Fundamental of Nursing Chapter 27_Safety

Which instruction would the nurse provide to help patients limit exposure to air pollution?

"Avoid smoking."

Which nursing intervention would be appropriate for a visually impaired patient? Select all that apply. One, some, or all responses may be correct.

Keeping the area well lit Ensuring that eyeglasses are clean Orienting the patient to the surroundings

Which cause of patient death is classified as an environmental event on the National Quality Forum list?

Associated with a fall while in the health care agency

A patient has accidently consumed kerosene. Which nursing intervention would further complicate this patient's condition?

Inducing vomiting

The nurse is caring for a patient in the home and is checking for hazards. Which assessment made by the nurse is priority?

Adequacy of light

Which intervention is no longer recommended for routine home treatment of poisoning cases?

Administration of ipecac syrup

According to the National Quality Forum, which event is included under patient-protection events?

Infant discharge to the wrong person

The nurse finds an older-adult patient wandering in the hall. The patient says that he is looking for the bathroom. Which intervention is appropriate to ensure the safety of the patient? Select all that apply. One, some, or all responses may be correct.

Leave a night-light on in the bathroom. Provide scheduled toileting during the night shift. Keep the pathway from the bed to the bathroom clear.

Which suggestion by the nurse would be helpful in promoting the safety of a 4-year-old child? Select all that apply. One, some, or all responses may be correct.

Provide supervision while your child is swimming." "Instruct your child how to cross the street and walk in parking lots." "Tell your child not to play or hide in a car trunk or unused appliances."

Place the steps in order for applying restraints for a patient who has been pulling out a surgical wound drain.

The first step is to identify the patient using the proper identifiers. Because the patient is pulling out a surgical wound drain, the next step is to determine that other restraint alternatives are failing to ensure the patient's safety. Next, explain what you plan to do. Finally, pad the patient's wrist and wrap a limb restraint around the wrist or ankle with the soft part toward the skin and secure.

Which statement made by the nursing student regarding the use of physical restraints indicates effective learning? Select all that apply. One, some, or all responses may be correct.

They reduce the risk of patient injury from falls." "They prevent interruption of therapy, such as traction." "Restraints prevent the removal of life-support equipment by confused patients."

Which age-group is at the highest risk of accidental poisoning at home?

Toddlers

Which precaution would the nurse take to avoid environmental risks at a health care agency? Select all that apply. One, some, or all responses may be correct.

follow proper hand hygiene. Follow standard isolation procedures. Be aware of the location of material safety data sheets.

The registered nurse (RN) is teaching a nursing student about the proper use of a fire extinguisher at home. Which statement by the nursing student indicates a need for further teaching?

"Teach the patient to attempt to control the fire before calling emergency services."

The nurse is teaching the parent of an infant about interventions to promote safety. Which statement by the parent indicates the need for further teaching? Select all that apply. One, some, or all responses may be correct.

"Use large, soft toys with small parts such as buttons." "Fill cribs with pillows, bumper pads, and stuffed toys."

The incidence of suicidal tendency is highest in which age-group?

Adolescents

Which manifestation is an effect of lead poisoning in a child? Select all that apply. One, some, or all responses may be correct.

Adverse effects on child's growth Learning and behavioral problems Brain and kidney damage

Which factor contributes to an increase in falls in older patients? Select all that apply. One, some, or all responses may be correct.

Anticonvulsants High bed position

While caring for a patient with left-sided weakness, the nurse suspects impaired physical mobility. Which clinical manifestation would confirm the nurse's suspicion?

Limited ability to perform fine- and gross-motor skills on left side

Which finding is a serious reportable event included in the National Quality Forum list?

Disability associated with electric shock at a health care agencY

When there is a fire in the hospital, which action by the nurse is priority?

Rescuing patients in immediate dange

Which safety precaution would be taken for the patient with muscle weakness while walking?

Rubber-soled shoes

Which risk factor is seen in young and middle-age adults? Select all that apply. One, some, or all responses may be correct.

Use of firearms Substance abuse Inadequate nutrition

The registered nurse (RN) is teaching a patient's family members tips for protecting the patient during a seizure attack. Which statement made by a family member indicates the need for further teaching? Select all that apply. One, some, or all responses may be correct.

"Hold the limbs tightly." "Lift the patient from the floor to the bed."

A patient has ingested poison and is found conscious and alert. Which action by the nurse is priority?

Calling the local poison control center or the national toll-free poison control center number

Which instruction would the nurse provide to the patient about having a fire extinguisher in the home? Select all that apply. One, some, or all responses may be correct.

Children should not have access to it. Place one on each level of the home near an exit. Place it in clear view. Keep it away from stoves and heating appliances.

Which complication would the nurse be aware of when using physical restraints? Select all that apply. One, some, or all responses may be correct.

Constipation Incontinence Pressure injury

The nurse is caring for a patient who is at risk of falls because of an improper gait. Which measure would the nurse take to ensure patient safety? Select all that apply. One, some, or all responses may be correct.

Ensure that the patient wears rubber-soled slippers. Move the patient on crutches or walkers after ensuring the patient's integrity. Remove excess furniture from the path.

The nurse is caring for an older adult in the home and is concerned about infection control in this patient. About which factor would the nurse inquire when assessing this patient's risk of food poisoning? Select all that apply. One, some, or all responses may be correct.

Handwashing practices Knowledge about food-storage practices Practice of checking expiration dates on milk products

Which factor is the leading cause of injuries involving home medical oxygen?

Smoking

According to the National Quality Forum, which event is considered a care-management event?

Stage III pressure injury acquired after admission to a health care agency

Which mnemonic would a patient follow if his or her clothing or skin is burning?

Stop, drop, and roll

The health care provider asks the parents of an infant to provide formula feedings to the baby. Which instruction would the nurse give about preparing the formula? Select all that apply. One, some, or all responses may be correct.

Teach that overly diluted formula does not provide sufficient nutrients. Teach that undiluted formula causes fluid and electrolyte disturbances.

Which sequence is the correct order of actions to ensure safe transport using a wheelchair to prevent falls in a health care setting?

When transferring a patient in a wheelchair, the nurse should first position the wheelchair on the same side of the bed as the patient. The next step is to place a wedge cushion in the chair. Then securely lock the brakes on both wheels and raise the footplates before transferring the patient to the chair. Next, have the patient sit with buttocks far back in the seat.

The registered nurse (RN) is teaching a group of patients from a vulnerable population regarding measures to prevent fires at home. Which statement by a member of the group indicates the need for further teaching?

"Use old model space heaters.

A patient has been advised bed rest but often becomes anxious and moves out of bed by removing the intravenous (IV) lines. Which chemical restraint would the nurse anticipate for this patient?

Anxiolytic medicines

A patient who works in a factory visits the health care provider with a complaint of a frequent cough and discomfort in the chest region. The health care provider diagnoses it as pulmonary disease. Which form of pollution could be the reason for this condition in the patient?

Air

.A 62-year-old woman is being discharged home with her husband after surgery for a hip fracture from a fall at home. Which information would the nurse consider when providing discharge teaching about home safety to this patient and her husband?

A safe environment promotes patient activity.

A patient has been locked in a poorly ventilated room containing a furnace. Which condition is likely to be observed in the patient after a period of time?

Carbon monoxide poisoning

The family member of an adult patient complains that the patient is a long-term smoker. Which health risk factor does the nurse anticipate?

Cardiovascular disease

Which change can be observed upon exposure to severe heat? Select all that apply. One, some, or all responses may be correct.

Changes in electrolyte balance Rise in core body temperature

An 18-year-old patient is brought to the emergency department after a motor vehicle accident. Which factor is a possible cause of motor vehicle accidents in this age-group? Select all that apply. One, some, or all responses may be correct.

Drunk driving Fast driving Carelessness regarding road hazards

A patient sustained a cerebrovascular accident and reports associated weakness on the left side of the body. On further assessment, the nurse learns that the patient has a visual disturbance and uncoordinated gait. How would the nurse ensure the patient's safety? Select all that apply. One, some, or all responses may be correct.

Eliminate the risk of falls. Consult with a physical therapist. Recommend an assessment of the eyes.

.The emergency department nurse learns that a tornado just hit the east side of town. Which action would the nurse take first? .

Prepare for an influx of patients.

Health care organizations foster patient-centered safety by focusing on which aspect? Select all that apply. One, some, or all responses may be correct.

Providing current reliable technology Engaging in performance-improvement endeavors Integrating evidence-based practice into procedures Cultivating a safe work environment

Which order of steps is correct for safely using a fire extinguisher in the home?

The nurse should instruct the patient to memorize the PASS technique for safely using a fire extinguisher: pulling the pin to unlock the handle, aiming low at the base of the fire, squeezing the handle, and sweeping the unit from side to side.

Which mishap is an example of patient-inherent accidents in the hospital setting? Select all that apply. One, some, or all responses may be correct.

Pinching fingers in drawers Self-inflicted cuts

An 80-year-old patient demonstrates some confusion but no anxiety. The nursing assessment reveals that the patient is a fall risk because the patient continues to get out of bed without help despite frequent reminders. Which nursing intervention would be initiated to prevent falls for this patient?

Place a bed alarm device on the bed.

The nurse is training a health care provider on precautionary measures to avoid equipment-related accidents. Which information would be included in the training? Select all that apply. One, some, or all responses may be correct.

Placing a tag on faulty instruments Promptly reporting malfunctions Assessing potential electrical hazards

The nurse learns that the unconscious patient has accidentally consumed agricultural pesticides. Which intervention would prevent aspiration in this patient?

Positioning the patient with head turned

A patient is brought to the hospital after having ingested household cleaning products. Which nursing action would result in further complications in the victim?

Positioning the victim with the feet higher than the head

Which safety precaution would the nurse follow to reduce the risk of falls in a patient with hemiparesis?

Stand on the patient's affected side when using a cane and a gait belt.

The nurse is calculating the fall risk score of an 85-year-old patient using a standard fall assessment tool. Which factor contributes to the patient's overall fall risk? Select all that apply. One, some, or all responses may be correct.

Age Fall history Medication

According to the American Hospital Association, a red wristband is given for which category?

Allergies

The nurse is teaching parents of an adolescent the psychological signs that may be consistent with drug use or abuse in their child. Which statement would the nurse include in the teaching? Select all that apply. One, some, or all responses may be correct.

Monitor for changes in school attendance." "Note any increase in aggressiveness." "Be aware of changes in interpersonal relationships."

The nurse is admitting a 64-year-old patient who had a right hemisphere stroke and a recent fall. The spouse stated that the patient has a history of high blood pressure, which is controlled by an antihypertensive and a diuretic. Currently the patient exhibits left-sided neglect and problems with spatial and perceptual abilities and is impulsive. The patient has moderate left-sided weakness and requires the assistance of a cane to ambulate at home. The patient currently has an intravenous (IV) line and a urinary catheter in place. Which factor increases the patient's fall risk at this time? Select all that apply. One, some, or all responses may be correct.

Takes an antihypertensive and diuretics History of recent fall Neglect, problems with spatial and perceptual abilities, impulsive Requires assistance with activity, unsteady gait IV line, urinary catheter

Which order of steps would be correct for applying a belt restraint?

The application of a belt restraint first requires making the patient sit on the bed and then applying the belt over the patient's clothes. At this time, it is important to place the restraint at the waist, and not the chest or abdomen. Wrinkles in the cloth should be removed, and ties should be through slots in the belt. Finally, the patient should be laid down in bed. Belts should not be applied tightly.

Arrange the steps in the proper order that the nurse would follow during a fire in a hospital.

The mnemonic RACE is used to set priorities in case of a fire. The first step is to Rescue and remove patients who are in immediate danger. The next step is to activate the Alarm, which should always be done before attempting to extinguish even a minor fire. This is followed by Confining the fire by closing doors and windows and turning off oxygen and electrical equipment. The last step is Extinguishing the fire with an appropriate extinguisher.

Which action would the nurse perform during a fire? Select all that apply. One, some, or all responses may be correct.

Use a fire extinguisher. Turn off sources of oxygen. Close all doors and windows

A registered nurse (RN) is teaching a patient about preventive measures for electrical shocks. Which statement by the patient indicates the need for further teaching?

Use extension cords at all times."