Exam 2 Safety

In a healthcare setting, the restraint order for a patient is renewed every hour. What is the likely age of the patients? a. 6 years b. 14 years c. 23 years d. 65 years

a

The nurse is training a new mother on the use of the Heimlich maneuver. This intervention lowers the risk of which emergency situation? a. Choking b. Poisoning c. Suffocation d. Head injury

a

A patient is diagnosed with impaired physical mobility related to left-sided weakness. The RN is teaching the patient's family member about the interventions that would be effective for the patient. Which statement made by the family member indicates effective learning? a. 'I will encourage the patient to use a walker' b. 'I will encourage the patient to use effective coping skills' c. 'I will remind the patient to eat food on the left side of the plate' d. 'I will encourage the patient to touch the left side of the body with the right hand.

a

A patient reports difficulty seeing objects at a distance after a cerebrovascular accident. What would the nurse anticipate? a. Risk of falls b. Anxiety related to fear of falling c. Unilateral neglect due to brain injury d. Impaired physical mobility on one side of the body

a

A patient who was admitted to the hospital receives a red-color wristband for identification purposes. What is the significance of the wristband? a. The patient has allergies b. The patient is at risk for falling c. The patient should be treated immediately. d. The patient is not indicated for resusitation

a

The registered nurse is instructing a nursing student regarding providing safety tips to the parent of a preschooler. Which statement made by the nursing student requires correction? a. 'You should teach your child about proper bicycle safety' b. 'You should remove doors from unused refrigerators and freezers' c. 'You should teach your child to not eat food items found in the street' d. 'You may teach your child to swim, but provide supervision near water'

a

Which care intervention would reduce the risk of sudden infant death syndrome (SIDS)? a. Laying the infant on his or her back b. Using snug-fitting sheets c. Using large soft toys without small hard pieces d. Avoiding leaving the baby unattended on the changing table

a

Which nursing advice should be given to parents to promote safety for their infant? a. 'You should take your infant for immunizations' b. 'You should attach pacifiers to strings or ribbons' c. 'You should place infants on their stomachs to sleep' d. 'You should place large stuffed toys or comforters around the infant when the infant is sleeping'

a

Which restraint is banned due to the risk of fatal injuries? a. Jacket restraint b. Elbow restraint c. Mitten restraint d. Extremity restraint

a

While caring for a patient with epilepsy, the nurse recognizes the possibility of tonic-clonic seizure. Which is the PRIORITY intervention by the nurse? a. Positioning the patient safety b. Helping the patient to stand c. Conducting a head to toe evaluation d. Notifying the primary health care provider

a

An RN is teaching an older adult about safety measures related to the physiological changes associated with aging. Which statements by the patient indicate the need for further teaching? Select all that apply a. 'I will take diuretics in the late evening' b. 'I will restrict myself to drive only during daylight hours c. 'I will seek assistance form others with household tasks' d. 'I will use medication organizers and fill them once a week' e. 'I will perform vision and hearing examination every 2 years'

a, e

A patient is experiencing left-sided weakness due to a cerebrovascular accident. The nurse observes that the patient fails to notice people approaching from the left side. Which nursing intervention will be MOST beneficial for the patient in this situation? a. Establishing a therapeutic relationship with the patient b. Reminding the patient to scan the entire environment when walking c. Consulting with a physical therapist to help the patient with strengthening exercises d. Encouraging the family to eat with the patient, and reminding the patient to eat food on the left side of the plate

b

An individual has undergone accidental poisoning and loses consciousness. Which statement by the caregiver indicates an understanding of emergency care in this situation? a. 'I will position the victim with the head straight' b. 'I know it is never safe to induce vomiting in an unconscious victim' c. 'I will administer ipecac syrup as a home treatment for poisoning' d. 'I should induce vomiting if the victim has ingested hair care products'

b

For a patient who has ankle and wrist restraints, which position will place the patient at risk of aspiration? a. Sitting b. Supine c. Lateral d. Sleeping

b

The nurse teaches the parent of an infant about interventions that promote the child's safety. Which statement by the parent does the nurse find effective for the prevention of choking? a. 'I will immunize my child as recommended' b. 'I will use large soft toys that have no small parts' c. 'I will avoid leaving the mesh sides of playpens lowered' d. 'I will make sure that my child sleeps on the back or side'

b

Which nursing activity is performed during the assessment of a patient? a. Selecting nursing interventions to promote safety b. Identifying patient perceptions safety needs and risks c. Consulting with occupational and physical therapists for assistive devices d. Selecting interventions that will improve the safety of the patient's home environment

b

Which nursing process step is demonstrated when the nurse performs a visual examination on a patient who becomes too agitated when approached? a. Planning b. Evaluation c. Assessment d. Implementation

b

Which question would be appropriate for the nurse to ask when assessing the home maintenance and safety for a patient? Select all that apply a. 'Have you ever suffered an injury from the fall?' b. 'Do you have someone to call in case of an emergency?' c. 'Has your doctor or pharmacist reviewed your medication with you?' d. 'Do you drive an automobile? When do you normally drive? How far?'

b

Which restraint should the nurse use to prevent nerve injury? a. Belt b. Elbow c. Mitten d. Extremity

b

While caring for a patient with left-sided weakness, the nurse suspects anxiety related to fear of falling. Which assessment findings would further confirm the nurse's suspicion? Select all that apply a. Difficulty seeing distant objects b. Difficulty focusing during conversations c. Difficulty understanding medication instructions d. Limited ability to perform fine and gross motor skills on the left side e. Moving the head to the right side in response to loud noises on the left side

b, c

The RN is teaching a nursing student about caring for a patient with postural hypotension. Which statement made by the nursing student indicates effective learning? a. 'I should clear the surrounding area' b. 'I will arrange a bedside commode for the patient' c. 'I will help position the patient comfortably in bed' d. ' I will choose a low bed for the patient to practice dangling'

d

A patient has been having seizures for more than 30 minutes. The nurse looks after the patient and implements the best efforts to keep the patient safe. Which nursing intervention may lead to complications in the patient? a. Calling a rapid response team b. Notifying a health care provider c. Restraining the patient to prevent injuries d. Maintaining the airway and administering oxygen

c

The nurse is encouraging a patient with hemiparesis to use coping skills that the patient has used previously. What is a possible reason behind this nursing intervention? a. To prevent risk of falling b. To prevent impaired physical mobility c. To prevent anxiety related to fear of falling d. To prevent unilateral neglect related to brain injury

c

The nurse is reviewing the manufacturer's instructions for restraint application before entering the patient's room. Which step in the nursing process is the nurse demonstrating? a. planning b. evaluation c. assessment d. implementation

c

The registered nurse is teaching a group of student nurses about precautions to be taken when using oxygen tanks in a hospital. Which statement made by a student nurse indicates a need for further teaching? a. 'Check the oxygen tank's tubing for kinks' b. 'Post "No Smoking" signs in patient rooms containing oxygen tanks' c. 'Place the oxygen tanks in an upright position on the floor when not in use' d. 'Take the primary healthcare provider's advice while changing the liter flow of oxygen'

c

The registered staff nurse provides various instructions to the caregiver of an infant before discharge from the hospital. Which instruction promotes safety for the infant? a. Provide pillows and a comforter in the crib b. Place the infant in a prone position to sleep c. Install deadbolts on exterior doors above the child's reach d. The spaces between crib slats need to be 10cm

c

Which intervention should the nurse employ to reduce the risk of falling in the health care setting due to tripping? a. Cleaning all spills promptly b. Ensuring adequate glare-free lighting c. Keeping the floor free of clutter and obstacles d. Having assistive devices on the exit side of the bed

c

Which intervention would be MOST appropriate to prevent a patient fall by reducing the risk of entanglement? a. Cleaning all spills promptly and posting a sign indicating a wet floor b. Removing excess equipment, supplies, and furniture from rooms and halls c. Coiling and securing excess electrical, telephone, and any other cords or tubing d. Keeping the floors clutter and obstacle free, particularly the path to the bathroom

c

A child in the hospital starts to have a grand mal seizure while playing in the playroom, which is the MOST important nursing intervention during this situation? a. Begin cardiopulmonary respiration b. Restrain the child to prevent injury c. Place a tongue blade over the tongue to prevent aspiration d. Clear the area around the child to prevent injury to the child

d

Which nursing activity is involved in evaluation to determine patient safety? a. Identifying the patient's preparations of safety needs and risks b. Identifying the actual and potential threats to the patient's safety c. Determining the impact of the underlying illness on the patient's safety d. Reassuring the patient for the presence of physical, social, and environmental risks

d

Which skill is implemented by the nurse when planning to prevent falls in patients? a. Reviewing the patient's medication b. Making the patient's environment safe c. Determining if the patient has a history of recent falls d. Gathering the equipment and performing hand hygiene

d

Which skill is implemented by the nurse when planning to prevent falls in patients? a. Reviewing the patients medications b. Making the patients environment safe c. Determining if the patient has a history of recent falls d. Gathering the equipment and performing hand hygiene

d

Which statement is true regarding the use of patient restraints? a. Restraints are ordered PRN b. The use of restraints involves a psychological adjustment for the family c. Informed consent from family members is required before using restraints d. Restraints are part of the patient's prescribed medical treatment and plan of care

d

While caring for an infant, the nurse places the infant on his/her back. What is the reason for this intervention? a. Reduce the risk of suffocation b. Reduce the risk of head injury c. Reduce the risk of choking and aspiration d. Reduce the risk of sudden infant death syndrome (SIDS)

d