Patient Safety First
Delegation & Scope
Restraints & Legal Safety
Vital Signs/Assessment
Misc
100
This is always the nurse’s top priority when a patient is confused and weak.
Patient safety?
100
Can this task be delegated to a UAP?
Yes! It is oral care
100
Restraints should be used only as a
last resort
100
Dizziness in a warm shower is most often caused by
Hypotension
100
A speech therapist can
help with swallowing and communication problems
200
A confused patient tries to get out of bed alone. What is the safest nursing action?
Assisting the patient and preventing a fall
200
Who must intervene when a patient is at immediate risk for harm?
The nurse
200
Using restraints without justification can result in this legal issue. This is called
False imprisonment
200
This body position is best for comfort and easier breathing while resting.
200
This acronym guides fire response in healthcare settings.
RACE
300
This bed position helps reduce injury if a patient attempts to get up.
Keeping the bed in the lowest position
300
Leaving a confused patient unattended to ambulate is inappropriate because it increases the risk of
Falls/Injury
300
Which behavior may justify restraints: yelling or pulling out tubes?
Pulling out tubes
300
The most accurate route for measuring core body temperature is
Rectal
300
This type of care focuses on comfort and quality of life, not cure.
Hospice
400
This device alerts staff when a high-risk patient attempts to get out of bed without assistance.
Bed Alarm
400
Watch from 1:07 to 2:26. Does the patient in this scenario need to be reported immediately by the UAP to the nurse? Why?
Confusion is a change in condition. A change in condition means the nurse must assess, which assessment cannot be delegated
400
Before applying restraints, the nurse must first try _____ measures.
Least Restrictive. Monitors and Alarms, Purposeful Activity (folding towel, music, TV, etc),Moving high-risk patients near the nurses' station so they are under constant observation, etc
400
This communication tool organizes patient information into Situation, Background, Assessment, and Recommendation.
SBAR
400
Saying, “I will sedate you if you don’t calm down,” without touching the patient is an example of
Assault