Week 4 Safety in Nursing Practice

Which member of the interprofessional team would the nurse consult to evaluate a patient for safe performance of activities of daily living (ADLs)?

Occupational therapist

The nurse identifies that a patient has difficulty putting on shoes and buttoning a shirt after the examination. Which goal would the nurse create as part of the plan of care?

Patient will dress self within 1 month.

A 90-year-old patient taking multiple medications is being discharged to home. Which members of the interprofessional team would the nurse consult with to evaluate fall risk?

Pharmacist Physical therapist Occupational therapist

Which member of the interprofessional team would the nurse consult to evaluate a patient who is a fall risk?

Physical therapist

The nurse is admitting a patient who is a fall risk. Which room will the nurse assign?

Room nearest the nurses' station

A patient with paraplegia is being prepared for discharge from a spinal cord rehabilitation unit. Which question is most important for the nurse to ask when performing a home safety assessment?

"Do you have a plan to exit the home in case of an emergency?"

A patient is on a large number of medications, and the nurse is concerned about the patient's personal ability to manage taking all the medications at home. Which questions would the nurse ask to assess the patient's potential safety risk?

"Do you take your medications consistently?" "Do you know how to take these prescriptions?" "Do you know when to take your drugs?" "Do you know why the health care provider has prescribed these medications?"

The nurse is evaluating a patient's understanding of home safety measures. Which patient response indicates that teaching has been effective?

"I checked my floorboards to make sure they are even."

The nurse is educating a patient about home safety. Which patient response indicates that further nursing teaching is required?

"I shave with my electric razor when I am in the tub for convenience."

The nurse is asking the patient a series of questions about the patient's activities of daily living. The patient asks the nurse why that information is important. Which nursing response is appropriate?

"The answers to these questions will help us determine if you need any assistance at home."

Which cues would the nurse use to determine a patient's safety needs?

-Subjective data related to the patient's symptoms -Subjective information about the patient's chief complaint -Patient's history of exposures to environmental hazards -Objective assessment focused on the affected body systems

A fire prevention plan must include changing batteries in smoke alarms (detectors) at least every _________ months.

6

The nurse is caring for a 72-year-old patient who is on bed rest after hip surgery for an injury sustained from a fall at home. The patient has a history of diabetes and ongoing dementia. Upon assessment, the nurse notes an intravenous (IV) infusion, a nasogastric tube, and a urinary drainage catheter. According to the Morse Fall Scale, what is the patient's total score?

75

Which factor is a patient-related fall risk hazard?

Incontinence

To assess the patient's risk for exposure to biohazards in the home, which question would the nurse ask?

Do you or does anyone in the home use hypodermic needles?

The nurse is planning care for a patient who is 70 years old, lives at home with her healthy 50-year-old daughter, and swims and walks daily. When the patient says she wants to learn more about staying safe at home, which need would the nurse identify as the priority?

Fall prevention

Educating patients about electrical cord safety is important in preventing which specific home safety hazard?

Fire

To specifically assess the patient's safety risks related to health issues, which question would the nurse ask?

Have you ever had a seizure?

Which action would the nurse take first when discovering a fire in a patient's room?

Remove the patient from the room.

Many hospitals use the acronym RACE to describe emergency fire response. Which terms stand for the letters in RACE?

Rescue, Alarm, Contain, Extinguish

During an assessment, the nurse learns that a patient and child are living in a car. Which member of the interprofessional team would the nurse consult with to evaluate these individuals?

Social worker

Which question would the nurse ask to assess a patient's understanding of the risks of chemicals?

Where do you store your household cleaners?