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Fall risk patients must have... ✔Correct Answer-- Yellow double gripper socks
- Yellow fall risk magnet on door
- Yellow fall risk patient
What does COIN stand for? ✔Correct Answer-Continuous Observation Intervention by Nursing
How is temperature routinely taken? ✔Correct Answer-Tympanic (ear)
Restraints are attached to ? ✔Correct Answer-Non-movable areas of bed
Different types of restraints ✔Correct Answer-physical, chemical, environmental
Febrile ✔Correct Answer-Temperature greater than 100
First and most important interaction ✔Correct Answer-Washing hands
For fall risk how many rails on bed must be up at all times ✔Correct Answer-3
Normal Tympanic Temperature ✔Correct Answer-98.6 F
blood pressure (BP) ✔Correct Answer-the force of the blood against the walls of the arteries
apnea ✔Correct Answer-absence of breathing
Dyspnea ✔Correct Answer-difficulty breathing
What is one respiration? ✔Correct Answer-one inspiration and one expiration
How to count respirations ✔Correct Answer-Count each respiration over one minute or 30 sec x 2
Normal range of respirations ✔Correct Answer-12-20 breaths per minute
normal BP range ✔Correct Answer-100/60 - 140/90
systolic ✔Correct Answer-heart contracting, first thump, top number
Diastolic ✔Correct Answer-heart at rest, second thump, bottom number
Pulse rate ✔Correct Answer-Number of heartbeats as felt through artery per minute.
Normal pulse ✔Correct Answer-60-100 bpm
How long should irregular rates be checked ? ✔Correct Answer-One minute
Best way to take a patients pulse ✔Correct Answer-Have them sit up