PCA Exam Questions and Answers with Certified Solutions

PCA Exam Questions and Answers with Certified Solutions 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