exam 8 restraints

Question 0

When talking about restraints what is the goal?

Answer 0

To be restraint free

Question 1

A mechanical or physical device used to restrict freedom of movement or prevent Normal access to part of the body is known as what

Answer 1

Physical restraint

Question 2

What kind of skills to restraints cause people to lack

Answer 2

Social skills

Question 3

Who should be alerted before restraining a patient

Answer 3

The family

Question 4

Before restraining a client what has to be documented

Answer 4

Alternate was to protect the client

Question 5

A person is qualified for restraint use if the patient is at a:

Answer 5

High risk for injury
Possible interruption of needed therapies
Possible removal of life support equipment
Risk of injury to self or others

Question 6

What are the last resort?

Answer 6

Restraints

Question 7

During the nursing assessment a nurse is supposed to:

Answer 7

Establish existence of a qualifier present
Establish a reason for problematic behavior
Is behavior harmful to self or others

Question 8

Who has to order restraints

Answer 8

MD

Question 9

What will be included in the order for restraints?

Answer 9

Date and time
Type of behavior observed
Type of restraint and location
Time limitations and duration 
Criteria for release

Question 10

Are PRN orders allowed for restraints

Answer 10

No.

Question 11

During an emergency a nurse is allowed to restrain a patient. How long does a nurse have to get a MD order?

Answer 11

Within one hour

Question 12

How many rails up are considered to be restraints

Answer 12

4

Question 13

The restraint comes in different sizes and straps at a clients hip

Answer 13

Jacket or posey vest

Question 14

This type of restraint any be used in the chair,bed, or stretcher

Answer 14

Belt

Question 15

When using a limb restraint how much room should be between the restraint and the patients limb

Answer 15

Two fingers

Question 16

Is it ok for clients to have PRN orders for chemical restraints?

Answer 16

Yes if the display aggressive or agitated behavior

Question 17

What is an example of an anti-psychotic med?

Answer 17

Haldol

Question 18

Ativan is an example of which type of drug

Answer 18

Anti-anxiety

Question 19

An example of an anti depressant is?

Answer 19

Trazadone

Question 20

Ambien is what type of drug classification

Answer 20

Sedative-hypnotic

Question 21

When administering restraints it is Important for the restraint to

Answer 21

For properly

Question 22

Restraints should never interfere with what

Answer 22

Treatment

Question 23

Is it ok for restraints to be used on clients who are physically or emotionally unstable

Answer 23

No

Question 24

A client may request a temporary seclusion room. What is a reason they might do this?

Answer 24

Where the environment is disturbing or seems to stimulating

Question 25

Can the doctor order restraints by telephone?

Answer 25

No a face to face assessment of the patient has to be done

Question 26

How often should a client rewrite a order for a restraint?

Answer 26

Every 24 hours

Question 27

While being in restraints a nurse should offer the patient a chance for:

Answer 27

Food and fluid
Provided with means of hygiene and elimination
Offered ROM

Question 28

Frequency of client assessments I regard to food,fluids,comfort, and safety should be performed and document how often?

Answer 28

Every 15 to 30 min

Question 29

What places should you pad when putting on restraints?

Answer 29

Bony prominences

Question 30

What type of knot should be used?

Answer 30

Quick release knot

Question 31

Where should you tie the restraint?

Answer 31

This should be tied to the bedframe

Question 32

Is it ok to say the client has been sleeping in your documentation of the client while restrained

Answer 32

Yes but only once. If this is used twice restraints are not needed