PPNC 2 Midterm Questions and Answers
Q: Restraints used when:
✓✓ safety of patient
staff member and
themselves
Q: What should you NEVER use restraints for?
✓✓ punishment
discipline
coercion
convenience
Q: Why are alternatives to restraints so important?
✓✓ - pt. becomes weaker with immobilization
- restraint devices increase agitation
- greater risk for falling/injuries
- psychological side effects like anger, loss of dignity, depression
Q: Medical Restraints
✓✓ To keep them from pulling something that they need for medical
therapy (i.e. ventilator)
Q: Behavioral restraints
✓✓ risk for harming
,Q: What is needed for restraints?
✓✓ 24 hour renewing orders
1hr in emergency
behavioral check every 15 minutes
release at least every 2 hours
Q: Documentation of behavioral restraints:
✓✓ - the need for restraints
- alternatives that were applied to avoid usage
- notification of family
- time restraints were initiated/discontinued
- type of restraints
- pt. behaviors while in restraints
- ongoing communication with pt/family about termination of restraint
Q: How often should MD assess behavioral restraints?
✓✓ 8 hrs
Q: What parts of the body should NOT be stapled?
✓✓ hands, feet, neck ,face
Q: What is the primary goal of ulcers?
✓✓ increase circulation to the area in question
Q: Which of the following is correct when obtaining a wound culture by
swab?
,A. Roll swab around in a pool of exudative material.
B. Swab culture areas where slough or eschar is present.
C. Roll the swab around the wound edges
D. Swab the wound from margin to margin in a 10 point zigzag pattern
✓✓ D
Q: Where do you put restraints?
✓✓ pad bony prominences
quick release knot
tie to bed frame not side rails
Q: walking with a cane
✓✓ Hold cane on UNAFFECTED side
move injured leg after moving cane
Q: i) Standard precautions
✓✓ for all patients
Q: contact precautions
✓✓ measures taken to prevent the spread of diseases transmitted by the
physical transfer of pathogens to a susceptible host's body surface
Q: Contact precautions have what 5 things?
, ✓✓ Private room - door can be open
Gloves
Gown- if giving direct care
Handwashing
Disposable supplies in room
Q: Droplet precautions
✓✓ pathogens spread through close respiratory or mucous membrane
Q: Droplet percautions things to know
✓✓ (a) Possible private room
(b) Clean gown and glove use
(c) Disposal of contaminated items in room
(d) Double-bag linen and mark (per hospital policy)
(e) Addition of mask and eye protection within 3 ft
Q: Airborne precautions
✓✓ pathogens that are very small and remain over long time
Q: Airborne precautions are for what 4 diseases?
✓✓ SARS, TB, Measles and Varicella
Q: Airborne precautions things to know
Q: Restraints used when:
✓✓ safety of patient
staff member and
themselves
Q: What should you NEVER use restraints for?
✓✓ punishment
discipline
coercion
convenience
Q: Why are alternatives to restraints so important?
✓✓ - pt. becomes weaker with immobilization
- restraint devices increase agitation
- greater risk for falling/injuries
- psychological side effects like anger, loss of dignity, depression
Q: Medical Restraints
✓✓ To keep them from pulling something that they need for medical
therapy (i.e. ventilator)
Q: Behavioral restraints
✓✓ risk for harming
,Q: What is needed for restraints?
✓✓ 24 hour renewing orders
1hr in emergency
behavioral check every 15 minutes
release at least every 2 hours
Q: Documentation of behavioral restraints:
✓✓ - the need for restraints
- alternatives that were applied to avoid usage
- notification of family
- time restraints were initiated/discontinued
- type of restraints
- pt. behaviors while in restraints
- ongoing communication with pt/family about termination of restraint
Q: How often should MD assess behavioral restraints?
✓✓ 8 hrs
Q: What parts of the body should NOT be stapled?
✓✓ hands, feet, neck ,face
Q: What is the primary goal of ulcers?
✓✓ increase circulation to the area in question
Q: Which of the following is correct when obtaining a wound culture by
swab?
,A. Roll swab around in a pool of exudative material.
B. Swab culture areas where slough or eschar is present.
C. Roll the swab around the wound edges
D. Swab the wound from margin to margin in a 10 point zigzag pattern
✓✓ D
Q: Where do you put restraints?
✓✓ pad bony prominences
quick release knot
tie to bed frame not side rails
Q: walking with a cane
✓✓ Hold cane on UNAFFECTED side
move injured leg after moving cane
Q: i) Standard precautions
✓✓ for all patients
Q: contact precautions
✓✓ measures taken to prevent the spread of diseases transmitted by the
physical transfer of pathogens to a susceptible host's body surface
Q: Contact precautions have what 5 things?
, ✓✓ Private room - door can be open
Gloves
Gown- if giving direct care
Handwashing
Disposable supplies in room
Q: Droplet precautions
✓✓ pathogens spread through close respiratory or mucous membrane
Q: Droplet percautions things to know
✓✓ (a) Possible private room
(b) Clean gown and glove use
(c) Disposal of contaminated items in room
(d) Double-bag linen and mark (per hospital policy)
(e) Addition of mask and eye protection within 3 ft
Q: Airborne precautions
✓✓ pathogens that are very small and remain over long time
Q: Airborne precautions are for what 4 diseases?
✓✓ SARS, TB, Measles and Varicella
Q: Airborne precautions things to know
