Chapter 10 FON REVIEW

8. Why should a hospital have a disaster plan? a. To be prepared in times of an emergent community situation with the possibility of a large number of casualties b. To be familiar with possible emergent situations that could affect a community c. To eliminate factors that could cause a community disaster d. To fulfill federal guidelines that pertain to hospitals

A

9. What does the term "universal carry" mean? a. How to remove a patient from the bed to the floor b. How to carry a patient as if he/she were an infant c. How to carry two patients at one time d. How to evacuate several patients in a short amount of time

A

3. What type of problem is a major concern for older adults? a. Driving b. Hospitalizations c. Accidental poisoning d. Loneliness

A, B, C, D

Question: What accommodations can a nurse implement to assist the left-handed patient in the hospital environment?

Answer: Place items within reach to the left of the patient such as the phone, call light, and bedside table. When the patient's food tray arrives, place silverware and drinks on the left side of the tray.

Question: How can the nurse prevent falls for patients who are identified as being at high risk?

Answer: When the nurse has admitted a patient identified as high risk for falls, there are a few interventions that could prevent the patient from falling, such as orientation to the room, instructing the patient to use the call light for assistance out of bed, placing side rails upright, keeping the call light within reach, using a bed alarm, using safety reminder devices, and providing adequate lighting when ambulating

1. What is the most common problem that nurses need to address in order to ensure the safety of their patients? a. Call light not in reach of the patient b. Percentage of falls in the facility c. Patients who are violent d. Side rails not in the upright position

B

6. What does "SRD" stand for? a. Safety Restraining Device b. Safety Reminder Device c. Secure Restraint Detector d. Sentry Radiation Detector

B

2. What are some safety considerations a nurse should contemplate when caring for an older adult? a. They are old and frail. b. They are bitter and take a lot of medications. c. Their visual acuity is not good, and their reflexes are slow. d. They are concerned about their finances and what this hospitalization will cost them.

C

5. What type of sensitivity is often seen in the health care environment? a. Allergic reactions to disinfecting chemicals b. Reactions to airborne diseases c. Latex allergies d. Vinyl allergies

C

7. What does "RACE" stand for? a. Reaction Accordingly to a Care Environment b. Remove, Accelerant, Contain, and Eliminate c. Rescue, Alarm, Confine, Extinguish d. Rescue, Alert, Contain, and Eliminate

C

4. What national organization provides guidelines to protect health care workers in their environment? a. National Institute of Health b. National Alliance for Health Care Providers c. National League of Nurses d. Occupational Safety and Health Administration

D

A nurse answers a patient's call light and notices the wastebasket is on fire. The patient is lying in bed and the wastebasket is near the bed. How should the nurse manage this situation?

Guidelines: Follow the RACE formula. R = Rescue. The nurse should remove the patient from the bed and move to a safe location. A = Alarm. The nurse should activate the alarm system by calling for help so another staff member can activate the alarm, or the nurse could activate the alarm himself/herself once the patient has been moved to a safe location. C = Confine. The nurse should confine the fire by moving the wastebasket away from any flammable elements or closing the door to the patient's room (ensuring first that everyone is removed from the room if it is a semiprivate room). E = Extinguish or Evacuate. The nurse can extinguish the fire with the use of a fire extinguisher, or the situation could require evacuation of patients on the nursing unit

A nurse is admitting an older adult with a diagnosis of change in mental status. The nurse learns during her assessment that the patient has fallen at home, is taking several medications, and wears glasses and a hearing aid. The nurse is concerned about the patient's safety while in the hospital. What issues has the nurse identified to support her concerns and what is her rationale?

Guidelines: The nurse is concerned because the patient has a change in mental status and the patient is in a new environment, which may lead to disorientation. The patient has a history of falls and is likely to need assistance when ambulating. This is a good indication the patient has an increased potential to fall while hospitalized. The patient is taking several medications that could cause orthostatic hypotension, dizziness, and unsteady gait. The patient's visual and hearing acuity is not that of a young or middle-aged adult. In the hospital environment, low lighting, change in the environment, and loud or unusual noises could cause the patient to become disoriented. Fall risk precautions should be implemented.

10. What needs to be removed from a fire extinguisher before it can be activated? a. The nozzle b. The handle c. The inspection tag d. The pin

D