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FUNDAMENTALS NCLEX REVIEW
ScienceMedicineNursing dotfk11 Save Learn1 / 7Study using Learn pull aim squeeze sweep Choose an answer
falls: assessment
ergonomics: do not bend at
fire safety: PASS
falls: pt is actively falling
Don't know?
falls: assessment
upon admission and place the patient near the nurse's station
falls: high risk interventions
bed or chair alarms nurse call light low bed raised edge mattress video camera nonskid floor mat clear environment
falls: low risk / all interventions
orient client to setting nonskid footwear call light well lit room no barefoot or stockings low bed alarm grab bars fall alert device hourly rounding by staff bed that allows exit toward strong side bladder and bowel programs
falls: if you find a client on the ground
- abcs
- injury check
- get help
- notify
- incident report
falls: pt is actively falling
step behind the client place feet apart w knees bent place 1 foot behind the other and extend the leg let the client slide down
restraints: must be
least restrictive
restraints: you should do what first
nonpharm interventions first like distraction or observation
restraints: notify the hcp
immediately after application
restraints: interventions
document 15-30minutes potty 15-30minutes assess 2 hrs tie to bed frame with loose quick release knot
fire safety: RACE
rescue alarm confine extinguish
fire safety: PASS
pull aim squeeze sweep
fire safety: home
no smoking signs careful w o2 therapy stop drop and roll
fire safety: in hospital
all equipment needs to be grounded do not over crowd outlets no extension cords
ergonomics: do not bend at
the waist or twist use major muscle groups and tighten abd
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