PCA exam latest EXAM QUESTIONS AND WELL
DETAILLED ANSWERS
co worker safety tips for one on one - ANSWER>>stay alert
sit facing the patient
no cell phone usage
use the restrictive restraints for managing the patients behavior if ordered
validation therapy - ANSWER>>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 - ANSWER>>injury or illness
exercise
emotions
medical conditions
age
gender
normal BP - ANSWER>>systolic: 90-140
diastolic: 60-90
Normal oral temperature - ANSWER>>97.6-99.6
Normal axillary temperature - ANSWER>>96.6-98.6
axillary temperature is taken where - ANSWER>>armpit
normal rectal temperature - ANSWER>>98.6-100.6
Normal pulse range - ANSWER>>66-100 beats per minute
Normal respiration range - ANSWER>>12-20 per minute
, Normal pulse oximetry - ANSWER>>> or equal to 95%
report vital sign measurements immediately to the nurse if they are abnormally
_____ or _____. - ANSWER>>High/Low
besides the rate when taking a pulse, what do you need to be aware of? -
ANSWER>>Rhythm and Quality
6 reasons a patient may be at risk to fall - ANSWER>>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? - ANSWER>>They need to use the
restroom
what agency issues the standards reguarding the use of restraints? -
ANSWER>>The joint commission and CMS
Name a reason a patient may need to be restrained. - ANSWER>>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? - ANSWER>>immobility
what can you as a PCA do to prevent pressure ulcers on the restrained patient? -
ANSWER>>reposition the patient every 2 hours
massage or pad the bony area prominences and other vulnerable areas.
DETAILLED ANSWERS
co worker safety tips for one on one - ANSWER>>stay alert
sit facing the patient
no cell phone usage
use the restrictive restraints for managing the patients behavior if ordered
validation therapy - ANSWER>>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 - ANSWER>>injury or illness
exercise
emotions
medical conditions
age
gender
normal BP - ANSWER>>systolic: 90-140
diastolic: 60-90
Normal oral temperature - ANSWER>>97.6-99.6
Normal axillary temperature - ANSWER>>96.6-98.6
axillary temperature is taken where - ANSWER>>armpit
normal rectal temperature - ANSWER>>98.6-100.6
Normal pulse range - ANSWER>>66-100 beats per minute
Normal respiration range - ANSWER>>12-20 per minute
, Normal pulse oximetry - ANSWER>>> or equal to 95%
report vital sign measurements immediately to the nurse if they are abnormally
_____ or _____. - ANSWER>>High/Low
besides the rate when taking a pulse, what do you need to be aware of? -
ANSWER>>Rhythm and Quality
6 reasons a patient may be at risk to fall - ANSWER>>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? - ANSWER>>They need to use the
restroom
what agency issues the standards reguarding the use of restraints? -
ANSWER>>The joint commission and CMS
Name a reason a patient may need to be restrained. - ANSWER>>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? - ANSWER>>immobility
what can you as a PCA do to prevent pressure ulcers on the restrained patient? -
ANSWER>>reposition the patient every 2 hours
massage or pad the bony area prominences and other vulnerable areas.
