Patient Safety & Restraint Alternatives, C14; P-LQ, WB Flashcards

Module 4, 9/18-23

1
Q

Having a ______ is a frequent cause of Hemiplegia/Unilateral Paralysis.

A

Stroke

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2
Q

Hemiplegia is also called ___________ Paralysis.

A

Unilateral

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3
Q

Unilateral Paralysis is also called _____________.

A

Hemiplegia

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4
Q

Hemiplegia

A

paralysis on one body side

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5
Q

__________ is paralysis on one side of the body.

A

Hemiplegia

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6
Q

Tightly tucked sheets & side rails ____ forms of physical restraint.

A

are

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7
Q

Tightly tucked sheets & side rails are forms of __________ restraint.

A

physical

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8
Q

To prevent falls, keep beds in the _______ position & bed wheels ______.

A

lowest, locked

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9
Q

Physical & mental effects of aging can affect an older adult’s ability to be ____.

A

safe

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10
Q

Is a P/R is trying to pull out an IV line, s/he might need a _________ restraint.

A

physical

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11
Q

_____ are the most common type of accident that happens in the health care setting?

A

Falls

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12
Q

Falls are the ____ common type of accident that happens in the health care setting?

A

most

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13
Q

A comatose P/R is ______ to respond to the environment.

A

unable

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14
Q

Medication is a __________ restraint.

A

chemical

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15
Q

NAs’re required to report an accident verbally immediately to _______ & in written/electronic form using an __________ (occurrence) Report.

A

nurse, Incident

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16
Q

Accident

A

unexpected, unintended event that has potential to cause bodily injury

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17
Q

An __________ is an unexpected, unintended event that has potential to cause bodily injury.

A

Accident

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18
Q

Incident

A

unusual, undesired, out of ordinary; disrupts normal routine for P/R, health care facility, or both

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19
Q

An __________ is an unusual, undesired, out of ordinary; disrupts normal routine for P/R, health care facility, or both.

A

Incident

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20
Q

6 factors that can increase one’s chances of having an Accident:

A
  • age
  • medication
  • Paralysis
  • poor mobility
  • sensory impairment
  • limited surrounding awareness
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21
Q

Age, medication, Paralysis, poor mobility, sensory impairment, & limited surrounding awareness are . . .

A

. . . 6 factors that can increase one’s chances of having an Accident.

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22
Q

__________, _________ children, & _______ adults are at high risk for Accidents.

A

Infants, young, older

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23
Q

Infants & young children, older adults are at ____ risk for Accidents.

A

high

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24
Q

Paralysis

A

inability to move/feel

25
Q

Inability to move/feel is called ________.

A

Paralysis

26
Q

Paralysis from waist down is called ___________.

A

Paraplegia

27
Q

Paraplegia

A

Paralysis from waist down

28
Q

Paralysis from neck down is called ___________/___________.

A

Tetraplegia/Quadriplegia

29
Q

Tetraplegia/Quadriplegia

A

Paralysis from neck down

30
Q

Dementia, head injuries, & pain medication can cause c_______________ & d_____________.

A

confusion, disorientation

31
Q

Dementia, head _______, & ____ medication can cause confusion & disorientation.

A

injuries, pain

32
Q

If a P/R has an Accident due to a wheelchair braking, the NA should . . . (2)

A
  • immediately report to nurse
  • fill out Incident/Occurrence Report
33
Q

_____ are the leading cause of non/fatal injuries in USA & of accidental death among older adults.

A

Falls

34
Q

Falls are the leading cause of non/fatal injuries in USA & of ___________ death among older adults.

A

accidental

35
Q

All Accidents & Incidents are to be __________ reported immediately to the _____.

A

verbally, nurse

36
Q

An Incident/Occurrence Report is completed whenever an ________ or _______ occurs in a healthcare facility.

A

Accident, Incident

37
Q

An ____________/__________ _________ is completed whenever an Accident or Incident occurs in a healthcare facility.

A

Incident/Occurrence Report

38
Q

____________ occurs when one becomes trapped in side rail or between side rail & mattress.

A

Entrapment

39
Q

Entrapment

A

when one becomes trapped in side rail or between side rail & mattress

40
Q

Physical Restraint

A

device attached to or near one’s body to limit movement freedom or access body

41
Q

A __________ ___________ is a device attached to or near one’s body to limit movement freedom or access body.

A

Physical Restraint

42
Q

Chemical Restraint

A

any medication that alters one’s mood/behavior

such as a sedative or tranquilizer

43
Q

Sedatives & tranquilizers are examples of ________ Restraints.

A

Chemical

44
Q

Restraints should be removed every _ hours for __ minutes.

A

2, 10

45
Q

Mitt Restraint

A

prevents one from grasping tubes or catheters while allowing for more freedom of arm movement

46
Q

______ ____________ prevents one from grasping tubes or catheters while allowing for more freedom of arm movement.

A

Mitt Restraint

47
Q

Vest Restraint

A

prevents one from falling out of bed or chair

48
Q

A _____ __________ prevents one from falling out of bed or chair.

A

Vest Restraint

49
Q

Immediately report to the nurse a restrained P/R’s ____-to-the-touch, _____/____ arm.

A

cool, pale/blue

50
Q

Slip Knots are also called _____-______ Knots.

A

Quick-Release

51
Q

In Healthcare settings, we use Slip/Quick-Release Knots because . . .

A

. . .they can be quickly released in case emergency.

52
Q

A Jacket Restraint is applied to P/R’s ______.

A

chest

53
Q

Putting Vest Restraint on backward can cause one to ______ if s/he slides down against improperly placed restraint.

A

strangle

54
Q

A P/R can strangle in a backwards Vest Restraint because . . .

A

. . . the back of the restraint is higher than the front.

55
Q

4 bad things that can happen from too tight Restraints:

A
  • bruises
  • nerve damage
  • skin abrasions
  • permanent tissue damage
56
Q
  • bruises
  • nerve damage
  • skin abrasions
  • permanent tissue damage

can occur if Restraints are too _____.

A

tight

57
Q
  • Pneumonia
  • pressure ulcers
  • blood clots (immobility complications)

can occur if one’s left in Restraint for ___ _____.

A

too long

58
Q

3 possible bad results of leaving P/R is Restraint for too long:

A
  • Pneumonia
  • pressure ulcers
  • blood clots (immobility complications)
59
Q

__________ can occur if a person in a Restraint isn’t taken to the bathroom regularly.

A

Incontinence