Chapters 14,15,17,18

Question 1

bed rail

Answer 1

restraints on side of bed

Question 2

hand rail

Answer 2

mounted hip high, used 4 support

Question 3

Grab bar

Answer 3

in bathroom, shower, toilet

Question 4

chem restraint

Answer 4

Substance that prohibits movement

Question 5

freedom of movement

Answer 5

change in place or position of the body or any part of body that person is able to control

Question 6

enabler

Answer 6

limits freedom of movement but used to promote independence,comfort and safety.

Question 7

remove easily

Answer 7

method,device to restrain person, can be removed intentionally by the person in the same manner it was applied by staff

Question 8

if death happenes in a restraint what can happen?

Answer 8

investigation w/in 24hrs, w/in one week after restraint was removed

Question 9

observe someone every _____min and release from restrain every _ hours

Answer 9

observe every 15 minutes

remove every 2 hours

Question 10

Shearing

Answer 10

skin sticks,muscle continues moving

Question 11

CMS stands for

Answer 11

centers for medicine/medicade

Question 12

if a bariatric person begins to fall…

Answer 12

, quickly move any items away that could cause injury

Question 13

bed wheels are locked when

Answer 13

giving bed side care,transfers

Question 14

covienience

Answer 14

any action taken to control or manage a person’s behavior that requires less effort by the staff

Question 15

discipline

Answer 15

any atcion taken by the agency to punish, peanalize a patient or resident

Question 16

research shows that restraints…

Answer 16

cause falls

Question 17

restraints are used…

Answer 17

only to treat a medical symptom or for the immediate physical safety of person or others

Question 18

guidelines about using restraints are part of the resident rights in…

Answer 18

OBRA,FDA,CMS,TJC

Question 19

NURSES CAN NOT DECIDE WHEN TO USE RESTRAINTS. But what can happen when unecessry restraints are used, what method is used and what must the restraint do?

Answer 19

unecessary restraint can cause improsionment
the least restrictive to use, and how long to use the restraints
the least restrictive method is used
restraints must protect the person

Question 20

when using a vest restraint in bed ties are secured where?

Answer 20

the bed frame out of the person’s reach

Question 21

when checking person in vest restraint report at once if,

Answer 21

person isnt breathing or having difficulty breathing

Question 22

OBRA stands for

Answer 22

omnibus budget reconcilation

Question 23

TJC stands for

Answer 23

the joint commision

Question 24

Dorsal recumbent

Answer 24

same as back-lying, supine

Question 25

ergonomics

Answer 25

science of designing the job to fit the worker

Question 26

Posture

Answer 26

body alignment is the way in which the body parts are aligned with one another

Question 27

MSDs stand for

Answer 27

musculo-skeletal disorders

Question 28

MSDs happen when...

Answer 28

force or repeating an action when moving people

Question 29

resident gets repositioned every__hours

Answer 29

2hrs

Question 30

linens need to be clean,dry and wrinkle free to prevent

Answer 30

pressure ulcers

Question 31

people with limited range of motion in their necks dont tolerate what position?

Answer 31

Prone

Question 32

when positioning a person in supine position, you cross the legs to prevent...

Answer 32

heels from rubbing on the sheets

Question 33

when a person cant keep his/her upper body erect in a chair...

Answer 33

postural supports help keep them in good body alignment

Question 34

in the chair position, a pillow is NOT used where?

Answer 34

behind the back if restraint is present/used

Question 35

instructions to re-position a person are recieved from the _____and the ______

Answer 35

instructions to re-position a person are recieved from the NURSE and the care plan

Question 36

bed mobility

Answer 36

how a person moves to and from lying position, turns from side to side and re-positions in bed or other furniture

Question 37

functional status

Answer 37

person's ability to perform the activites of daily living

Question 38

if a person with dementia resists being moved you should...

Answer 38

proceed slowly in calm voice

Question 39

why are beds raised to move persons in bed

Answer 39

reduce bending and reaching for staff

Question 40

you may move a person up in bed alone when

Answer 40

the person can assist w/ a trapeeze

Question 41

an assist sheet is used for..

Answer 41

person w/ level 4 functional status

Question 42

where is the lift sheet positioned?

Answer 42

from head to above the knees or lower

Question 43

a person is moved to the side of the bed before turning b/c...

Answer 43

after turning, person lies on the side of the bed

Question 44

when using a draw sheet to transfer, support the...

Answer 44

head

Question 45

after the person is turned

Answer 45

position in good body alignment

Question 46

when delegated to turn a person, what detail do you not need from the nurse and care plan

Answer 46

whether the doc ordered turning

Question 47

what is very important when logrolling

Answer 47

keeping spine straight

Question 48

when logrolling place a pillow...

Answer 48

in between knees

Question 49

what should you do if a person who's danging becomes faint or dizzy

Answer 49

lay person down and tell nurse

Question 50

what are the 2 reasons that assists are used

Answer 50

prevent pain and skin damage | prevent injury to bones, joints, spinal cord

Question 51

friction can be reduced when moving person in bed by

Answer 51

rolling person | use friction-reducing devices

Question 52

when moving person in a bed and the person can assist, ask the person to..

Answer 52

grasp trapeeze flex both knees move on 3

Question 53

what do you need to know before turning someone?

Answer 53

``` dependency level amount of aid needed # of staff needed person comfort level which procedure 2 use assist devices to use supportive devices needed where to place pillows observations to report/record ```

Question 54

after repositioning person, common place to put a small pillow, where?

Answer 54

under hand

Question 55

logrolling is used on...

Answer 55

elderly w/ arthritic spines, knees hip fracture recovery peeps spinal injury peeps peeps recovering from spinal injury