Davis E&A: Safety

Two weeks later, Carol learns that William has been hospitalized for a fractured hip due to a fall. She visits him in the hospital and observes which safety measures in place to prevent injury? Select all that apply. Antiembolism stockings to prevent a blood clot Red slippers that identify him as a fall risk Four siderails up on the bed to prevent him from getting up Bed alarm is turned off because it's daytime Bedside table near the bed

Antiembolism stockings to prevent a blood clot Red slippers that identify him as a fall risk bedside table near the bed

Which are components of an effective culture of safety on a nursing unit? Select all that apply. 1. Transparency 2. Accountability 3. Punitive response to errors 4. Performing all activities the same way every time 5. Team empowerment

1. Transparency 2. Accountability 5. Team empowerment

The nurse is teaching a group of parents of toddlers about safety. What should be included in the presentation? Select all that apply. 1. Encourage child to sleep on his/her back at night. 2. Keep the telephone number of the poison control center accessible. 3. Have self-closing, locking swimming pool gates. 4. Use a front-facing car seat placed in the back seat of the car. 5. Cut food into small, bite-size pieces.

2. Keep the telephone number of the poison control center accessible. 3. Have self-closing, locking swimming pool gates. 5. Cut food into small, bite-size pieces.

The nurse is caring for an unsteady client who keeps getting out of his or her chair due to confusion. What is the best intervention for this client? 1. Keep the client in bed with the side rails up. 2. Place a chair alarm under the client's chair. 3. Apply restraints to the client to keep the client in place. 4. Provide the client with some distraction activities.

2. Place a chair alarm under the client's chair.

The nurse is caring for an older adult at risk for falls. What should be included in the plan of care? Select all that apply. 1. Keep bed in highest position. 2. Provide nonskid footwear. 3. Keep call light within reach. 4. Clear floor of obstacles. 5. Keep bed wheels locked.

2. Provide nonskid footwear. 3. Keep call light within reach. 4. Clear floor of obstacles. 5. Keep bed wheels locked.

The nurse is educating the parents of a toddler about medication safety in the home. What should the nurse include in the teaching plan? Select All That Apply. 1. Keep old medications on hand for future use. 2. Refrain from calling medications candy. 3. Avoid taking medications in front of children. 4. Store all medications in child-resistant containers. 5. Transfer all medications into different bottles.

2. Refrain from calling medications candy. 3. Avoid taking medications in front of children. 4. Store all medications in child-resistant containers.

The nurse responds to a client's call light to find a fire in the bathroom trashcan. The client yells, "I just wanted a cigarette; I didn't think this would happen." What should be the nurse's first action? 1. Pull the fire alarm. 2. Relocate the client away from the fire. 3. Call for additional help. 4. Close the bathroom door.

2. Relocate the client away from the fire.A nurse is a new employee in a facility learning about The Joint Commission's Patient Safety Goals. What is in included within these goals?

Which information should the nurse include when educating a family about carbon monoxide hazards? Select All That Apply. 1. Use a kerosene heater in the house. 2. Place a generator inside the house for power outages. 3. Open the garage door when running the vehicle. 4. Refrain from burning charcoal in the home fireplace. 5. Purchase and install a working carbon monoxide detector

3. Open the garage door when running the vehicle. 4. Refrain from burning charcoal in the home fireplace. 5. Purchase and install a working carbon monoxide detector

The nurse knows that falls most often occur in hospitals and long-term care facilities during which time frames? Select all that apply. 1. Early mornings 2. Midafternoons 3. Weekends 4. Nights 5. Holidays

3. Weekends 4. Nights 5. Holidays

Carol recognizes her primary concern is for the care of Sonia, her client. After she's completed the dressing changes she fills out a household safety assessment form. Which comments require further teaching for the safety of Sonia's grandchildren? Select all that apply. Carol recognizes her primary concern is for the care of Sonia, her client. After she's completed the dressing changes she fills out a household safety assessment form. Which comments require further teaching for the safety of Sonia's grandchildren? Select all that apply. "Billy is in a rear-facing car seat. Bobby wears a shoulder seatbelt in the back seat." "Both Billy and Bobby swim with water wings at the city pool." "Billy still sucks his thumb and likes to put things in his mouth." "Bobby's favorite toys are small bricks; he leaves them everywhere." "Bobby loves his new skateboard."

Billy is in a rear-facing car seat. Bobby wears a shoulder seatbelt in the back seat." "Billy still sucks his thumb and likes to put things in his mouth." "Bobby's favorite toys are small bricks; he leaves them everywhere." "Bobby loves his new skateboard."

As the nurse caring for William gives him an injection of pain medication, he accidently sticks himself with the used needle. What measure should the nurse have taken to prevent this injury? Select all that apply. Using a needle with a needle guard Not recapping needles Placing syringe and needle directly into the sharps container once used Confirming that the sharps container is not overfilled Not hand-passing sharps from one person to another

Using a needle with a needle guard Not recapping needles Placing syringe and needle directly into the sharps container once used Confirming that the sharps container is not overfilled Not hand-passing sharps from one person to another

As Carol and Sonia are discussing safety, Carol shares that based upon age-group, drowning is the leading cause of death for which family member?

billy (2yrs old)

Carol, a home health nurse, is caring for a family in a low-income, inner-city neighborhood. Four generations of family live in this small, two-bedroom apartment including William, 81 years old; his daughter, Sonia, 51 years old; her daughter Tasha, 28 years old, and Tasha's sons, Bobby, 6 years old, and Billy, 2 years old. Sonia was recently discharged from the hospital with a healthcare-acquired infection of her surgical wound and requires routine dressing changes. several throw rugs on the floor a space heater on the floor open meds by tv empty beer bottles on table a smoke detecter hanging on the kitchen ceiling

throw rugs open meds smoke detector space heater

Which are possible consequences of alarm fatigue? Select All That Apply. 1. Alarm goes off and is noticed by staff 2. Alarm device does not detect alarm condition 3. Alarm is activated without the condition occurring 4. Alarm device does not communicate to the nurse the problem 5. Alarm device sounds like other alarms and is not noticed by the nurse

2. Alarm device does not detect alarm condition condition occurring 4. Alarm device does not communicate to the nurse the problem 5. Alarm device sounds like other alarms and is not noticed by the nurse

William says to his nurse, "I guess I never really thought about how dangerous nursing can be" after learning of the needlestick. "Are injuries to nurses very common?" What would be correct responses by the nurse? Select all that apply. "Most injuries to healthcare workers are preventable." "Almost all nurses report chronic back pain." "The only ones who suffer injuries are the bedside nurses." "Several national organizations work to implement safety practices for nurses." "Exposure to radiation and violence are also ways a nurse can be injured."

"Most injuries to healthcare workers are preventable." "Almost all nurses report chronic back pain." "Several national organizations work to implement safety practices for nurses." "Exposure to radiation and violence are also ways a nurse can be injured."

Which statements by a nurse are correct when preventing needlesticks and blood exposure? Select all that apply. 1. "I always place my used needles into a puncture-proof, labeled container." 2. "I always recap my used insulin needles before disposing of them." 3. "I confirm that the sharps container is not overfilled before placing the syringe inside." 4. "It is okay to hand pass sharps if both people in the exchange are wearing gloves." 5. "I only recap with a needle guard when available."

1. "I always place my used needles into a puncture-proof, labeled container." 3. "I confirm that the sharps container is not overfilled before placing the syringe inside." 5. "I only recap with a needle guard when available."

Which are appropriate instructions to give to children if they encounter a firearm? Select all that apply. 1. Do not touch it. 2. Pick it up gently and bring it to an adult. 3. Check to see if it is loaded. 4. Leave the area. 5. Tell an adult.

1. Do not touch it. 4. Leave the area. 5. Tell an adult.

Which are measures that should be taken by health-care workers to decrease radiation exposure for a client with a radioactive implant? Select all that apply. 1. Limit the amount of time spent with the client. 2. Perform care near the client only when necessary. 3. Stand at an angle from the client to minimize radiation exposure. 4. Wear a lead apron. 5. Change clothes after x-ray exposure.

1. Limit the amount of time spent with the client. 2. Perform care near the client only when necessary. 4. Wear a lead apron.

Which falls prevention measures can a nurse delegate to nursing assistive personnel? Select All That Apply. 1. Provide nonskid slippers. 2. Lock beds and wheelchairs. 3. Initiate restraints. 4. Prepare medications as ordered. 5. Discharge planning. 6. Keep room free of clutter.

1. Provide nonskid slippers. 2. Lock beds and wheelchairs. 6. Keep room free of clutter.

A nurse is caring for a client who is at high risk for falling. The client is weak and confused. What are actions the nurse can take when caring for this client? Select all that apply. 1. Repeat fall risk assessment every 8 hours. 2. Place call light within reach. 3. Request a social service consultation. 4. Identify medications that increase falling risk. 5. Restrain the patient to bed.

1. Repeat fall risk assessment every 8 hours. 2. Place call light within reach. 4. Identify medications that increase falling risk.

What are considered "never events"? Select all that apply. 1. An abdominal infection after a ruptured appendix surgery 2. Administration of unmatched blood in an emergency situation 3. Hypoglycemic episode after insulin administration 4. Sponge left in a client after a hysterectomy 5. Blood clot in the lungs after an orthopedic surgery

3. Hypoglycemic episode after insulin administration 4. Sponge left in a client after a hysterectomy 5. Blood clot in the lungs after an orthopedic surgery

A nurse is a new employee in a facility learning about The Joint Commission's Patient Safety Goals. What is in included within these goals? 1. Minimization of patient falls 2. Elimination of never events 3. Infection prevention 4. Requirement of advanced technologies

3. Infection prevention

A nursing unit is receiving report for five clients being newly admitted. Which client is at the highest risk for injury and best to place close to the nurse's station? 1. A 9-year-old child who is tearful 2. A 16-year-old adolescent who is depressed 3. A 62-year-old patient who is anxious 4. An 87-year-old patient who is confused

4. An 87-year-old patient who is confused

A client is brought by ambulance to a hospital after being found in a closed garage with the car running. The physician orders 100% humidified oxygen. Which type of poisoning does this client have? 1. Food poisoning 2. Exposure to caustic chemicals 3. Gasoline ingestion 4. Carbon monoxide inhalation

4. Carbon monoxide inhalation

Which fire extinguisher classification is approved for use with combustible metals? 1. Class A 2. Class B 3. Class C 4. Class D

4. Class D

As the nurse prepares to help William get out of bed for the first time after surgery, which safety measures should be taken? Select all that apply. Apply skid-resistant shoes on William. Place a lift belt tightly around William's waist. Get additional help. Clear area of obstacles. Place a skid-free rug at the side of the bed.

Apply skid-resistant shoes on William. Place a lift belt tightly around William's waist. Get additional help. Clear area of obstacles.

While discussing the surrounding community with Sonia, Carol learns that there are often drug dealers at the corner market, and there have been neighborhood drive-by shootings related to gang activity. What additional teaching should be included for the family? Select all that apply. Avoidance of touching needles if found Importance of a home security plan Purchase of a guard dog for protection Proper handling of guns and gun safety How to contact 911 for emergencies

Avoidance of touching needles if found Importance of a home security plan Proper handling of guns and gun safety How to contact 911 for emergencies

As an older adult, which age-related changes contribute to William's risk for injury? Select all that apply. Risk-taking behavior Sensory losses Hearing impairment Decreased mobility Increased cognitive awareness

Sensory losses Hearing impairment Decreased mobility

The nurse is about to move a client who is large and unsteady from the bed to a chair. Which actions should the nurse take? Select all that apply. 1. Use a narrow base stance of support. 2. Apply a lift belt. 3. Get additional help. Clear area of obstacles. Place client in restraints.

clear area get help apply lift belt