Chapter 10 study guide

a nurse educator is teaching staff members about facility protocol in the event of a tornado. Which of the following should the nurse include? Select all that apply.

-place blankets over clients who are confined to bed * -move beds away from windows * -draw shades and close drapes *

A nurse manager is reviewing guidelines for preventing injury with staff nurses. Which of the following instructions should the nurse manager include? Select all that apply.

-request assistance when repositioning a client. -avoid twisting your spine of bending at the waist. -use smooth movements when lifting and moving clients.

a nurse is caring for multiple clients during a mass casualty event. Which of the following clients is the nurse's priority?

a client who has partial- thickness and full - thickness burns to the face, neck, and chest.

A nurse is caring for a client who fell at a nursing home. The client is oriented to person, place, and time and can follow directions. Which of the following actions should the nurse take to decrease the risk of another fall? Select all that apply

- Make sure that the clients call light is within reach - Complete a fall risk assessment

A nurse educator is reviewing proper body mechanics during employee's orientation. Which of the following statements should the nurse identity as an indication that an attendee understands the teaching? Select all that apply

- The lower my center of gravity the more stability i have. -To broaden my base support, I should spread my feet apart -When I lift an object, I should hold it as close to my body as possible.

The nurse would institute which intervention for a client diagnose with Clostridium difficile (C. difficile) select all that apply

- wear gloves and gown while in the room caring for the client. * - Use soap and water not alcohol-based hand rub, for hand hygiene. *

The nurse is caring for a client with a health care associated infection caused by methicillin- resistant Staphylococcus aureus. Contact precautions are prescribed for the client. The nurse prepares to irrigate the wound and apply a new dressing. Which protective interventions would the nurse use to perform this procedure? Select all that apply

-Put on a mask -Don gown and gloves -Apply shoe protectors -wear a pair of protective goggles

The nurse is assisting with creating a plan of care for a client with an internal radiation implant.

-Wearing gloves when emptying the client's bedpan. -Wearing a film (dosimeter) badge when in the client's room -Wearing a lead apron when providing direct care to the client

a nurse on a medical-surgical unit is informed that a mass casualty event occurred in the community and that it is necessary to discharge stable clients to make beds available for injury victims. Which of the following clients should the nurse recommend for discharge? Select all that apply

-a client who is scheduled for an electric surgery * - a client who has chronic hypertension and blood pressure 135/85 *

The nurse enters a client's room and finds that the waste basket is on fire. The nurse quickly assists the client out the room. Which is the next nursing action?

activate the fire alarm

The emergency room department nurse receives a telephone call and is informed that a tornado has hit a local resident area and numerous casualties have occurred. The victims will be brought to the emergency room department. Which would be the initial nursing action?

Activate the agency emergency response plan

The nurse enters the nursing lounge and discovers that a chair is on fire. The nurse activates the alarm, closes the lounge door, and obtains the fire extinguisher to extinguish the fire. The nurse pills the pin on the fire extinguisher. Which is the next action the nurse must perform.

Aim at the base of the fire*

A licensed practical nurse attends a session about bioterrorism agents including anthrax. Which statement by an attendee demonstrates the need for further teaching about anthrax?

Anthrax can be transmitted by consumption of meat from an infected animal

A mother calls and neighborhood nurse and tells the nurse that her 3-year-old child has just ingested liquid furniture polish. Which action would the nurse instruct the mother to take 1"?

Call the poison control center

A nurse is caring for a client who has a history of falls.

Complete a fall-risk assessment

A home health nurse is assessing a client who experienced extreme exposure to heat and has a body temperature of 40 degrees Celsius (104 F). The nurse should anticipate that the client will display which of the following manifestation?

Hypotension

A nurse educator is providing education on infant safety to a group of guardians. Which of the following statements by a guardian indicates an understanding of the teaching?

I should place the baby on their back when sleeping.

A nurse manager is reviewing with nurse on the unit in the care of a client who has a history of falls.

I will go to the nurses' station for assistance

a nurse educator is reviewing actions to take in the event of a bomb threat by phone to a group of new nurses. Which of the following statements by a nurse indicates understanding?

I will listen for background noises

A nurse observes smoke coming from under the door of the staff's lounge. Which of the following actions is the nurse's priority?

Move clients who are nearby.

The nurse applies wrist restraints, prescribed to prevent a client from pulling out a nasogastric tube.

Place 2 fingers under the restraint to determine snugness

A nurse is caring for a client who Is receiving enteral tube feedings due to dysphagia. Which of the following bed positions should the nurse use for the safe care of this client?

Semi-Fowlers

The nurse obtains a prescription to restrain a cline using a belt restrain a client using a belt (safety) restraint and instructs the assistive personnel to apply the restraint. Which observation, if made by the nurse indicates unsafe application of the spores.

The restraint straps are safely secured to the side of the rails

an occupational health nurse is caring for an employee who was exposed to an unknown dry chemical, resulting in a chemical burn. Which of the following interventions should the nurse include in the plan of care?

brush the chemical off the skin and clothing

A nurse is caring for a client who is sitting in a chair and asks to return to bed. Which of the following actions is the nurse's priority at this time?

determine the client's stability to help with the transfer. *

a nurse is instructing a client who has COPD about using the orthopneic position to relieve shortness of breath. Which of the following statements should the nurse make?

have a table beside your bed so you can sit on the bedside and rest your arms on the table