Fundamentals ATI questions with correct answers

Safety Restraints Correct Answer - -Identify pt using two identifiers -Check patient every 15 minutes -Check skin integrity every 30 minutes -Release/remove restraints every 2 hours -Check vitals, offer food/fluid, toilet, ROM, and document client status every 2 hours -Renew Rx every 24 hours (Cannot be PRN Rx) -If restraints were applied emergently, must get Rx within 30 minutes? -Attach to bedframe not side rails -Tie with a quick release knot/ slip knot -Allow 2 fingers worth between -Release restraints one limb at a time Tracheostomy care Correct Answer - -Keep the following at the beside: Two extra tracheostomy tubes (one the client's size and one a smaller size) in the event of accidental decannulation, obturator for existing tube, an O2 source, suction catheters, suction source, and a bag valve mask (BVM) -Give oral care every 2 hours -Give trach care every 8 hours or as needed -Use precut gauze -Only suction client as clinically indicated