EXAM 1 QUESTIONS WITH DETAILED VERIFIED AND 100%
ACCURATE ANSWERS
3,1,2,5,6,4 Correct Answers A patient has been newly admitted to a
medicine unit wih a history of diabetes and advanced heart failure. The
nurse is assessing the patients fall risks. What are the steps for the
Timed Get up and Go test (TGUGT)
1 have patient rise from striaght back chair without using arms for
support
2 begin timing
3 tell patient to walk 10 feet as quickly and safely as possible to a line
you marked on the floor, turn around, walk back, and sit down
4 check time elapsed
5 look for unsteadiness in patients gait
6 have patient return to chair and sit down without using arms for
support
3,4,1,5,2 Correct Answers Correct order for appying a wrist restraint?
1 be sure that patient is comfortable with arm in anatomic alignment
2 wrap wrist with soft part if restraint toward skin and secure snugly
3 identify patient using two identifiers
4 introduce self and ask patient about his feelings of being restrained
5 assess condition of skin where restraint will be placed
People most at risk for accidental hypothermia are: Correct Answers
Homeless
, People w cardiovascular conditions
Very old people
What factors are most likely to contribute to an increase in falls in the
elderly? Correct Answers Inadequate lighting
Throw rugs
Multiple medications
Doorway thresholds
Cords covered by carpets
Tips for elderly drivers: Correct Answers Drive shorter distances
Drive only during daylight hours
Use the side and rear view mirrors
Keep a window rolled down while driving for the hearing impaired
Look behind toward the blind spot
Nurse checking a patient with wrist restraints, checks for what? Correct
Answers Check patients peripheral pulse in the restrained extremity
Evaluate the patients need for toileting
Offer the patient fluids if appropriate
Inspect the skin under each restraint
What factors increase falls risks for elderly? Correct Answers Takes
antihypertensive and diuretics