221 Midterm
What are the types of restraints? - correct answer Limb restraint, vest restraint, mitt restraint, sleeve/splint restraint, vail bed, straight jacket
You should always make sure when administering a restraint that you tie it with a _________________________? - correct answer Quick release
General protocol for restraints - correct answer 1.) You need a doctors order
2.) Use the least restrictive measures
3.) Always use restraints as a last resort
Rationales for Restraints - correct answer behavior management
patient safety
patient treatment plan
What is the purpose of vital signs? - correct answer To establish a baseline
What are the 4 vital signs? - correct answer Temperature
Respiration
Blood Pressure
Pulse/Heart Rate
What is considered the 5th vital sign? - correct answer Pain
Temperature - correct answer - 98.6 oral
- Axillary: least accurate results
- Orally: not used with infants - Rectally: most accurate (99.6), no more than 0.5cm
Respiration - correct answer 12-20
Blood Pressure - correct answer Systolic 90mmHg-140mmHg
Diastolic 60mmHg-90mmHg
Lub: AV valves closing
Dub: pulmonic and aortic valves
Heart Rate - correct answer 60-100 is normal range
Different types of Isolation Precautions - correct answer Standard
Contact
Droplet Airborne
Standar Precautions PPE - correct answer - use with all patients (CMV, HIV, Hepatitis B and C, aspergillosis)
- clean hands, cover mouth and nose with arm or tissue when coughing or sneezing
- Gown and glove if soiling likely, wear mask and eye cover if splashing body fluids likely
Contact Precautions PPE - correct answer - use with patients who have contaminants that can be transported on person or clothing to others: blood borne, e-coli, wound infections with MRSA, VRE, and E Coli, influenzas, lice, scabies, herpes
- Gown and Gloves must be worn
What kind of precautions do you use with C-Diff? - correct answer Special Contact Precautions
What are the types of restraints? - correct answer Limb restraint, vest restraint, mitt restraint, sleeve/splint restraint, vail bed, straight jacket
You should always make sure when administering a restraint that you tie it with a _________________________? - correct answer Quick release
General protocol for restraints - correct answer 1.) You need a doctors order
2.) Use the least restrictive measures
3.) Always use restraints as a last resort
Rationales for Restraints - correct answer behavior management
patient safety
patient treatment plan
What is the purpose of vital signs? - correct answer To establish a baseline
What are the 4 vital signs? - correct answer Temperature
Respiration
Blood Pressure
Pulse/Heart Rate
What is considered the 5th vital sign? - correct answer Pain
Temperature - correct answer - 98.6 oral
- Axillary: least accurate results
- Orally: not used with infants - Rectally: most accurate (99.6), no more than 0.5cm
Respiration - correct answer 12-20
Blood Pressure - correct answer Systolic 90mmHg-140mmHg
Diastolic 60mmHg-90mmHg
Lub: AV valves closing
Dub: pulmonic and aortic valves
Heart Rate - correct answer 60-100 is normal range
Different types of Isolation Precautions - correct answer Standard
Contact
Droplet Airborne
Standar Precautions PPE - correct answer - use with all patients (CMV, HIV, Hepatitis B and C, aspergillosis)
- clean hands, cover mouth and nose with arm or tissue when coughing or sneezing
- Gown and glove if soiling likely, wear mask and eye cover if splashing body fluids likely
Contact Precautions PPE - correct answer - use with patients who have contaminants that can be transported on person or clothing to others: blood borne, e-coli, wound infections with MRSA, VRE, and E Coli, influenzas, lice, scabies, herpes
- Gown and Gloves must be worn
What kind of precautions do you use with C-Diff? - correct answer Special Contact Precautions
