Promoting Safety

The nurse on the pediatric unit is preparing a teaching plan related to children and drowning. Which of the following sources of drowning will the nurse include in her plan? Select all that apply. a) Bathtub b) Child wading pool c) Toilet d) Mop bucket filled with water

a) Bathtub b) Child wading pool c) Toilet d) Mop bucket filled with water

The community health nurse is making a presentation on carbon monoxide (CO) poisoning at the neighborhood health fair. Which of the following will the nurse include in her presentation? Select all that apply. a) Carbon monoxide is a colorless, odorless, and tasteless gas. b) Home-installed carbon dioxide detectors are shown to be ineffective. c) Carbon monoxide poisoning causes many older adult deaths in cold weather months. d) During rainy weather, a home fireplace with charcoal may be used for barbequing.

a) Carbon monoxide is a colorless, odorless, and tasteless gas. c) Carbon monoxide poisoning causes many older adult deaths in cold weather months.

A patient is brought to the emergency department after inhaling mercury. The nurse should be alert for which acute adverse effects associated with mercury inhalation? a) Chest pain, pneumonitis, and inflammation of the mouth b) Intestinal obstruction and numbness of the hands c) Hypotension, oliguria, and tingling of the feet d) Tachycardia, hematuria, and diaphoresis

a) Chest pain, pneumonitis, and inflammation of the mouth

The nurse suspects a 3-year-old child who is coughing vigorously has aspirated a small object. Which action should the nurse take first? a) Encourage the child to continue coughing. b) Deliver upward abdominal thrusts with a fisted hand. c) Deliver five rapid back blows between the shoulder blades. d) Perform a blind finger sweep of the child's mouth.

a) Encourage the child to continue coughing.

The nurse is preparing to write her nursing progress notes for a patient who has wrist restraints. Which of the following will the nurse include in her progress notes? Select all that apply. a) Family teaching initiated regarding the need for patient restraint b) Restraint removed once per shift to assess skin color, sensation, and movement of extremity c) A prescription for wrist restraint received from the primary care provider d) Wrist restraints applied because of the patient's increasing confusion

a) Family teaching initiated regarding the need for patient restraint c) A prescription for wrist restraint received from the primary care provider

The home health nurse is performing an initial assessment in the home of her 80-year-old client. Which of the following instructions will the nurse provide to minimize and prevent bathroom accidents? Select all that apply. a) Install grab bars in the bathtub or shower. b) Use a shower curtain instead of a sliding door. c) Use a nonskid mat in the bathtub. d) Install a raised toilet seat.

a) Install grab bars in the bathtub or shower. c) Use a nonskid mat in the bathtub. d) Install a raised toilet seat.

The Joint Commission's national Speak Up® campaign encourages patients to become active and informed participants on the healthcare team. The goal is to: a) Prevent healthcare errors b) Help control the cost of healthcare c) Reduce the number of automobile accidents d) Provide a forum for people without health insurance

a) Prevent healthcare errors

While working with a certified nursing assistant (CNA) in a local nursing home, the nurse knows that which of the following fall risk and prevention measures may be delegated to the CNA? Select all that apply. a) Remove clutter and spills in patient rooms. b) Place nonskid slippers on all patients. c) Answer call lights in a timely manner. d) Assess each patient for fall risk.

a) Remove clutter and spills in patient rooms. b) Place nonskid slippers on all patients. c) Answer call lights in a timely manner.

A nurse is teaching a group of mothers about first aid. Should poison come in contact with their child's clothing and skin, which action should the nurse instruct the mothers to take first? a) Remove the contaminated clothing immediately. b) Flood the contaminated area with lukewarm water. c) Wash the contaminated area with soap and water and rinse. d) Call the nearest poison control center immediately.

a) Remove the contaminated clothing immediately.

Physiological changes associated with aging place the older adult especially at risk for which nursing diagnosis? a) Risk for Falls b) Risk for Ineffective Airway Clearance (choking) c) Risk for Poisoning d) Risk for Suffocation (drowning)

a) Risk for Falls

The community health nurse is preparing a teaching plan on motor vehicle accidents. What information will the nurse include in the plan? Select all that apply. a) The risk of being injured or killed in a car crash increases for older adult drivers. b) Young children should be placed in the front seat of a motor vehicle so the driver can watch them. c) Air bags have no effect on injury or death related to motor vehicle accidents. d) Cell phone use while driving is directly correlated with an increase in motor vehicle accidents.

a) The risk of being injured or killed in a car crash increases for older adult drivers. d) Cell phone use while driving is directly correlated with an increase in motor vehicle accidents.

During a thermometer exchange program at a local hospital, a person drops a mercury thermometer on the floor. Assume the nurse has been trained in cleanup of such a spill. How should the nurse intervene? Select all that apply. a) Using gloves and a paper towel, place the mercury in a plastic bag and dispose of it. b) Notify the hazardous material management team immediately. c) Evacuate the area immediately. d) After putting on a gown, gloves, and a mask, clean up the mercury. e) Wash her hands well after removing the spill. f) Ventilate the area well for several days.

a) Using gloves and a paper towel, place the mercury in a plastic bag and dispose of it. e) Wash her hands well after removing the spill. f) Ventilate the area well for several days.

The nurse understands that which of the following organizational factors have been shown to contribute to errors and safety problems in healthcare? Select all that apply. a) Inadequate financial resources b) Inadequate training of personnel c) Inadequate staffing in the organization d) Staff reluctance to speak up about risks and errors

b) Inadequate training of personnel c) Inadequate staffing in the organization d) Staff reluctance to speak up about risks and errors

Which points should the nurse include when teaching safety precautions to a mother of a toddler? Select all that apply. a) Make sure the child sleeps on his back at night. b) Keep the telephone number of the poison control center accessible. c) Use a front-facing car seat placed in the back seat of the car. d) Keep syrup of ipecac on hand in case of accidental poisoning.

b) Keep the telephone number of the poison control center accessible. c) Use a front-facing car seat placed in the back seat of the car.

While teaching a session at the local library, the nurse emphasizes that according to the National Weather Service, which of the following is the leading cause of weather-related fatalities? a) Floods b) Lightning strikes c) Hurricanes d) Tornadoes

b) Lightning strikes

Which is the most commonly reported incident in hospitals? a) Equipment malfunction b) Patient falls c) Laboratory specimen errors d) Treatment delays

b) Patient falls

The mother of 6-year-old twins says to the pediatric nurse, "My husband and I keep a gun in our home. Do you have any safety tips for us?" The most appropriate response by the nurse is which of the following? Select all that apply. a) "I do not recommend owning a firearm when children are living in the home." b) "Be careful not to allow your children into the homes of others who own a firearm." c) "Be sure to keep your gun unloaded and in a secure and locked cabinet." d) "Ammunition for your gun should be stored in a different location from the gun."

c) "Be sure to keep your gun unloaded and in a secure and locked cabinet." d) "Ammunition for your gun should be stored in a different location from the gun."

The nurse is instructing a new parent on the proper positioning of the infant car seat will explain that the infant or child may be positioned forward facing in an automobile at what weight? a) 6 kg (12 lb) b) 7.5 kg (15 lb) c) 9 kg (20 lb) d) 10 kg (22 lb

c) 9 kg (20 lb)

The quality and risk nurse in the local hospital is performing a hospital survey on sentinel events. Which of the following statements would the nurse use to best describe a sentinel event? a) An event that can cause serious injury to a patient that should never happen in a hospital b) Specific events that enable a hospital to maximize reimbursement from Medicare and Medicaid c) An unexpected event involving death or serious physical or psychological injury d) An event in the operating room area involving the use of unsafe equipment

c) An unexpected event involving death or serious physical or psychological injury

While eating in the hospital cafeteria, the nurse sees a visitor display the "universal sign of choking." Her first action is to: a) Page a "Code Blue" emergency. b) Immediately perform five abdominal thrusts. c) Assess for ineffective breathing by asking, "Are you choking?" d) Deliver four sharp back blows between the scapulae.

c) Assess for ineffective breathing by asking, "Are you choking?"

The nurse is invited to a childcare center for a safety class. An employee comes running into the class and says to the nurse, "I think one of the children swallowed a poisonous chemical from our storage area." What is the first action by the nurse? a) Identify the poison then call 911 or the local emergency number. b) Assess for signs and symptoms then call 911 or the local emergency number. c) Call 911 immediately, even if the child has no symptoms. d) induce vomiting on the child then call 911.

c) Call 911 immediately, even if the child has no symptoms.

The nurse is caring for a group of patients on the medical-surgical unit. The most important action the nurse can take in preventing falls is: a) Use two siderails for each patient's bed b) Place a fall risk sign on the front of the patient's door c) Identify those patients who are at risk for falls d) Use wrist restraints for any confused or combative patient

c) Identify those patients who are at risk for falls

A patient in the emergency department is angry, yelling, cursing, and waving his arms when the nurse comes to the treatment cubicle. Which action(s) by the nurse is/are advisable? a) Reassure the patient by entering the room alone. b) Ask the patient whether he is carrying any weapons. c) Stay between the patient and the door while keeping the door open. d) Make eye contact while stating firmly, "I will not tolerate cursing and threats."

c) Stay between the patient and the door while keeping the door open.

Which aspect of restraint use can the nurse delegate to the nursing assistive personnel? a) Assessing the patient's status b) Determining the need for restraint c) Evaluating the patient's response to restraints d) Applying and removing the restraints

d) Applying and removing the restraints

Which of the following instructions is most important for the nurse to include when teaching a mother of a 3-year-old about protecting her child against accidental poisoning? a) Store medications on countertops out of the child's reach. b) Purchase medication in child-resistant containers. c) Take medications in front of the child, and explain that they are for adults only. d) Never leave the child unattended around medications or cleaning solutions.

d) Never leave the child unattended around medications or cleaning solutions.

The nurse will teach the community-based client that the most common cause of injury related to a house fire is/are: a) Explosion b) Falls from second-story windows c) Thermal damage to skin and body surfaces d) Smoke inhalation injury

d) Smoke inhalation injury