fundamentals safety prep U
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." "What do you think that the child might have ingested?" "At what time did the child ingest the substance?" "Induce vomiting while you wait for emergency personnel to arrive."
"Check breathing and heart rate."
The nurse is teaching an unlicensed assistive personnel (UAP) about fire safety. Which UAP statement demonstrates that teaching has been effective? "I will rescue clients from harm before doing anything else." "I will sound the alarm before I start moving a patient from a room." "I will leave all doors open after rescuing patients." "I know that nurses are the only ones who can extinguish a fire."
"I will rescue clients from harm before doing anything else."
The nurse manager is reviewing the QSEN quality and safety competencies for nurses. Which competencies are included in this initiative? Select all that apply. Client-centered care Teamwork and collaboration Establishment of clinical career ladders Revamping the licensing requirements for foreign-educated nurses Quality improvement (QI)
Client-centered care Teamwork and collaboration Quality improvement (QI)
A child is playing soccer and is involved in a head-to-head collision with another player. Which assessment findings should the nurse be alert to that may indicate a concussion? Select all that apply. Drowsiness Fever Headache Increased thirst Vomiting
Drowsiness Headache Vomiting
A nurse is volunteering in a free community health clinic. One of the services offered is vehicle restraint checks for children. Which principles apply to infant and child restraints? Select all that apply. Infants should be rear-facing up to the age of 2 years. Booster seats should be used until the child is 4 ft 9 in (145 cm) tall. Children over 30 lb (13.5 kg) only need a lap and shoulder belt. Infants should remain in the infant seat until the age of 2 years. A child may sit in the front seat when 8 years old
Infants should be rear-facing up to the age of 2 years. Booster seats should be used until the child is 4 ft 9 in (145 cm) tall.
The poison control nurse receives a call from the parent of a 2-year-old child. The parent states, "I just took a quick shower, and when I finished, I walked into the kitchen and found my child with an open bottle of household cleaner." What is the poison control nurse's appropriate response? "Did you leave the household chemical in reach of your child?" "Is your child breathing at this time?" "You should not have left your child alone while you showered." "Induce vomiting and call 911 right away."
Is your child breathing at this time?"
A nurse is caring for a client who is receiving an intravenous therapy through an IV pump. Which intervention should the nurse implement to ensure electrical safety? Obtain a three-prong grounded plug adapter. Use an extension cord to provide freedom of movement. Tape the electrical cord of the pump to the floor. Run the electrical cord of the pump under the carpet
Obtain a three-prong grounded plug adapter.
The nurse is providing care for an older adult client with a hip fracture utilizing a walker. Which action by the nurse would be the priority? Assess the mobility of the client Monitor neurological status Place a falls risk bracelet on client Provide 1:1 companionship at bedside
Place a falls risk bracelet on client
The nurse has completed a comprehensive assessment of a client who has been admitted to the hospital experiencing acute withdrawal from alcohol. What nursing diagnosis would provide the clearest justification for the use of physical restraints during this client's care? Impaired Bed Mobility Related to Muscle Wasting Noncompliance Related to Medication Regimen Risk for Injury Related to Agitation Chronic Confusion Related to Long-Standing Alcohol Use
Risk for Injury Related to Agitation
A client who is enrolled in Medicare and who has been recovering in the hospital from a stroke has developed a pressure injury on the coccyx, an event that the Centers for Medicare & Medicaid Services (CMS) has identified as a "never event." The nurse should recognize what implication of this CMS designation? The hospital must bear any costs incurred for treating the client's injury. The hospital will be fined by CMS because the client developed a pressure injury. CMS will bear the hospital's costs if the client chooses to sue the hospital. CMS may choose to divert clients to other health care facilities in the future.
The hospital must bear any costs incurred for treating the client's injury.
A nurse is filing a safety event report for an older adult client who tripped and fell when getting out of bed. Which action exemplifies an accurate step of this process? The nurse adds the information in the safety event report to the client health record. The nurse calls the primary health care provider to fill out and sign the safety event report. The nurse provides an opinion of the physical and mental condition of the client that may have precipitated the incident. The nurse details the client's response and the examination and treatment of the client after the incident.
The nurse details the client's response and the examination and treatment of the client after the incident.
A nurse is teaching parents about Internet safety for children. Which actions are recommended guidelines for Internet use? Select all that apply. Keep identifying information posted on the web sites. Use filtering software to block objectionable information. Investigate any public chat rooms used by the children. Emphasize that everything read online is usually true. Be alert for downloaded files with suffixes that indicate images or pictures.
Use filtering software to block objectionable information. Investigate any public chat rooms used by the children. Be alert for downloaded files with suffixes that indicate images or pictures
A nurse visits an older adult client at home and assesses the safety of the client's environment. Which article can be a threat to the client's safety? a laundry bag at the corner of the room skid-resistant small area rugs on the floor area rugs kept on the stairs without carpet carpet on the floor of the living room
area rugs kept on the stairs without carpet
Which item would alert the home care nurse to a safety hazard threatening a young child? Three blankets in a crib A gated stairway Padded child safety seat Dangling blind cords
dangling blind cords
A nurse on a medical unit recognizes the need to demonstrate Quality and Safety Education for Nurses (QSEN) competencies in clinical practice. Which action best demonstrates the skills necessary to meet the QSEN competency of safety? filling out an incident report accurately after a client went missing from the unit appreciating the relationship between continuing education and client safety understanding the functions of a new automated intravenous pump that has been introduced to the unit valuing the contributions of clients and their families who suggest possible improvements in care
filling out an incident report accurately after a client went missing from the unit
When educating families on fire safety, it is important to: have a meeting place outside the home. account for all members and then exit. use extension cords to prevent shock. keep a fire extinguisher in a closet.
have a meeting place outside home
The unlicensed assistive personnel (UAP) tells the nurse that a client is very confused and trying to get out of bed without assistance. What is the appropriate action by the nurse? Contact the physician for a restraint order. Administer the client's sedative as ordered. Put up all four side rails on the bed. Initiate use of a bed alarm.
initiate use of bed alarm
The nurse is caring for a client who has been repetitively pulling at IV lines and the urinary catheter. After other methods of diverting the client's behaviors fail to prevent this behavior, and chemical restraints fail, which treatment does the nurse anticipate will be ordered? temporary application of devices that reduce the client's ability to move arms administration of an antipsychotic agent to alter the client's behavior delegating to the unlicensed assistive personnel (UAP) to sit with the client providing a sleep agent to help the client rest instead of pulling IV lines and the catheter
temporary application of devices that reduce the client's ability to move arms
The nurse is assessing an adolescent with an annual physical. The parent reports noticing a change in the child's behavior lately, including mood swings, withdrawal from the family, and failing school grades. The parent does not know what to do and asks the nurse for guidance. What is the mostappropriate guidance from the nurse? "Adolescents are generally difficult children. Sometimes punishment is necessary to make them change their attitudes." "Let's admit your child to an acute care facility so that we can run more tests." "These could be signs of substance use. Open communication and seeing a counselor who specializes in substance use would be beneficial." "This is typical adolescent behavior. Ignore it and it will improve."
"These could be signs of substance use. Open communication and seeing a counselor who specializes in substance use would be beneficial."
The nurse is caring for an 80-year-old client who was admitted to the hospital in a confused and dehydrated state. After the client got out of bed and fell, restraints were applied. She began to fight and was rapidly becoming exhausted. She has black-and-blue marks on her wrists from the restraints. What would be the most appropriate nursing intervention for this client? Sedate her with sleeping pills and leave the restraints on. Take the restraints off, stay with her, and talk gently to her. Leave the restraints on and talk with her, explaining that she must calm down. Talk with the client's family about taking her home because she is out of control.
Take the restraints off, stay with her, and talk gently to her.
A nurse is preparing to file a safety event report after a client experienced a fall. Which statement is correct regarding the filing of a safety event report? The nurse should record the incident in the client's medical record and fill out a safety event report separately. The nurse should include a note on the client's chart that mentions the report. The nurse should await results of the x-ray before filing the report. The nurse should make a copy of the safety event report and place it in the client's medical record.
The nurse should record the incident in the client's medical record and fill out a safety event report separately.
