alcohol body temperature list 3 factors that affect the frequency of urination amount of fluid intake activity personal habits list 5 factors that could affect a patients bowel elimination age diet disability activity medication observations a PCA should be aware of in regards to a patients bowel elimination. color amount consistancy shape odor frequency pain or discomfort name 2 factors that may affect the results of a guiaic specimen bleeding hemorrhoids menstural bleeding timed urine specimen