Safety

A nurse is assisting with teaching a class about events that require an occurrence report. Which of the following events should the nurse include? (Select all that apply.)

A client's visitor falls in the hallway is correct. A client develops an unexpected reaction to a medication is correct. A client's dentures are lost is correct.

A nurse is planning to use the identity, situation, background, assessment, recommendation, read back (ISBARR) tool to communicate with a provider about a client. Which of the following information is included in the assessment component of ISBARR?

The client's laboratory test results

A nurse discovers a small fire in a client's room. After removing the client to safety, which of the following actions should the nurse take next?

Activate the fire alarm.

A nurse is preparing to conduct a fall risk screening on a client. Which of the following variables will the nurse use to evaluate the client? (Select all that apply.)

Fall history Medical diagnosis Use of assistive devices Mental status

A nurse is caring for a client who is at risk for suicide. Which of the following actions should the nurse take? (Select all that apply.)

Place the client on round-the-clock surveillance. Remove objects from the room that the client could use to harm themselves. Search items brought into the client's room by visitors. Screen the client for suicidal ideation.

A nurse is caring for a client who has a prescription for wrist restraints. Which of the following actions should the nurse take?

Remove the restraints with each vital sign check.

A nurse is assisting with teaching a class about warning signs from a co-worker that might indicate future workplace violence. Which of the following behaviors should the nurse include?

Frequent reports of not being treated fairly

A nurse is preparing to administer medications to a client. Which of the following information should the nurse use to identify the client? (Select all that apply.)

The client's full name The client's date of birth The client's telephone number

A nurse is preparing to administer a premixed medication to a client. The nurse should check the label for which of the following information? (Select all that apply.)

The date the medication was mixed The dose of the mixed medication The time the medication was mixed

A nurse is preparing a poster about fire safety for a community health fair. The nurse should include on the poster that which of the following components contains needed elements for fire to occur? (Select all that apply.)

Cooking oil Oxygen Heat

A nurse is checking a client's allergy bracelet before administering a medication and finds the client is allergic to that medication. The nurse does not administer the medication to the client. This is an example of which of the following unexpected events?

Near-miss event

A nurse is caring for a client who has an indwelling urinary catheter in place. Which of the following actions is the priority for the nurse to take to reduce the client's risk of developing a healthcare-associated infection?

Perform hand hygiene.

A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take?

Record the time and length of the seizure.

A nurse is assisting with emergency care of a client who has been exposed to a chemical toxin. Which of the following actions should the nurse take?

Rinse the client's skin with water.

A nurse is assisting with conducting a home hazard assessment for a client who has dementia. Which of the following findings indicates an understanding of home safety?

The edges of stairs are marked with brightly colored tape.

A nurse is assisting with teaching a class about hospital-acquired injuries. The nurse should include that which of the following is a hospital-acquired injury? (Select all that apply.)

Blood transfusion incompatibility Wrong site surgery Ineffective insulin usage

A nurse is assisting with teaching a newly licensed nurse about using a lift device to transfer a client. Which of the following actions by the nurse indicates an understanding of the teaching? (Select all that apply.)

Locks the brakes on the client's bed Checks the maximum weight of the lift before using it Performs a safety check before lifting the client

A nurse is planning to implement the Transforming Care at the Beside plan on a medical-surgical unit. Which of the following interventions should the nurse include in the plan?

Use a standardized communication tool.

A nurse is assisting with teaching a class about evidence-based protocols established by the CDC to prevent healthcare-associated infections (HAIs). Which of the following infections should the nurse include? (Select all that apply.)

Catheter-associated urinary tract infection Central line-associated bloodstream infection Surgical site infection

A nurse is assisting with teaching a newly licensed nurse about electrical safety. Which of the following actions by the newly licensed nurse indicates an understanding of the teaching?

The nurse holds onto the plug to unplug a client's electronic blood pressure machine.