S2L1: Safe Caregiver and Patient Environment, ICU

Question 1

Patient safety is top priority: Basic Guidelines

Reduce the risk of healthcare associated ``

Answer 1

infections

Question 2

Patient safety is top priority: Basic Guidelines

Familiarity with `` systems

Answer 2

alarm (code call buttons, staff assist etc.)

Question 2

Patient safety is top priority: Basic Guidelines

T/F: It is not necessary to confirm if you have the correct patient because you will treat them anyway

Answer 2

False

Question 2

Patient safety is top priority: Basic Guidelines

Modified T/F:
A. It is necessary to observe proper body mechanics during patient treatment
B. Check also the working condition of each equipment

Answer 2

TT

Question 3

Patient safety is top priority: Basic Guidelines

Modified T/F:
A. Keep the patient’s room clean and clutter free
B. Provide recommendations for the nursing staff

Answer 3

TT

Question 4

Defined as an event that results in a person coming to rest inadvertently on the ground/floor/other lower level

Answer 4

Fall

Question 5

Modified T/F

A. Patients may be conscious or unconscious during fall
B. One of the more common adverse effects & accounts for increased personnel needs, length of stay, cost morbidity & mortality especially in teens

Answer 5

TF

especially in older adults

Question 5

Give 4 medical conditions associated with falls

Answer 5

1. neurologic
2. orthopedic
3. cognitive
4. postural/orthostatic hypotension

Question 5

Give 5 risk factors for falls

Answer 5

1. advance age
2. medications
3. visual acuity
4. muscle strength
5. functional abilities

Question 6

Modified T/F

A. Latex allergy happens when one is allegic to natural rubber in latex only
B. Includes gloves, stethoscopes, cuffs, airway and IV tubing, electrodes etc.

Answer 6

FT

Either allergic to the natural rubber in latex, or the chemicals used to produce latex

Question 7

The use of restraints may be indicated for patients who are at risk for or

Answer 7

self-harm or harm to others

Question 7

Give 4 examples of restraints

Answer 7

1. wrist/ankle restraints
2. mitt restraints
3. vest restraints
4. enclosure bed

Question 8

Refers to any manual method, physical, or mechanical
device that reduces patient movements especially the extremities

Answer 8

Restraint

Question 9

T/F

Downsides of restraints include increased agitation,
nerve or muscle damage, alterations in skin integrity

Answer 9

True

Question 10

Physical Therapy Considerations for Bedside

Monitor `` carefully, especially during mobilization at the edge and off of the bed

Answer 10

vital signs

Question 11

Physical Therapy Considerations for Bedside

T/F: Rapidly raise the head of the bed before or during the session to allow blood pressure to regulate

Answer 11

False

Question 11

Physical Therapy Considerations for Bedside

If hypotension persist after more than a few treatment sessions, consider
1. <>
2. <>
3. <>

Answer 11

1. anti-embolic stocking
2. bandages
3. abdominal binders

Question 12

Physical Therapy Considerations for Bedsid

Modified T/F
A. Be aware of the physiological aspects of prolonged bed rest including sensory deprivation
boredom, depression, and sense of loss of control
B. Expect fear when pts get out of bed for the first time especially if they are aware of their impairments

Answer 12

FT

Be aware of the psychosocial aspects of prolonged bed rest including sensory deprivation
boredom, depression, and sense of loss of control

Question 12

Physical Therapy Considerations for Bedside

Modified T/F:
A. There is an inverse relation between the time frames for PT and the time the patient is bed bound
B.Supplement PT with family education consisting of exercises they can perform while the PT is not
around

Answer 12

FT

Direct relation. Time frames for PT will be longer the longer the pt is bed bound

Question 13

Be aware of the psychosocial aspects of prolonged bed rest including
1. <>
2. <>
3. <>
4. <>

Answer 13

1. Sensory deprivation
2. Boredom
3. depression
4. sense of loss of control

Question 14

Physical Therapy Considerations for Bedside

Modified T/F:
A. Leave necessities and commonly used items near the patient to minimize the feeling of confinement
B. Use chair alarm systems or restraints, if ordered, to minimize the risk of falls and other untoward
incidents

Answer 14

TT

Question 15

Provide the meaning

1. ICU
2. PICU
3. CCU
4. SICU
5. MICU

Answer 15

1. Intensive care unit
2. Pediatric intensive care unit
3. Coronary care unit
4. Surgical Intesive care unit
5. Medical intensive care unit

Question 16

ICU is a place of intensive medical-surgical care for patients who require continuous monitoring,
usually in conjunction with other therapies or medical interventions such as <> medications, sedation, <> assist devices, and mechanical <>

Answer 16

It is a place of intensive medical-surgical care for patients who require continuous monitoring,
usually in conjunction with other therapies or medical interventions such as vasoactive medications, sedation, circulatory assist devices,
and mechanical ventilation

Question 17

Environmental or Psychological stressors (ICU)

1. Physical restrictions
2. diminised dignity and self-esteem
3. uncertainty about the future
4. spiritual distress
5. unfamiliar medical equipment

Answer 17

1. E
2. P
3. P
4. P
5. E

Question 18

Environmental or Psychological stressors (ICU)

1. Powerlesness
2. Loss of autonomy
3. Sleep deprivation
4. Crowding
5. Isolation

Answer 18

1. P
2. P
3. E
4. E
5. P

Question 19

Environmental or Psychological stressors (ICU)

1. excessive lighting, odors, noises and touch
2. vulnerability
3. boredom
4. pain
5. fear

Answer 19

1. E
2. P
3. P
4. P
5. P

Question 20

**T/F: **ICU delirium or syndrome happens when

1. decreased MV
2. emergency surgery
3. polytrauma
4. organ failure
5. metabolic alkalosis
6. coma
7. dementia
8. advanced age

Answer 20

All are true except 1 & 5

Increased MV
Metabolic acidosis