Safety

When examining an unconscious client, which nursing assessment finding is most indicative of carbon monoxide poisoning? a. Rapid, irregular pulse rate. b. Smoky odor to clothing. c. Cherry-red skin color.

c. Cherry-red skin color.

A community member asks a training fire safety nurse which type of fire extinguisher would be appropriate to put out a bonfire. What will the nurse identify? a. Class C. b. Class B. c. Class A

c. Class A

An adult client on prescribed bed rest who repeatedly attempts to get out of bed despite instructions by nurse to remain in bed. Which initial intervention is appropriate? a. Assess for the need to urinate. b. Raise the side rails. c. Contact the health care provider for a prescription to apply a waist restraint.

c. Contact the health care provider for a prescription to apply a waist restraint.

The acronym RACE to identify the basic steps to take when managing a fire. What is the "E" stand for? a. Escape. b. Exhaust. c. Extinguish.

c. Extinguish.

The residential home nurse is caring for a client who lives in an assisted living unit. In designing a plan of care to prevent fires, the nurse identifies which as the highest risk to the client? a. Electrical sockets. b. Cigarette smoking. c. Gas stove.

c. Gas stove.

The community health nurse is teaching a parents of toddlers include what? a. Place the child securely on changing table. b. Purchase protective sporting equipment. c. Household cleaners must be kept out of reach.

c. Household cleaners must be kept out of reach.

The nurse is caring for a client who scored 3 on the Hendrich II Fall Risk Model. Which intervention is appropriate? a. Place a fall risk bracelet on the client. b. Arrange for a sitter to stay with the client. c. Implement normal fall Prevention measures.

c. Implement normal fall Prevention measures.

The education plan regarding safety issues for a group of adult clients. Which statement should the nurse include? a.Suicide is the leading cause of death in adults and adolescents. b. Occupational safety practices can eliminate all workplace hard. c. In most age groups, motor vehicle accidents is primary cause of death in adult client.

c. In most age groups, motor vehicle accidents is primary cause of death in adult client.

A nurse is teaching the mother of a toddler regarding the prevention of burn injuries in the toddler. Which teaching is the priority to provide to the mother? a. Teach the toddler about fire safety. b. Instruct the toddler about the consequences of burns. c. Keep coffee cups on the counter above the child's reach.

c. Keep coffee cups on the counter above the child's reach.

Which nursing diagnosis would be appropriate for educational interventions for a single mother who leaves her toddler unattended in the bathtub? a. Risk for imbalanced body temperature. b. Risk for falls. c. Risk for suffocation.

c. Risk for suffocation.

The 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? a. Unlicensed assistive personnel. b. Family member. c. Surgeon.

c. Surgeon.

The neurology unit of a health care facility are on fire. In this situation what would be most appropriate to avoid? a. Use of stretches. b. Closing of doors and windows. c. Use of elevators

c. Use of elevators

A nurse has attended a fire safety training program for the facility. The nurse demonstration understanding of how prioritize actions during a fire by doing the actions listed below. Place the actions in the sequence that would best demonstrate the nurse's understanding a. Evacuating the clients if directed. b. Pulling the alarm and calling code Red. c. Closing all the doors and windows. d. Removing the client from immediate danger.

d, b, c, a.

Place the following nursing actions in the order they should be performed when a fire is discovered, use all of the options. a. Clear the halls of visitors and equipment. b. Locate and use of a fire extinguisher. c. Notify the switchboard operator. d. Shut doors to rooms and stairwells. e. Rescue persons near the fire.

e, c, a, d, b

The home health nurse will visit a client for the first time in the home, what safety measures will the nurse employ when visiting the client? select all that apply. a. Place plenty of cash in the nurse's pocket for emergency use. b. Carry a cell phone at all times. c. Ask the client to secure animals in another room or outside before the visit. d. Schedule an appointment with the client prior to the visit. e. Ensure the nurse's automobile is in good condition and can be driven to the client's home.

b, c, d, e.

The nurse is caring for a client that was brought to the emergency department after a building fire. Which assessment finding alerts the nurse to possible smoke inhalation? select all that apply. a. Lowered body temperature. b. Mild cough. c. Jaundice. d. Black debris in nasal passages. e. Impaired judgement.

b, d, e

The nurse provides care to clients of all age groups and is developing an education pamphlet warning about falls. Which age groups would the nurse identify as at risk for falls? a. Adolescents. b. Newborns. c. Adults. d. Toddlers. e. Older adults.

b, d, e.

The nurse is providing safety teaching to the family of an older adult client. Which finding in the client's home will the nurse teach the family to address? a. Machines used infrequently are unplugged. b. A hair dryer is placed next to the sink. c. Good lighting.

b. A hair dryer is placed next to the sink

The nurse is caring for an adult client on prescribed bed rest who repeatedly attempts to get out of bed despite instructions to remain in bed. Which initial intervention is appropriate? a. Raise the side rails. b. Assess for the need to urinate. c. Administer a prescribed dose of lorazepam.

b. Assess for the need to urinate.

The acute care setting requires collaboration with clients primary care provider. Which intervention to prevent client falls? a. Activate the pressure sensor alarm on the bed (if equipped). b. Avoid the use of medications that increase the likelihood of falls. c. Educate the client about the proper use of the call bell system.

b. Avoid the use of medications that increase the likelihood of falls.

Unintentional injuries were the fifth-leading cause of all deaths in the United States. Which national organization determined these? a. American Medical Association. b. Centers for Disease Control and Prevention. c. American Nurses Association.

b. Centers for Disease Control and Prevention.

The nurse is teaching fire safety to members of a community, one member asks which type of fire extinguisher would be appropriate to put out a gasoline fire. What will the nurse identify? a. Class A. b. Class B. c. Class C

b. Class B.

Community health nurse teaching that will include for parents of toddlers is? a. Peer pressure can contribute to risk-taking. b. Household cleaners must be kept out of reach. c. Place the child securely on a changing table

b. Household cleaners must be kept out of reach.

Which nursing action is best to recommend initially when someone reports that an alert person has just ingested multiple medications in a suicide attempt? a. Administer an antacid. b. Induce vomiting. c. Transport the person to the emergency department.

b. Induce vomiting.

The nurse should include which statement in the education plan regarding safety issues for a group of adult clients? a. Environmental lead exposure is a primary cause of in the adult clients. b. Motor vehicle accidents are major causes of death in most age groups. c. Occupational safety practices can eliminate all workplace hazards.

b. Motor vehicle accidents are major causes of death in most age groups.

The health care facility nurse is attending to an adolescent client who has sprained an ankle during a soccer match. What is the most common reason for an adolescents to risk injury? a. Sensory change. b. Peer pressure. c. effect of disease .

b. Peer pressure.

A 10-month-old boy is assigned to care fo by a nurse. Which activity should be the priority for the nurse? a. Provide health education to parents. b. Protect the toddler from injury. c. Provide sensory stimulation.

b. Protect the toddler from injury.

An industrial nurse adopt to prevent carbon monoxide (CO) inhalation by the workers. Which activity would the nurse suggest? a. Ensuring a good ventilation system at the workplace. b. Using carbon monoxide detectors and alarms. c. Keeping the resuscitation equipment ready at hand.

b. Using carbon monoxide detectors and alarms.

The nurse is teaching a nursing student about proper latex glove use. Which nursing student action requires intervention by the nurse? a. Using powder-free gloves. b. Wearing gloves for long periods of time after procedure ends. c. Washing hands thoroughly with a PH-balance soap after removing gloves.

b. Wearing gloves for long periods of time after procedure ends.

A nurse is assisting a client who has been poisoned. The substance is a non-caustic medication. Place the steps the nurse will take in caring for this client in the correct sequence; a. Administer a laxative. b. Give activated charcoal. c. Verify that the client is alert. d. Induce vomiting.

c, d, b, a

A nurse had successfully implemented an educational strategy to prevent injury in the home. Which statement by a client would indicate strategy effectiveness? a. "I turn off the outside lights and lock the doors every night" b. "I place my phone next to my bed during the night for emergencies" c. "I have removed all throw rugs on the floor"

c. "I have removed all throw rugs on the floor"

Owen is 16 years old client who is waking up postoperatively. He became combative and tried to strangle one of the nurses. A support team was called 4-point restraints were applied in this emergent situation. How soon does a licensed provider need to assess the client and place the restraint order? a. 30 minutes. b. 15 minutes. c. 1 hour.

c. 1 hour.

The nurse anticipate one of the client is at highest risk for latex sensitivity among four caring clients. a. 37 year old who has intolerable to dairy product. b. 48 year old who cannot eat popcorn. c. 25 year old who cannot eat avocado.

c. 25 year old who cannot eat avocado.

What is the references page used for all these questions?

Timby, B. K. (2017). Safety. In S. Murph & K. Squazzo (Eds.), Fundamental Nursing Skills and Concepts (11th ed., pp. 413-434). Wolters Kluwer | Lippincott Williams & Wilkins.

Class C fire extinguishers use for electrical fires? True or False

True

When the nurse is planning client care for several clients on medical unit; the nurse anticipates which client will be the most likely candidate for the use of waist restraint? a. A client with dementia who has a history of wandering. b. A client who is confused and may dislodge an insitu foley catheter. c. A confused client who persistently tries to get out of bed following hip surgery.

c. A confused client who persistently tries to get out of bed following hip surgery.

When providing health teaching to caregivers, which of the following should be the priority focus for preventing injuries to older adults? a. Electrical shock. b. Chemical poisoning. c. Accidental falls.

c. Accidental falls.

A nurse visits an elderly client at home and assesses the Safety of the client's environment which article can be a threat to the client's safety? select all that apply. a. Dimly lit hallways. b. A laundry bag in the corner of the room. c. Area rugs kept on the stairs without carpet . d. waxed floors.

a, c, d.

When the nurse is caring for a client with a latex allergy. Launch was ordered for the client and the nurse cross off the menu. Which food that should not be consumed? a. 2 medium banana. b. Handful of walnuts. c. 4 ounces of chicken.

a. 2 medium banana.

A staff development nurse is providing an in-service to a group of nurses on the use of restraints in health care facilities. What is an example of chemical restraint? a. A dose of an antipsychotic. b. A dose of an analgesic. c. A geriatric chair with a tray.

a. A dose of an antipsychotic.

The nurse is providing instructions to caregiver of a school-age child about safety. Which instruction will the nurse include? a. Buy protective sporting equipment. b. Place all household cleansers out of reach. c. Secure the child on changing table.

a. Buy protective sporting equipment.

The nurse is caring for a client with a latex allergy. When the dietary tray arrives, the nurse notes that it contains a hamburger with lettuce and tomato, baked potato, apple, chocolate chip cookie, and a small serving of milk. What is the appropriate nursing action? a. Call Nutrition Services for a plain hamburger. b. Add butter and salt to the baked potato. c. Remove the chocolate chip cookies from the tray.

a. Call Nutrition Services for a plain hamburger.

The nurse is teaching fire safety to members of a community, when a community member asks which type of fire extinguisher would be appropriate to put out an electrical fire, what will the nurse identify? a. Class C. b. Class A. c. Class B.

a. Class C

The nurse is preparing an education session on injury prevention for parents with toddlers. What will the nurse prioritize during this session to help parents to reduce the risk of injury for toddler, given their developmental stage? a. Electric outlet safety. b. Bike safety. c. Playground structure safety.

a. Electric outlet safety.

A client has presented to the emergency department after splashing a chemical in the eyes. When managing the injury, what should be included in the plan of care? a. Flush the eyes with water for 10 minutes. b. Flush the eyes with a cool saline solution for a 10-minutes period. c. Wash the eyes with a hypertonic solution for at least 30 minutes.

a. Flush the eyes with water for 10 minutes.

The nurse is conducting a home care visit for a new mother who delivered a baby 5 days ago. Which finding within the home requires immediate nursing intervention? a. Hot water heater thermostat set at 130 degrees F (54.4 degrees C). b. Electrical outlets with covers over them. c. One fire extinguisher noted in the kitchen.

a. Hot water heater thermostat set at 130 degrees F (54.4 degrees C)

If a nurse determines that a physical restraint is necessary to maintain a client's safety, which of the following is essential? a. Obtaining a medical order for its use. b. Notifying the nursing supervisor. c. Administering a mild sedative.

a. Obtaining a medical order for its use.

A nurse is assessing fire safety in a home in which a single mother and young children live. What information would the nurse include in teaching the mother on how to prevent injury from fires and burns? a. Practice with the children what to do if there is a fire in the home. b. Have one smoke detector in the home, and change batteries once a year. c. Set the temperature of the water heater to 150 degrees F or high.

a. Practice with the children what to do if there is a fire in the home.

A client in a long-term care facility has become increasingly unsteady over the past few weeks. The nurses are worried the client will climb out of bed and fall. which measure with the least restraint policy does not comply? a. Raising all side rails while the client is in bed. b. Placing the client in a bed with a bed alarm. c. Raising one bed rail to offer stabilization when standing.

a. Raising all side rails while the client is in bed.

What would be the most important education intervention for the client and family of an older adult client who has developed diabetic neuropathy? a. Reduce the temperature on the water. b. Increase the amount of ventilation in the house. c. Keep the environment warmer in winter.

a. Reduce the temperature on the water.

The nurse perform which actions to prevent occupational safety hazards? a. Use three-pronged electric plugs whenever possible. b. Only operate equipment the nurse is not familiar with. c. Clean all equipment with soap and water after use.

a. Use three-pronged electric plugs whenever possible.