Nursing 221 Test 1 questions well answered

Nursing 221 Test 1What does RACE stand for? - correct answer rescue, alarm, confine, extinguish What does PASS stand for? - correct answer pull the pin, aim, squeeze, sweep If seizures occur what do you do? - correct answer always stay with the patient, call for help, if standing, guide to the floor and cradle head in lap or place pad under head, provide privacy, turn patient on side if able with head tilted and slightly forward, do not place anything in mouth, note time seizure starts, ends, and the patients behavior, maintain patent airway, suction, and apply oxygen by nasal cannula What is the assessment for falls risk? - correct answer poor vision, cognitive dysfunction, impaired mobility, urinary frequency, physical condition, medications, age, history of falls How do you prevent falls? - correct answer side rails up when appropriate, bed low position/wheels locked, call bell in reach, glasses, hearing aids, ambulatory aids in use, room clutter free, clean up spills, electrical safety good lighting, provide non-skid footwear for clients What are the 6 p's of rounding? - correct answer Pain, potty, position, personal items, plan, place call bell in reach, ask: is there anything else? What things should you orient your patient to? - correct answer room, equipment, call bell/emergency bell, telephone, tv/radio, side rails, safety measures, visiting hours, unit routine, including meals What are examples of safe transfers? - correct answer from bed to chair, and from bed to stretcher When is it okay to use a restraint? - correct answer as a last resort to provide patient safety or safety of others