NURC 1001 Exam 2 With 100% Correct Answers 2024

Accident Risk Factors - CORRECT ANSWER-Age: children and older persons Awareness of Surroundings: confused or disoriented Agitated and Agressive Behaivor: pain and disorientation Vision Loss: persons with poor vision can fall or trip, some cannot read lables well and take the wrong medicine Identifying the Person - CORRECT ANSWER--Patient will receive an ID bracelet which has the persons name, DOB, room number, bed number, age, doctor, or any other identifying info -Use bracelet to identify before giving any patient care -Compare identifying info on assignment sheet witht he ID bracelet -Use at least 2 identifiers Full name and DOB CANNOT be bed # or room # -Call the person by name when checking ID bracelet Preventing Burns - CORRECT ANSWER-BURNS are the LEADING cause of death among children and older persons -Assist resident with hot foods and beverages -Check the bath/shower water to ensure it is a safe and comfortable temperature -Supervise residents when they smoke -Enforce restricted smoking areas for residents, visitors, and staff -Monitor carefully any equipment which produces heat when in use -Prevent any type of chemical burns Preventing Poison - CORRECT ANSWER--NEVER leave potentially poisonous or harmful substances at bedside -Store harmful substances (cleaning supplies) in locked areas -Remove wrappers and packaging from the trays of confused residents -Monitor the placement of house plants -Monitor meds in room -Notify nurse STAT if resident ingests harmful substance Preventing Choking - CORRECT ANSWER--Make sure the resident received the accurate and appropriate diet -Check with nurse before changing the diet or offering foods that are not in the diet -Make sure food is cut or chopped in small enough pieces -Position the resident properly. NEVER feed a resident laying flat -Alternate solid foods and liquid foods -Feed the resident slowly , allowing them time to chew and swallow Preventing Falls - CORRECT ANSWER--Shoes or slippers with non-skid soles -Tie shoe laces -Avoid long gowns and robes -Avoid the use of throw rugs -Wipe up all spills immediatley -Encourage the use of hand rails -Non-skid tips on canes, walkers and cair legs What residents are most likely to fall? - CORRECT ANSWER-People who are incontinent are most likely to fall due t having to use the restroom right then and there and rushing and end up falling Why are falls so dangerou for an older adult? - CORRECT ANSWER--MOST common accident in nursing centers -age -mobility -elimination (bowel and bladder starts to deteriate, making residents rush causing falls) -Mental status -Medications OSHA policy on Hazardous substances - CORRECT ANSWER-OSHA Requirements: -Written Hazcom plan -Consistent Labeling -Safety Data Sheets (SDS) available in workplace -Workers Trained -Updated Inventory What is the NA's role for Oxygen safety - CORRECT ANSWER--Make sure O2 is on and not kinked Alarms in a Long Term Facility - CORRECT ANSWER-Facility Wide Alarms -Fire alarms -Tornado sirens -Elopement Code Personal Protective Alarms (chair and bed) are n longer used bc they are considered a contraint Risks of Side rails` - CORRECT ANSWER--A person can fall trying to climb over -A person cannot get out to use the restroo -Entrapment (A person can get caught, trapped, entangled, or strangled) *BED RAILS ARE A CONSTRAINT* -If a person cannot get out of bed -The person cannot lower them without help Application of restraints - CORRECT ANSWER--proper size -check condition of skin before applying restraint -Proper alignment -Moveable part of bed -Quick relese knot (slip knot) -Check tightness (finger tip method) Wrist Restraints - CORRECT ANSWER-a physical restraint that limits arm movement May be used when a person: -Is at risk for pulling out tubes used for life saving treatment -Is at risk for pulling at devices used to monitor vital signs -Scratches at, pulls at, or peels the skin, a wound or dressing Belt Restraint - CORRECT ANSWER--May be used when injuries from falls are risks or for positioning for medical treatment. zthe belt is applied around the waist and secured to the bed or chair. it is applied over a garment -The person can release the quic release type Vest and jacket restraints - CORRECT ANSWER--Applied to the chest -The person cannot turn in bed or get out of a chair -Applied with the opening in the back for jacket restraints -Vest restraints are used with the "V" in the front and he vest crosses in the front Responsibilties of a NA with Restraints - CORRECT ANSWER--Observations are made every 15 minutes or as directed by care plan -Restraints are to be released q2h (every 2 hours) and -Exercise limb and provide skin care -Ambulate or reposition resident -Offer toileting or change -Offer fluids or nourishment -Reinforce safety reason for restraint RACE - CORRECT ANSWER-R= Rescue residents