Home Safety (ATI 13)

- use and store O2 equipment according to manufacturers instructions - "no smoking" sign on homes front door, also on patients room - inform client and family of danger of smoking by patient - only use bedding materials that are cotton - keep flammable materials (heating oil, nail polish remover) away from patient - general fire safety measures

6 guidelines for O2 use in home care setting

D

NCLEX a home health nurse is discussing the dangers of carbon monoxide poisoning with a client. which of the following info should the nurse include in her counseling A. carbon monoxide has a distinct odor B. water heaters should be inspected every 5 years C. the lungs are damaged from carbon monoxide inhalation D. carbon monoxide binds with hemoglobin in the body

R= refrain from weight bearing I= ice to decrease inflammation C= apply compression dressing to minimize swelling E= elevate

basic first aid needs: sprains R I C E

it binds with hemoglobin and reduces the oxygen supplied to the tissues in the body

what is the mechanism os carbon monoxide

- infants and toddlers = put objects in mouth and encounter hazards while exploring their environment - preschool and school-age= injury from underdeveloped motor coordination - adolescents = increased desire to make independent decisions and peer pressure

injuries relating to ages and development: - infants and toddlers= - preschool and school-age= - adolescents =

- apply direct pressure to wound - DO NOT remove impaling object

2 basic first aid needs : bleeding

- assess for swelling, deformity, skin integrity - assess temp, pulse, mobility - apply splint then cover open area with sterile cloth - reassess neurovascular status below injury after splint

4 basic first aid needs : fractures and splinting

- remove clothing - ice packs over major arteries (axillae, chest, groin, neck) - wet clothes then fan - don't allow them to shiver

4 basic first aid needs: heat stroke

- identify risk assessment tool - complete a nursing history - physical exam - home hazard appraisal

4 things the nurse must complete to initiate a plan of care for a client being discharged

B C E

NCLEX a home health nurse is discussing the dangers of food poisoning with a client. which of the following info should the nurse include (select all that apply) A. most food poisoning is caused by a virus B. immunocompromised individuals are at risk for complications from poisoning C. clients who are at high risk should eat or drink only pasteurized dairy D. healthy individuals usually recover from illness in a few weeks E. handling raw and fresh food separately can prevent food poisoning

D

NCLEX a nurse educator is conducting a parenting class for new parents of infants, which of the following statements made by a participant indicates understanding of the instructions A. i will set my water heater at 103F B. once my baby can sit up he should be safe in the bathtub C. i will place my baby on his stomach to sleep D. once my infant starts to push up, i will remove the mobile from over the crib

A

NCLEX a nurse educator is presenting a module on basic first aid for newly licensed home health nurses. the nurse educator evaluates the teaching as effective when the newly licensed nurse states that the client who has heat stroke will have which of the following A. hypotension B. bradycardia C. clammy skin D. bradypnea

B C E

NCLEX a nurse is providing discharge instructions to a client who has a prescription for O2 use at home. which of the following info should the nurse include about at home O2 safety (select all that apply) A. family members who smoke must be at least 10 ft from patient when O2 is in use B. nail polish should not be used near a client who is receiving O2 C. "no smoking" sign put on front door D. cotton bedding and clothing should be replaced with items made from wool E. fire extinguished should be readily available

breathing

Principle Guides for Primary Survey - after achieving a patent airway, assess for the presence and effectiveness of breathing

circulation

Principle Guides for Primary Survey - after ensuring adequate ventilation, assess circulation

airway/cervical spine

Principle Guides for Primary Survey - most important step - if the patient airway is not established, subsequent steps of the survey are futile. protect spine is trauma is suspected

Disability

Principle Guides for Primary Survey - perform a quick assessment to determine the clients level of consciousness

exposure

Principle Guides for Primary Survey - perform a quick physical assessment to determine the clients exposure to adverse elements such as heat or cold

A= Airway/cervical spine B= Breathing C= Circulation D= Disability E= Exposure

Principle Guides for Primary Survey A B C D E

primary survey

a rapid assessment of life-threatening conditions, should only take 60 seconds - should be conducted systematically and standard precaution PPE should be worn