Chapter 10: Safety

3. What skills should health care workers frequently attend in-services about to ensure that staff has competent skills and risk for falls can be decreased? a. Bathing b. Feeding c. Transferring d. Ambulating

ANS: C The majority of patient falls occur during transfer. PTS: 1 DIF: Cognitive Level: Comprehension REF: Pages 229-230 OBJ: 3 TOP: Falls KEY: Nursing Process Step: Implementation

14. A long-term care facility is committing to a restraint-free environment. What will the health care workers implement to encourage this environment? (Select all that apply.) a. Frequent orientation to surroundings b. Explain all procedures and treatments c. Discourage visitors d. Maintain toileting routines e. Minimize exercise and ambulation

ANS: A, B, D To encourage a restraint-free environment health care workers should provide frequent orientation to surroundings, thoroughly explain all procedures and treatments, and maintain toileting routines. Visitors should be encouraged so they may sit with the residents, and frequent exercise and ambulation also should be encouraged. PTS: 1 DIF: Cognitive Level: Application REF: Page 232 Box 10-3 OBJ: 5 TOP: Restraint-free environment KEY: Nursing Process Step: Assessment

15. is a violent or dangerous act used to intimidate or coerce a person or government to further a political or social agenda.

ANS: Terrorism Terrorism is a violent or dangerous act used to intimidate or coerce a person or government to further a political or social agenda. PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 245 OBJ: 9 TOP: Terrorism KEY: Nursing Process Step: N/A

5. What must the nurse do before applying a safety reminder device (SRD)? a. Get permission from the family b. Assess patient's skin condition c. Get a physician's order d. Explain the SRD to the patient

ANS: C Initially, an order is necessary that specifies the type of SRD and the duration of its application. PTS: 1 DIF: Cognitive Level: Application REF: Page 232, Box 10-4 OBJ: 4 TOP: Safety reminder devices (SRDs) KEY: Nursing Process Step: Planning

8. A disaster situation occurs and involves an explosion in a hospital laundry. What would this be classified as ? a. Active b. External c. Life-threatening d. Internal

ANS: D Internal disaster often threatens the safety of patients and staff. PTS: 1 DIF: Cognitive Level: Analysis REF: Page 244 OBJ: 9 TOP: Disaster KEY: Nursing Process Step: N/A

12. When the nurse ambulates with a patient who has left-sided weakness, what actions should the nurse take? (Select all that apply.) a. Walk on the patient's right side b. Keep the patient away from heavy furniture c. Hold the patient's arm securely d. Keep the leg nearest the patient behind the patient's knee e. Use a gait belt

ANS: D, E Ambulating with a person who has an identified weakness requires that the nurse walk on the same side as the weakness, slightly behind the patient, with the nurse's near leg behind the patient's knee. The nurse should use a gait belt and hold the patient at the waist and the gait belt. Furniture can be used as support. PTS: 1 DIF: Cognitive Level: Application REF: Page 230 OBJ: 3 TOP: Ambulating KEY: Nursing Process Step: Implementation

6. What should the nurse do when offering a cup of hot coffee to a frail, older adult patient? a. Give the patient a straw b. Dilute the coffee with cold water c. Fill the cup half full d. Offer a bib or an apron

ANS: C Filling the cup half full promotes safety and does not change the flavor of the beverage, nor does it demean the patient as would making him or her wear a bib or apron. PTS: 1 DIF: Cognitive Level: Application REF: Page 230-231 OBJ: 2 TOP: Safety KEY: Nursing Process Step: Implementation

9. The emergency department nurse admits a victim of poisoning. Who should the nurse call to receive the best assistance for dealing with this victim? a. American Red Cross b. Fire department paramedics c. Poison control center d. Civil defense office

ANS: C The nurse can access the local poison control center for assistance in caring for a victim of poisoning. PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 244 OBJ: 8 TOP: Poisoning KEY: Nursing Process Step: Implementation

11. What should a nurse do when encountering a mercury spill? a. Vacuum the spill b. Open interior doors c. Close all outside windows d. Open any outside windows

ANS: D In the event of a mercury spill, interior doors should be closed and outside windows should be opened. The spill should not be vacuumed. PTS: 1 DIF: Cognitive Level: Application REF: Pages 238-239 Box 10-6 OBJ: 9 TOP: Mercury spill KEY: Nursing Process Step: N/A

13. The nurse assesses a patient in a Posey safety reminder device (SRD) for which problem(s) that may increase because of the use of SRDs? (Select all that apply.) a. Immobility b. Lethargy c. Risk for impaired circulation d. Risk for skin impairment e. Incontinence

ANS: A, C, D, E The use of SRDs increases a patient's immobility, risk for skin impairment, risk for impaired circulation, and incontinence. A SRD would not increase lethargy. PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 231 OBJ: 4 TOP: Problems associated with SRDs KEY: Nursing Process Step: Assessment

18. The nurse explains that the measurement of radiation exposure is in multiples of Gy. The number of Gy an individual may absorb before becoming ill with radiation syndrome is .

ANS: 0.75 The amount of radiation absorbed is measured by the Gy. 1 Gy is equal to 100 rad. Absorption of 0.75 Gy will cause the individual to develop acute radiation syndrome. PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 248 OBJ: 11 TOP: Radiation syndrome KEY: Nursing Process Step: Implementation

17. The nurse conducting a seminar on bioterrorism reviews several types of agents that may be used as weapons. An agent that does not seriously damage or kill the target population but only impairs it is classified as .

ANS: incapacitating The agent that only impairs the target rather than killing or seriously damaging it is classified as an incapacitating agent. PTS: 1 DIF: Cognitive Level: Knowledge REF: Pages 246-249 OBJ: 11 TOP: Bioterrorism KEY: Nursing Process Step: Implementation

16. When reinforcing the PASS acronym for fire extinguisher use, the nurse reminds the staff that the final "S" stands for _ .

ANS: sweep The acronym stands for: P = pull pin, A = aim, S = squeeze, S = sweep. PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 241, 243 Box 10-10 OBJ: 7 TOP: Fire extinguisher use KEY: Nursing Process Step: Implementation

10. A nurse instructs a nursing assistant about the proper use of a gait belt and is observing a return demonstration. What action by the nursing assistant should cause the nurse to intervene? a. Nursing assistant is walking on the patient's strong side b. Nursing assistant is walking to the side of the patient c. Nursing assistant is securing the gait belt securely around the patient's waist d. Nursing assistant is grasping the handles of the gait belt while the patient ambulates

ANS: A A gait belt should be securely applied around the patient's waist. It has handles attached for the nurse to grasp while the patient ambulates. The nurse should walk on the patient's weaker side so that assistance may be given if the patient starts to fall. PTS: 1 DIF: Cognitive Level: Application REF: Pages 230, 234-235 Skill 10-1 OBJ: 4 TOP: Gait belt KEY: Nursing Process Step: N/A

2. What is important for the nurse to determine in order to decrease the risk for injury to a patient? a. If patient can read English b. If patient is left-handed c. If patient is able to eat unassisted d. If patient can dress independently

ANS: B A left-handed patient will twist to accommodate, which places them at risk for injury. PTS: 1 DIF: Cognitive Level: Comprehension REF: Pages 229-230 OBJ: 1 TOP: Safety KEY: Nursing Process Step: Assessment

4. What important safety precaution should the home health nurse teach parents in order to prevent burns to small children? a. Never leave them unattended b. Turn pot handles on stoves away from reach c. Turn hot water on first when filling the bathtub d. Keep side rails up on the crib

ANS: B To protect infants and children from burns, turn the pot handles on stoves away from the child's reach. PTS: 1 DIF: Cognitive Level: Application REF: Page 230 OBJ: 2 TOP: Safety KEY: Nursing Process Step: Implementation

1. The nurse manager is providing an in-service regarding a "safe hospital environment." What will this education mainly focus on preventing? a. Falls b. Exposure to contaminants c. Injury d. Electrical hazard

ANS: C A safe environment implies freedom from injury. PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 228 OBJ: 6 TOP: Safety KEY: Nursing Process Step: Implementation

7. What type of fire extinguisher should the nurse use when the oxygen concentrator machine malfunctions and causes an electrical fire? a. Type A b. Type B c. Type C d. Type D

ANS: C Electrical fires require type C fire extinguishers. PTS: 1 DIF: Cognitive Level: Application REF: Page 241 OBJ: 7 TOP: Fires KEY: Nursing Process Step: Implementation