ch 27 holistic

Which statement indicates that a family inderstands the teaching provided by the nurse related to car safety of a nine month old infant?

"We place our baby in a rear facing carseat in the back of the car"

The nurse is making an initial assessment of a client following a surgical procedure with sedation. What steps will the nurse do their assessment actions?

Airway, breathing, circulation LOC and orientation IV access and fluids Wounds and tubes items in clients reach

A familt member states: I am afraif of my loved one wandering off while im asleep and going missing". What is an appropriate nursing response?

Consider the Alzheimer association "safe return" program

The nurse is providing education to a group of healthy older adults. Which nursing recommendation best promotes client safety in an independent living environment?

Encourage exercise that improves balance and muscle strength

The nurse obtained the above assessment for a newly admitted client. The nurse prioritized that the client has a risk for falls. What information in the clients data places the client at risk?

History of a fall Fractured leg Administration of oxycodone

Which statement by a client would indicate that a nurse had successfully implemented educational strategy to prevent injury in the home?

I have removed all throw rugs from the floor

A nurse is caring for a client who is receiving IV therapy through an IV pump. What intervention should the nurse implement to ensure electrical safety?

Obtain a 3 prong grounded plug adapter

What is the primary role of the nurse in the care of clients who experience domestic violence?

Providing prompt recognition of the potential or actual threat to safety

The nurse admitting a client to a medsurge unit has a client that states "if someone brings balloons to me I might have trouble breathing." What is the appropriate nursinf solution?

Replace common healthcare items with latex free equipment

A nurse is filing a safety event report for an older adult client who tripped and fell when getting out of bed. Which action is an accurate step in this process?

The nurse details the clients response and the examination and treatment of the client after the incident

A nurse is preparing to file a safety report after the client experiences a fall. Which statement is correct regarding the filing of a safety event report?

The nurse should record the incident in the clients medical history record and fill out a safety event report separately

A nurse is preparing to implement an order for the use of restraints to ensure a clients safety. Which statement accurately describes a guideline to follow?

Time limit the use of restraints and release as soon as patient is no longer a risk to themselves or others.

A nurse is teaching parents about internet safety for children. Which actions are recommended for safe internet use?

Use filtering software to block objectable information Be alert for downloaded images or pictures Investigate any public chat rooms used by children

The nurse is caring for four clients. Which client is at highest risk for latex sensitivity?

a 27 year old who cannot eat avocados

A 17 year old is brought to the ED with a head injury. The nurse knows adolescents are vulnerable related to injuries related to:

automobile accidents

What is the most important safety concept that a nurse should include for a family with a newborn infant in the house?

avoid stuffed animals and blankets in crib

which precaution should a nurse suggest to protect child from drowning?

avoid unattended baths for a toddler

A surgical nurse is preparing a client for surgery on the left leg. The client is awake, alert, and oriented. Who does the nurse identify that should mark the leg that will undergo the surgical procedure?

the nurse, surgeon and client

An administrative assistant at a large factory visits the medical unit and tells the nurse she is having pain in the right wrist, numbness in the index finger, and decreased mobility of the right hand. The nurse suspects:

carpal tunnel

The nurse follows the universal client compact principles for partnership when providing care for clients. Which nursing action reflects this philosophy?

client is included as part of healthcare team

The community health nurse is talking with four clients. Who would most benefit from teaching about drug and alcohol use?

college student

A confused client is pulling at the IV line. When considering alternatives for restraints, which nursing intervention would be used first?

conceal IV tubing with gauze wrap

which item would alert the home care nurse to a safety hazard threatening a young child?

dangling blind cords

Example of chemical restraint

dose of antipsychotic

A school nurse is aware of poisoning risks in the adolescent population. Poisoning in this age group is most often related to:

experimenting with drugs and inhalants

A client has been brought to the ED after splashing a chemical in their eyes. When managing the injury, what should be included in the plan of care?

flush eyes with water for ten minutes

When educating families on fire safety, it is important to:

have a meeting place outside the home

The nurse on a critical care unit can utilize the safety strategy of redundancy by:

have two nurses independently check dosage of high risk medication

A child was involved in a head to head collision with another player. Which assessment findings would indicate concussion?

headache, drowsiness and vomiting

The UAP tells the nurse the client is very confused and is trying to get out of bed withut assistance. What is the appropriate action by the nurse?

initiate use of bed alarm

A nurse is completing an intake assessment. The nurse notes that the older adult male client has bruises in varying stages of healing. Which action by the nurse indicates an understanding of her responsibilities?

question client on source of bruising

A nurse responds to a call bell and finds another nurse evacuating a client from their room, which has caught fire. Which action should the nurse take?

sound fire alarm

A 14 year old is brought to the clinic for a wellness exam. When the client asks his mom if she has any questions, she asks why he sleeps so much and if she should be worried about how lazy he is. What is true about adolescents?

trying to balance too many activities leads to sleep deprivation

A large healthcare organization has committed to promoting a just culture when adverse effects and near misses take place. Which question will guide the organizations result when a nurse makes an error?

which actions contributed to the error