Fundamentals - Safety, Security, and Emergency Preparedness

A nurse is caring for multiple clients during a mass casualty event. Which of the following clients is the priority? A. A client who received crush injuries to the chest and abdomen and is expected to die B. A client who has a 4-inch laceration to the head C. A client who has partial-thickness and full-thickness burns to his face, neck, and chest D. A client who has a fractured fibula and tibia

C. A client who has partial-thickness and full-thickness turns to face, neck and chest the nurse Should give first priority to the client who has the greatest chance of survival with prompt intervention. If not treated risk for airway obstruction, but is otherwise expected to live. Therefore, this client is the highest priority (Emergency Category: Class 1)

Which topics should be included in an education plan for preventing falls in the home? Select all that apply. a) consider the use of a raised toilet seat b) use a nightlight c) keep electrical and telephone cords against the wall and out of walkways d) avoid climbing on a chair or table to reach items that are too high e) remove clutter from walkways f) consider the use of an electronic personal alarm

a) consider the use of a raised toilet seat b) use a nightlight c) keep electrical and telephone cords against the wall and out of walkways d) avoid climbing on a chair or table to reach items that are too high e) remove clutter from walkways. Nurses should teach older clients ways to preventing falls at home. They include the following: - clean up clutter - repair or remove tripping hazards - install grab bars and handrails - avoid wearing loose clothing - lighting should be bright - wear shoes and make them nonslip - live on one level *the use of an electronic personal alarm is not a product that would prevent falls*

Health care workers may be exposed to a common occupational injury such as: a) inadvertent needle stick b) carbon monoxide exposure c) sensory deprivation d) intimate partner violence (IPV)

a) inadvertent needle stick. One of the most prevalent safety issues for health care workers is inadvertent needle stick injuries. Sensory deprivation, carbon monoxide poisoning, and IPV are not common health care accidental injuries.

Which topic should a public health nurse emphasize when educating older adults on reducing their risk of poisoning? a) keeping medications in clearly labeled containers b) hidden sources of lead in the household environment c) alternatives to chemical-based cleaning supplies d) avoiding the use of alternative and complementary therapies

a) keeping medications in clearly labeled containers. Medication overdoses are among the more common sources of poisoning in older adults, a phenomenon that can be reduced by ensuring that medications are in clearly labeled containers to avoid administration errors. Cleaning supplies and lead are more significant sources of poisoning in infants and children. Alternative an complementary therapies carry risks, but it would be unnecessary to recommend complete avoidance of all such therapies.

A client is a long-term care facility has become increasingly unsteady. The nurses are worried that the client will climb out of bed and fall. Which of the following measures would be a high priority recommendation for this client? a) placing the client in a bed with a bed alarm b) raising all the side rails of the bed c) using restraints on the client to prevent a fall d) providing a bed that is elevated from the floor

a) placing the client in a bed with a bed alarm. Raising all side rails on the bed would be a restraint, and may increase the client's risk of a fall if he or she climbs out of bed. Providing a bed that is elevated would put the client at a greater risk for a fall. Using restraints are not an option at this time, but placing the client in a bed with a bed alarm would help to prevent a fall.

A nurse is providing discharge instructions to a client who has a prescription for oxygen use at home. Which of the following information should the nurse include? (select all that apply) a) family members who smoke must be at least 10 ft from the client when oxygen is in use b) nail polish should not use nail polish or other flammable materials in the home c) a "no smoking" sign should be placed on the door d) cotton bedding and clothing should be replaced with items made from wool e) a fire extinguisher should be readily available in the home

b) nail polish should not use nail polish or other flammable materials in the home c) a "no smoking" sign should be placed on the door e) a fire extinguisher should be readily available in the home

What is the rationale for health care personnel to orient clients to rooms and equipment when they are admitted to the hospital? a) It allows time for the health care provider to write admission orders b) orienting clients to the surroundings decreases the potential for injury c) it is hospital policy d) it is part of the routine and is included on the admission checklist

b) orienting clients to the surroundings decreases the potential for injury. Orienting the client to unfamiliar surroundings will decrease the risks for accidental injury.

A term of inner city school nurses attends a community conference on child safety during the summer months. What would be the priority health outcome that these nurses would expect to achieve in summer school? a) the students will sign up for fall after school programs b) the students will demonstrate proper use of safety equipment while playing sports c) the students will read 400 pages from the summer book list d) the students will only swim in the community pool when it hasn't rained for two days.

b) the students will demonstrate proper use of safety equipment while playing sports. Educating school-age children about safety when playing sports and other physical activities is an important responsibility of school nurses. Rainfall does not necessarily exclude treatment pool water from usage. After school programs and reading programs are the purview of the academic faculty in the schools.

During a course on terrorism, a group of emergency room nurses learns about terrorists who use bombs or other explosives to inflict injury on numerous people and cause multiple fatalities. This is an example of: a) bioterrorism b) nuclear terrorism c) mass trauma terrorism d) chemical terrorism

c) mass trauma terrorism Mass trauma terrorism is caused by bombs and other explosives that are used to inflict mass trauma and cause multiple facilities. Bioterrorism involves the deliberate spread of pathogenic organisms into teh community. Chemical terrorism involves the deliberate release of a chemical compound for the purpose of causing mass destruction. Nuclear terrorism involves the dispersal of radioactive materials into the environment for the purpose of causing injury and death.

A nurse finds that a fire has broken out in a client's room at the health care facility. Which of the following interventions is of the highest priority? a) extinguish the fire b) raise an alarm c) rescue the client d) confine the fire

c) rescue the client. The first priority in case of fire is to rescue the client. As per the RACE principle of fire management, the rescue of the client is the first step, followed by raising an alarm, confining the fire, and finally, extinguishing the fire.

What generalization can be made about safety in client care? a) Although safety is a basic human need, it is provided by self-care. b) Safety is an important need, but not as important as self-actualization c) Health care providers exclude safety as a client need d) Safety is a paramount concern underlying all nursing care.

d) Safety is a paramount concern underlying all nursing care. Safety and security are basic human needs. Safety, or freedom from danger, harm, or risk, is a paramount concern that underlies all nursing care, and client safety is a responsibility of all health care providers. Safety is not related to the client's self care but the client's environment whether in the acute care setting or at home.

A nurse is preparing to file a safety event report after a client experienced a fall. Which statement is correct regarding the filing of a safety event report? a) The nurse should await results of the x-ray before filing the report. b) The nurse should include a note on the client's chart that mentions the report. c) The nurse should make a copy of the safety event report and place it in the client's medical record. d) The nurse should record the incident in the client's medical record and fill out a safety event report separately.

d) The nurse should record the incident in the client's medical record and fill out a safety event report separately. The nurse completes the safety event report immediately after an unintentional injury and is responsible for recording the incident and its effect on the client in the medical record. The safety event report is not a part of the medical record and should not be mentioned in the documentation.

A nurse is caring for older adults clients. Which is the most important safety issue in older clients? a) poisoning b) drowning c) electrical injury d) accidental falls

d) accidental falls. Nurses and caregivers should be aware that unintentional falls are the most important safety issue among older adult clients. Falls may result in major life-changing events, robbing the older person of independence. Drowning, poisoning, and electrical injury are safety issues in toddlers.

A nurse making a home visit for client living in a high-crime area observes that the apartment building does not have outside lighting. The nurse understands this is an important assessment for which reason? a) This assessment finding will make the client less able to go to social gatherings b) although important, this assessment is irrelevant to care c) Nurses in home healthcare are not concerned with safety d) assessment includes risk factors in the home including individual risk and unsafe environment

d) assessment includes risk factors in the home including individual risk and unsafe environment. Nursing assessment includes identifying individuals at risk and recognizing unsafe situations in the environment, both the healthcare agency and the home. Certain environmental areas, like high-crime neighborhoods, have proven to be more hazardous. Living in an area where crime is prevalent can pose a threat to physical security and emotional well-being. Violence, acts of aggression, and terrorism are components of 21st century life. Security measures such as locks, security systems, and exterior lighting can promote safety.

A 17 year old is brought to the emergency department with a head injury. The nurse knows that adolescents are vulnerable to injuries related to: a) falls from staircases b) play-related injuries c) falls from beds d) automobile accidents

d) automobile accidents. Adolescents are prone to injuries related to activities that involve high risk, such as driving. Adolescents tend to be impulsive and take unnecessary risks as a result of peer pressure. Falling from the bed is common in infants. Play-related injuries are commonly seem in school-age children, and falling from staircases is a common injury among toddlers.

A home health nurse is discussing the dangers of carbon monoxide poisoning with a client. Which of the following information should the nurse include? a) carbon monoxide has a distinct odor b) water heaters should be inspected every 5 years c) the lungs are damaged from carbon monoxide inhalation d) carbon monoxide binds with hemoglobin in the body

d) carbon monoxide binds with hemoglobin in the body ultimately reduces the oxygen supplied to the tissues in the body a no - can not be seen, smelled, or tasted b no - gas-burning furnaces, water heaters, and appliances should all be checked annually c no - lungs not damaged; impairs the body's ability to use oxygen

Factors that contribute to falls

•Lower body weakness •Poor vision •Gait and/or balance issues •Problems with feet and/or shoes •Use of psychoactive medications •Postural dizziness (position changes, hypotension, antihypertensives) •Hazards in the home (and community)

restraints

•Physical devices used to limit a patient's movement •Several devices exist (ex. Wrist, ankle, waist) •Chemical restraints are drugs that are used to control behavior and are not included in the person's normal medical regimen •Side rails are not appropriate to use as restraints

safety - freedom from danger harm or risk

- Developmental considerations - lifestyle - environment - Mobility - Sensory perception - Knowledge - Ability to communicate - Physical and psychosocial health

specific risk factor assessments

- falls - fires - poisoning - suffocation and choking

safety assessment - focus

- individual - environment - specific risk factors

safety assessment - two components

- nursing history -physical assessment

A nurse educator is discussing the facility protocol in the event of a tornado with the staff. Which of the following should the nurse include in the instructions? select all that apply A. Open doors to client rooms B. Place blankets over clients who are confined to beds C. Move beds away from the windows D. Draw shades and close drapes E. Instruct Ambulatory clients in the hallway to return to their rooms

B. Place blankets over clients who are confined to beds C. Move beds away from the windows D. Draw shades and close drapes The nurse should place blankets over clients to protect them from shattering glass or flying debris. The nurse should move all beds away from windows to protect clients from shattering glass or flying debris. The nurse should draw shades and close drapes to protect clients against shattering glass.

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. A client who is dehydrated and receiving IV fluid and electrolytes B. A client who has a nasogastric tube to treat a small bowel obstruction C. A client who is scheduled for elective surgery D. A client who has chronic hypertension and blood pressure 135/85 mm Hg E. A client who has acute appendicitis and is scheduled for an appendectomy

C. A client who is scheduled for elective surgery D. A client who has chronic hypertension and blood pressure 135/85 mm hg The nurse should identify a client who is scheduled elective surgery is stable and is therefore appropriate to recommend for discharge. A Blood Pressure 135/85 mm Hg is within the reference range for prehypertension. The nurse should identify this client as stable and appropriate to recommend for discharge.

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? A. Irrigate the affected area with running water B. Wash the affected area with antibacterial soap C. Brush the chemical off the skin and clothing D. Leave the clothing in place until emergency personnel arrive

C. Brush the chemical off the skin and clothing. The nurse should use a brush to remove the chemical off the skin and clothing

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) a) place a belt resraint on the client when they are sitting on the bedside commode b) Keep the bed in its lowest position with all side rails up C. Make sure that the client's call light is within reach D. Provide the client with nonskid footwear E. Complete a risk-risk assessment

C. Make sure that the client's call light is within reach (making sure that the call light is within reach enables the client to contact the nursing staff to ask for assisstance and prevents the client from falling out of bed while reaching for the call light) D. Provide the client with nonskid footwear (nonskid footwear keeps the client from slipping) E. Complete a risk-risk assessment (a fall-risk assessment serves as the basis for a plan of care that can then individualize for the client) A - is no because this is a liability risk for false imprisonment B - puts the client at risk of fall because they might attempt to climb over the rails to get out of bed

a security officer is reviewing actions to take in the event of a bomb threat by phone to a group of nurses. Which of the following statements by a nurse indicates understanding of proper procedure? A. "i will get the caller off the phone as soon as possible so I can alert the staff." B. "I will begin evacuating clients using the elevators" C. "I will not ask any questions and just let the caller talk." D. "I will listen for background noises."

D. "I will listen for background noises" In order to identify the location of the caller, the nurse should listen for background noises such as church bells, train whistles, or other distinguishing noises

An acronym RACE is commonly taught as a means for remembering priorities for action during a fire. The "A" in this acronym stands for which of the following? a) Activate the fire alarm and notify the appropriate person. b) Answer all telephone calls and call bells. c) Alert the local fire department. d) Attempt to extinguish the fire.

a) Activate the fire alarm and notify the appropriate person. - RESCUE - ALARM - CONFINE - EXTINGUISH/EVACUATE

A nurse is caring for a client who has a history of falls. Which of the following actions is the nurse's priority? a) complete a fall-risk assessment b) educate the client and family about fall risks c) eliminate safety hazards from the client's environment d) make sure the client uses assistive aids in their possession

a) Complete a fall-risk assessment. the first action to take using the nursing process is to assess or collect data from the client. Therefore, the priority action is to determine the client's fall risk. This will work as a guide in implementing appropriate safety measures. b no - educate the client and family about fall risk factors so they can help promote client safety, but this is not the priority action. c- eliminate safety hazards from the client's environment to help reduce the risk for falls, but this is not the priority action. d no - aids such as eyeglasses, hearing aids, canes, and walkers should be accessible to reduce the client's risk for falls, but this is not the priority action.

An older adult client is planning to move with her son and daughter-in-law into a bigger apartment. The son asks the nurse for some tips to keep his mother safe. What would the nurse most likely include? a) Put a small nightlight in the hall and stair. b) Keep all medicines in easily accessible shelves. c) Place household cleansers on open shelves. d) Keep the home green by planting tomato greens.

a) Put a small nightlight in the hall and stair. The nurse should suggest that the client put nightlights in the hallway or stairway to illuminate the area during the night. Medicines should not be kept in easily accessible shelves, but should be kept out of the reach of children. Tomato greens can be poisonous, so planting them in the home may not be safe when there are children around. Household cleansers should be kept in locked cupboards, out of the reach of children.

A nurse smells smoke and subsequently discovers a fire in a garbage can in a common area on the hospital unit. What is the nurse's priority action in this situation? a) Rescue anyone who is in immediate danger. b) Attempt to extinguish the fire. c) Activate the fire alarm in the unit. d) Evacuate clients and staff

a) Rescue anyone who is in immediate danger. The acronym "RACE" can be used as a guide to the immediate response to fire. This involves... (R) - rescuing anyone in immediate danger. (A) - pulling the alarm, calling "code red", and alerting appropriate personnel (C) - confining the fire by closing doors and windows (E) - evacuating clients and other people to a safe area Extinguishing the fire is not part of the immediate response.

The nurse is teaching the parents of a teenager about safety. Which teaching will the nurse include? a) be alert for signs of peer pressure b) climbing can increase the risk for injury c) keep away from deep bodies of water d) household cleaners should be placed out of reach

a) be alert for signs of peer pressure. Adolescents tend to be impulsive and take risks as a result of peer pressure. Deep bodies of water and household cleaners pose risks to toddlers who do not yet understand danger. Climbing can place infants and toddlers in danger.

A school nurse is aware of poisoning risks in the adolescent population. Poisoning in this age group is most often related to: a) experimentation with drugs and inhalants. b) exposure to toxic fumes in the home. c) the ingestion of substances in the home that contain lead. d) malfunction of a carbon monoxide monitor in the home.

a) experimentation with drugs and inhalants. Adolescents and young adults who experiment with drugs may suffer unintentional poisoning and death. The ready availability of inhalants on store shelves and in the home may provide the opportunity for children to sniff or "huff" these dangerous substances. Adolescents may also swallow medications in a suicide attempt. Ingestion of substances containing lead occurs in the preschool population. Exposure to toxic fumes (cleaning agents) and carbon monoxide individuals of all age groups.

A nurse educator is presenting a module on basic first aid for newly licensed home health nurses. The client who has heat stroke will have which of the following? a) hypotension b) bradycardia c) clammy skin d) bradypnea

a) hypotension hypotension is a manifestation of heat stroke b no - should be tachycardia c no - should be hot, dry skin d no - should be dyspnea

A nurse manager is reviewing with nurses on the unit the care of a client who has had a seizure. Which of the following statements by a nurse requires further instruction? a) i will place the client on their side b) i will go to the nurses' station for assistance c) i will note the time that the seizure begins d) i will prepare to insert an airway

b) "I will go to the nurse' station for assistance." During a seizure, stay with the client and use the call light to summon assistance. A no - During a seizure, place the client in a side-lying position to allow for drainage of secretions and to prevent the tongue from occluding the airway c no - note the seizure begins, and track how long the seizure lasts d no - place nothing in the client's mouth except an oral airway, if necessary. A tongue blade can cause injury and airway obstruction.

A nurse is providing instructions to the mother of a toddler regarding the prevention of burn injuries in the toddler. Which instruction is the priority to provide to the mother? a) Teach the toddler about fire safety. b) Keep coffee cups on the counter above the child's reach. c) Instruct the toddler about the consequences of burns. d) Cool hot liquids before giving them to the child.

b) Keep coffee cups on the counter above the child's reach. The mother should be told to always keep her coffee cup on the counter so that it is out of reach of the toddler. Toddlers are naturally inquisitive and more mobile than infants, and they fail to understand the dangers of looking into a cup, which can have hot contents. Consequently, they are often the victims of accidental poisoning, falls down stairs or from high chairs, burns, electrocution from exploring outlets or manipulating electric cords, and drowning. The toddler may not understand fire safety or the consequence even after he has been given instructions. A parent feeding the child is not a usual cause of accidental thermal injury.

A nurse is caring for a client who is receiving an intravenous therapy through an IV pump. Which intervention should the nurse implement to ensure electrical safety? a) Use an extension cord to provide freedom of movement. b) Obtain a three-prong grounded plug adapter. c) Tape the electrical cord of the pump to the floor. d) Run the electrical cord of the pump under the carpet.

b) Obtain a three-prong grounded plug adapter. The nurse shoudl obtain a three-prong grounded plug adapter, as it carries any stray electricity back to the ground. Using an extension cord may be an electrical hazard. Taping the electrical cord to the ground and running the electrical cord under the carpet are not appropriate actions for electrical safety.

A nurse is preparing discharge education for a client with a newborn baby. What is the highest priority item that must be included in the education plan? a) Give warm bottles of formula to the baby. b) Restrain the baby in a car seat. c) Lock all cabinets that contain cleaning supplies. d) Keep all pots and pans in lower cabinets.

b) Restrain the baby in a car seat. The client should restrain the baby in a car seat when driving. Infants are especially vulnerable to injuries resulting from falling off changing tables or being unrestrained in automobiles. Locking the cabinets and giving warm bottles of formula to the baby are secondary teachings.

A home care nurse provides health education to parents regarding the care of their toddler. Which precaution should the nurse suggest the parents take to protect the toddler from drowning? a) monitor the activities of the toddler b) avoid unattended baths for the toddler c) instruct the toddler not to go near the pool d) allow the child to swim friends

b) avoid unattended baths for the toddler. The parents should not leave the toddler for an unattended bath. Toddlers are naturally inquisitive, and instructing them to stay away from the pool may make them more curious. Monitoring the activities of the toddler is not always feasible. Allowing the child to swim with friends does not ensure safety.

A home health nurse is discussing the dangers of food poisoning with a client. Which of the following information should the nurse include? (select all that apply) a) most food poisoning is caused by a virus b) immunocompromised individuals are at increased risk for complications from food poisoning c) clients who are at high risk should eat or drink only pasteurized dairy products d) healthy individuals usually recover from the illness in a few weeks e) handling raw and fresh food separately can prevent food poisoning.

b) immunocompromised individuals are at increased risk for complications from food poisoning (very young, very old, immunocompromised, and pregnant are all at increased risk from food poisoning) c) clients who are at high risk should eat or drink only pasteurized dairy products (at risk people should follow a low-microbial diet that is pasteurized) e) handling raw and fresh food separately can prevent food poisoning. (include interventions to prevent food poisoning: hand hygiene, cooking temps, refrigeration, and cross-contamination) a no - most caused by bacteria d no - healthy usually recover in a few days not weeks.

A nurse observes smoke coming from under the door of the staff's lounge. Which of the following actions is the nurse's priority? a) extinguish the fire b) activate the fire alarm c) move clients who are nearby d) close all open doors on the unit

c) Move the clients who are nearby. The greatest risk to this client is injury from the fire. Therefore, the priority intervention is to rescue the clients. Protect and move clients in close proximity to the fire. a no- although extinguishing the fire is part of the protocol for responding to a fire, it is not the priority action. b no - although activating the fire alarm is part of the protocol for responding to a fire, it is not the priority action. d no - although containing the fire by closing doors and windows is part of the protocol for responding to a fire, it is not the priority action.

A nurse responds to the call bell and finds another nurse evacuating the client from the room, which has caught fire. Which action should the nurse take? a) Evacuate the unit b) Extinguish the fire c) Pull the fire alarm lever d) Confine the fire

c) Pull the fire alarm lever. The nurse should pull the fire alarm lever. As per the RACE principle of fire management, the flow of activities should be rescue, alarm, confine, and extinguish. The client had already been evacuated by another nurse, so the next action should be to pull fire alarm lever, followed by confinement of the fire and extinguishing.

The nurse is caring for an adult client on prescribed bed rest who repeatedly attempts to get out of bed, despite instructions to remain there. Which initial intervention is appropriate? a) raise the side rails b) administer a prescribed dose of lorazepam c) assess for the need to urinate d) contact the physician for an order to apply a waist restraint

c) assess for the need to urinate. Client needs should be assessed before considering physical or pharmacologic restraint.

A school nurse is providing information to a group of older adults during Fire Prevention Week. Which statement is correct regarding fires in the home? a) most home fires are caused by children playing with matches. b) Most fatal home fires occur while people are cooking. c) About 10% of home fire deaths occur in a home without a smoke detector. d) Most people who die in house fires die of smoke inhalation, rather than burns.

d) Most people who die in house fires die of smoke inhalation, rather than burns. Most people who die in house fires die of smoke inhalation, rather than burns. About 50% of home fire deaths occur in a home without a smoke detector. Many home fires are started because someone fell asleep smoking in bed or on a sofa, and most fatal home fires occur while people are sleeping.

A nurse educator is conducting a parenting class for new guardians of infants. Which of the following statements made by a patient indicates understanding? a) i will set my water heater at 130 degrees f b) once my baby can sit up, they should be safe in the bathtub c) I will place my baby on their stomach to sleep d) Once my infant starts to push up, I will remove the mobile from over the crib

d) Once my infant starts to push up, I will remove the mobile from over the crib the guardian should plan to remove crib toys (mobiles) from over the bed as soon as the infant begins to push up so the infant is unable to touch them. a no - 120 or less b no - don't leave infant and toddler alone c no - on their back

A nurse is educating the family caregiver of an older adult client about measures to promote client safety in the home. What would be most appropriate to include? a) keep all medications within the client's reach b) get the client immunized against whooping cough c) avoid the use of nightlights in the client's bedroom d) clear the cutter from the stairways and walkways

d) clear the cutter from the stairways and walkways. The nurse should ask the caregiver to clear the clutter from the stairways and walkways to revent potential falls. Medications should not be kept within the older adult client's reach; older adults can ingest an overdose of medication becuase of cognitive impairment or difficulty reading the label. Immuniation against whooping cough is mandatory in childhood, but such iimmunization is not needed for the older adult client. The nurse should recourage the older adult to use a nightlight in the bedroom, as this could help the client to find his way should he need to get out of bed.

A child is learning to ride a bike. He should be instructed to use which of the following protective devices? a) light b) knee pads c) wrist guard d) helmet

d) helmet Children should wear properly fitted helmets when cycling, riding, or playing contact sports. Helmets will help to protect against head injury. Knee pads and wrist guards will protect children, but not with the same degree of importance as a helmet.

Which statement should the nurse include in the teaching plan for a family that is learning about fire safety? a) cigarette smoking is no longer a major cause of home fires because most people smoke outside b) electric heaters are safer and do not usually increase the risk of fire in the home c) most fires occur outside of the home when grilling out or camping d) most people who die in home fires die from inhalation and not from burns

d) most people who die in home fires die from inhalation and not from burns. Most people who die in home fires die from inhalation and not from burns. Cigarette smoking is a common cause of house fires when people fall asleep in a chair or bed while smoking. Electric heaters can also be a risk for fires in the home, and most fires occur inside the home.

A nurse discovers a small paper fire in a trash can in a client's bathroom. The client has been taken to safety and the alarm has been activated. Which of the following actions should the nurse take? a) open the windows in the clients' room to allow smoke to escape b) obtain a class C fire extinguisher to extinguish the fire c) remove all electrical equipment from the client's room d) place wet towels along the base of the door to the client's room

d) place wet towels along the base of the door to the client's room contain the fire and smoke in the room a no - close all doors and windows to contain b no - class A extinguisher c no - not needed

Evaluation of Effectiveness

•Debrief •Expected outcomes for patients (Promote environmental safety, Prevent injury, Promote emergency preparedness)

Emergency Management

•Emergency Preparedness role of nurse •Emergency or disaster •"RACE" •Biologic agents of concern

Developmental Considerations - considerations

•Factors to consider for each stage •Teaching tips •Importance?

Hospital Considerations

•Fall Prevention •Medication errors •Safety Event Report

Developmental Considerations - stages

•Fetus •Neonate •Infant •Toddler •Preschooler •School aged child •Adolescent •Adult •Older adult

nursing "toolbox"

•Identifying unsafe situations and patients at risk are reflected in your nursing diagnoses and care plans. •What are specific ways nurses address safety in their actions? •Going back to falls - what specific interventions are used to prevent falls? (In the home?; In the healthcare setting?)