Question 1

The most therapeutic humidity in a client's room should be

Accepted Answer

A) 10-30% 
B) 30-60% 
C) 60-70% 
D) 70-80% B

Question 2

The need for continuation or termination of restraint use should be determined

Accepted Answer

A) Weekly. 
B) Daily. 
C) q8h. 
D) By physician order. B

Question 3

You are discussing fall prevention for elderly clients with a class of newly hired staff nurses.Identify four factors you will discuss in the class.
a.
b.
c.
d.

Accepted Answer

Utilize exercise programs,behavior changes,medication review and modification,treatment of contributing health conditions,use of assistive and protective devices,modify house to prevent injury,educate client and family in ways to prevent falls.

Question 4

A client's visitor falls in the hallway.Your initial action is to do which one of the following?

Accepted Answer

A) Notify the client's physician. 
B) Fill out an unusual occurrence report. 
C) Provide first-aid care. 
D) Send the visitor to his or her own physician.

Question 5

The first step in providing client safety during a fire is to

Accepted Answer

A) Pull the fire alarm. 
B) Turn off the oxygen source. 
C) Call the fire department. 
D) Remove the client from the area.

Question 6

The first sign of possible thermal injury for a client using a heating pad or hot compress is

Accepted Answer

A) Tingling sensation in the extremities. 
B) Redness in the area. 
C) Edema. 
D) Pain.

Question 7

Which of the following is an appropriate nursing action for preventing mechanical injuries?

Accepted Answer

A) Listen to client's complaints. 
B) Always keep bed in low position. 
C) Make sure floors are free of debris. 
D) Use restraints.

Question 8

The most restrictive form of restraint is

Accepted Answer

A) Humane belt. 
B) Torso vest. 
C) Wrist restraints. 
D) Chemical.

Question 9

Alternative interventions for the client who pulls at IV lines and catheters include

Accepted Answer

A) Humane belt. 
B) Wrist restraints. 
C) Camouflage of lines. 
D) Soft wrist restraints.

Question 10

Proper use of restraints significantly reduces falls in hospitalized clients.

Accepted Answer

A) True 
 B)False

Question 11

The sociocultural dimensions of an environment include which one of the following?

Accepted Answer

A) Individualized client care. 
B) Fresh,healthful food. 
C) Adequate light. 
D) Adequate space.

Question 12

Define "physical restraint."

Accepted Answer

The answer of Define "physical restraint."...

Question 13

Which one of the following statements is true regarding wrist restraints?

Accepted Answer

A) Restraints should be used on all elderly clients. 
B) Physician's orders are not required for soft restraints. 
C) When bony prominences are padded,circulatory impairment does not occur. 
D) Allow as much freedom as possible when restraints are applied.

Question 14

Which of the following nursing actions is inappropriate for a client using wrist restraints?

Accepted Answer

A) Check limbs every 2 hours for circulation. 
B) Change client's position every 2 hours. 
C) Release restraints every shift. 
D) Put extremities through range of motion every 2 hours.

Question 15

List 4 assessments that are completed when reviewing potential risk factors that lead to the development of falls in the elderly client.
a.
b.
c.
d.

Accepted Answer

The answer of List 4 assessments that are completed when...

Question 16

Clients are most comfortable if their room is maintained within which one of the following temperature ranges?

Accepted Answer

A) 62°-68°F 
B) 68°-70°F 
C) 65°-77°F 
D) 70°-80°F

Question 17

Which of the following physical restraints does not require a physician's order or signed approval?

Accepted Answer

A) Arm board for IV stabilizations 
B) Humane belt to remind client to call for assistance 
C) Soft wrist restraints to prevent client from removing dressing 
D) Hand mitts to prevent client from pulling Foley catheter

Question 18

Define the word "adaptation."

Accepted Answer

The answer of Define the word "adaptation."...

Exam 7: Safe Client Environment and Restraints