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PCA Exam Test Questions and Answers (Verified Answers) 1.report vital sign measurements immediately to the nurse if they are abnor- mally or.
: ANS High/Low
2.besides the rate when taking a pulse, what do you need to be aware of ANS Rhythm and Quality 3.6 reasons a patient may be at risk to fall
ANS: history of a fall aged over 65
taking 3-4 medications daily problems with the bladder or 1 / 2
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bowel poor mobility sensory imparement male gender 4.what is the number one reason patients fall ANS They need to use the restroom 5.what agency issues the standards reguarding the use of restraints ANS The joint commission and CMS 6.Name a reason a patient may need to be restrained.
ANS: if they are at risk for harming themselves or others.
7.pneumonia, urine retention/constipation, and sensory deprivation can be caused by long periods of what
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