Chap 27 safety Concepts

The poison control nurse receives a call from the caregiver of a young school-age child who may have ingested a poisonous substance. Which is the priority response by the nurse?

"Check breathing and heart rate."

A large health care organization has committed to promoting a just culture when adverse events and near misses take place. Which question will guide the organization's response when a nurse commits an error?

"How did the nurse's actions contribute to this error?"

An 8-year-old boy fell off his bicycle. He was not wearing a helmet and has sustained a concussion. What information should the nurse teach the parents about concussions?

"It is important to monitor frequently for headache, vomiting, visual disturbances, and changes in alertness."

An older adult client with an unsteady gait has been experiencing urinary urgency after being diagnosed with a urinary tract infection. What is the nurse's best action for reducing the client's risk of falls?

Provide a bedside commode and ensure adequate lighting.

A nurse follows the universal client compact principles for partnership when providing care for clients. Which nursing action reflects this philosophy?

The nurse includes the client as a member of the health care team.

A school nurse is conducting a safety seminar with students in 6th grade. Which teaching point is most important?

"Make sure that you have smoke detectors in your house and that they're in working order."

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? Select all that apply.

-Practice with the children what to do if there is a fire in the home. -Cook on back burners on the stove, and keep handles turned toward the back. -Set the temperature of the water heater to 120°F (49°C) or less. -Teach your children to stop, drop, and roll if clothing catches on fire.

A mass casualty event has occurred in a community. Many health care workers have been employed to assist. A nursing student has volunteered services. With which tasks would the nursing student be asked to assist? Select all that apply.

-Take clients' vital signs. -Obtain extra supplies, such as intravenous bags and tubing, dressings, and gloves. -Hold pressure on a wound that will not stop bleeding.

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 hair dryer is placed next to the sink.

The nurse is able to help promote safety and prevent injury by identifying which factors that have a direct impact on client safety? Select all that apply.

Communication ability Mobility Developmental level

A hospital is introducing a program that has the goal of aligning practices more closely with the Quality and Safety Education for Nurses (QSEN) project. What initiative best exemplifies QSEN competencies?

New systems are introduced to increase communication between nurses and members of other health disciplines.

The nurse has received a medication order over the telephone from a provider. What is the next appropriate nursing action?

Repeat or read back the order.

A 14-year-old boy is in the clinic for his well-child exam. When the client asks his mother if she has any questions for the practitioner, she states "He sleeps so much. I am worried about how lazy he is." What does the nurse know to be true about sleep in adolescents?

Trying to balance too many activities can result in sleep deprivation.

A health care provider orders extremity restraints for a confused client who is at risk for injury by pulling out her central venous catheter. What is the nurse's most appropriate action when carrying out this order?

ensure that two fingers can be inserted between the restraint and the client's extremity.

During a course on terrorism, a group of emergency room nurses learns about terrorists who use bombs or other explosives to inflict injury on numerous people and cause multiple fatalities. This is an example of:

mass trauma terrorism.