Nursing Concepts: Safety

The nurse is assisting with creating a plan of care for a client with an internal radiation implant. Which would be included in the plan of care? Select all that apply. 1. Wearing gloves when emptying the client's bedpan. 2. Keeping all linens in the room until the implant is removed. 3. Wearing a film (dosimeter) badge when in the client's room. 4. Wearing a lead apron when providing direct care to the client. 5. Placing the client in a semiprivate room at the end of the hallway.

1,2,3,4

The nurse is caring for a client with a health care associated infection caused by methicillin-resistant Staphylococcus aureus. Contact precautions are prescribed for the client. The nurse prepares to irrigate the wound and apply a new dressing. Which protective interventions would the nurse use to perform this procedure? Select all that apply. 1. Put on a mask. 2. Don gown and gloves. 3. Apply shoe protectors. 4. Wear a pair of protective goggles. 5. Have the client wear a mask and goggles.

1,2,4

The nurse enters the nursing lounge and discovers that a chair is on fire. The nurse activates the alarm, closes the lounge door, and obtains the fire extinguisher to extinguish the fire. The nurse pulls the pin on the fire extinguisher. Which is the next action the nurse must perform? 1. Aim at the base of the fire. 2. Squeeze the handle on the extinguisher. 3. Sweep the fire from side to side with the extinguisher. 4. Sweep the fire from top to bottom with the extinguisher.

1. Aim at the base of the fire.

The emergency department nurse receives a telephone call and is informed that a tornado has hit a local residential area and numerous casualties have occurred. The victims will be brought to the emergency department. Which would be the initial nursing action? 1. Prepare the triage rooms. 2. Activate the agency emergency response plan. 3. Obtain additional supplies from the central supply department. 4. Obtain additional nursing staff to assist with treating the casualties.

2. Activate the agency emergency response plan.

The nurse obtains a prescription to restrain a client using a belt (safety) restraint and instructs the assistive personnel (AP) to apply the restraint. Which observation, if made by the nurse, indicates unsafe application of the restraint? 1. A safety knot is made in the restraint strap. 2. The restraint straps are safely secured to the side rails. 3. The restraint strap does not tighten when force is applied against it. 4. The restraint is secure, and the client is able to turn from back to side.

2. The restraint straps are safely secured to the side rails.

while rinsing a used surgical instrument in a disinfectant called Cidex, some of the Cidex splashes on your lips and nose. your first action is to 1. rinse your mouth and nose immediately with running water. 2. consult the SDS for Cidex to know what action to take. 3. induce vomiting in case you accidentally swallowed any of the chemical 4. wash the area immediately with surgical soap and water.

2. consult the SDS for Cidex to know what action to take.

which statement best describes the national patient safety goals? 1. they emphasize the importance of safe lifting and mandate hospitals to have equipment in place to phase out manual lifting. 2. they address specific safety problems in the hospital setting and establish requirements for meeting each goal 3. they address needle-stick injuries and require hospitals to purchase needleless access devices 4. they identify specific communicable diseases and outlie transmission based precaution for each.

2. they address specific safety problems in the hospital setting and establish requirements for meeting each goal

The nurse would institute which interventions for a client diagnosed with Clostridium difficile (C. difficile)? Select all that apply. 1. Wear a mask if within 3 feet of the client. 2. Place a mask on the client when client is outside the room. 3. Wear gloves and gown while in the room caring for the client. 4. Use soap and water, not alcohol-based hand rub, for hand hygiene. 5. Keep the door of the room shut except when entering or exiting the client's room.

3,4

The nurse enters a client's room and finds that the wastebasket is on fire. The nurse quickly assists the client out of the room. Which is the next nursing action? 1. Call for help. 2. Extinguish the fire. 3. Activate the fire alarm. 4. Confine the fire by closing the room door.

3. Activate the fire alarm.

A mother calls a neighborhood nurse and tells the nurse that her 3-year-old child has just ingested liquid furniture polish. Which action would the nurse instruct the mother to take first? 1. Induce vomiting. 2. Call an ambulance. 3. Call the poison control center. 4. Bring the child to the emergency department.

3. Call the poison control center.

The nurse applies wrist restraints, prescribed to prevent a client from pulling out a nasogastric tube. How would the nurse determine that the restraints are not too constrictive? 1. Observe the skin in the wrist area for redness. 2. Check the temperature of the skin in the hands. 3. Remove the restraint and exercise the extremity in 2 hours. 4. Place two fingers under the restraint to determine snugness.

4. Place two fingers under the restraint to determine snugness.

What is a Safety Data Sheet (MDS)

A document that contains information about potential harm caused b exposure to a chemical and the directions for what to do if the product gets on your skin or in your eyes or your mouth

Which of the following factors contributed to an unsafe environment for hospitalized patients a. age b. impaired mobility c. pain and discomfort d. prompt assistance e. equipment in the room f. communication

A,B,C,E,F

When a patient is released from wrist restraints, which assessments will you make a. assess the hands and wrists for edema b. check capillary refill time in the fingers bilaterally c. assess the patients ability to move and feel sensation in the arm and hand d. assess vital signs e. assess the skin of the wrists for any open areas f. assess the patients orientation to person, place, and time g. assess the skin under the restraints for redness

A,B,C,E,G

A nurse manager is reviewing guidelines for preventing injury with staff nurses. Which of the following instructions should the nurse manager include? (Select all that apply.) A. Request assistance when repositioning a client. B. Avoid twisting your spine or bending at the waist. C. Keep your knees slightly lower than your hips when sitting for long periods of time. D. Use smooth movements when lifting and moving clients. E. Take a break from repetitive movements every 2 to 3 hr to flex and stretch your joints and muscles.

A,B,D

when a patient in a home setting uses supplemental oxygen, what teaching should you provide? a. no one can smoke in the same room as the oxygen source b. no one can smoke within 50 yards of the house c. no open-flame heaters can be used anywhere in the house d. no candles can be burned in the same room as the oxygen source e. no electrical appliances can be used outside of the kitchen f. patient using oxygen should not use wool blankets or wear wool sweaters.

A,D,F

A nurse is caring for a client who has a history of falls. Which of the following actions is the nurse's priority? A. Complete a fall-risk assessment. B. Educate the client and family about fall risks. C. Eliminate safety hazards from the client's environment. D. Make sure the client uses assistive aids in their possession

A. Complete a fall-risk assessment.

A nurse educator is presenting a module on basic first aid for newly licensed home health nurses. The client who has heat stroke will have which of the following? A. Hypotension B. Bradycardia C. Clammy skin D. Bradypnea

A. Hypotension

A licensed practical nurse (LPN) attends a session about bioterrorism agents including anthrax. Which statement by an attendee demonstrates the need for further teaching about anthrax? 1. Anthrax is treated with antibiotic medications. 2. The most lethal form of anthrax is contacted by inhalation of the spores. 3. Anthrax can be transmitted by consumption of meat from an infected animal. 4. Anthrax bacteria produces a neurotoxin leading to a serious, possibly fatal paralysis.

Anthrax bacteria produces a neurotoxin leading to a serious, possibly fatal paralysis.

A home health nurse is discussing the dangers of food poisoning with a client. Which of the following information should the nurse include? (Select all that apply.) A. Most food poisoning is caused by a virus. B. Immunocompromised individuals are at increased risk for complications from food poisoning. C. Clients who are at high risk should eat or drink only pasteurized dairy products. D. Healthy individuals usually recover from the illness in a few weeks. E. Handling raw and fresh food separately can prevent food poisoning

B, C, E

A nurse educator is reviewing proper body mechanics during employee orientation. Which of the following statements should the nurse identify as an indication that an attendee understands the teaching? (Select all that apply.) A. "My line of gravity should fall outside my base of support." B. "The lower my center of gravity, the more stability I have." C. "To broaden my base of support, I should spread my feet apart." D. "When I lift an object, I should hold it as close to my body as possible." E. "When pulling an object, I should move my front foot forward

B,C,D

A nurse educator is teaching staff members about facility protocol in the event of a tornado. Which of the following should the nurse include? (Select all that apply.) A. Open doors to client rooms. B. Place blankets over clients who are confined to beds. C. Move beds away from the windows. D. Draw shades and close drapes. E. Instruct ambulatory clients in the hallways to return to their rooms

B,C,D

A nurse is providing discharge instructions to a client who has a prescription for oxygen use at home. Which of the following information should the nurse include? (Select all that apply.) A. Family members who smoke must be at least 10 ft from the client when oxygen is in use. B. Nail polish should not be used near a client who is receiving oxygen. C. A "No Smoking" sign should be placed on the front door. D. Cotton bedding and clothing should be replaced with items made from wool. E. A fire extinguisher should be readily available in the home

B,C,E

A nurse manager is reviewing with nurses on the unit in the care of a client who has had a seizure. Which of the following statements by a nurse requires further instruction? A. "I will place the client on their side." B. "I will go to the nurses' station for assistance." C. "I will note the time that the seizure begins." D. "I will prepare to insert an airway.

B. "I will go to the nurses' station for assistance."

A nurse is caring for a client who is receiving enteral tube feedings due to dysphagia. Which of the following bed positions should the nurse use for safe care of this client? A. Supine B. Semi-Fowler's C. Semi-prone D. Trendelenburg

B. Semi-Fowler's

Gingseng contradictions

Blood thinners, BP and diabetic medicine

A nurse on a medical-surgical unit is informed that a mass casualty event occurred in the community and that it is necessary to discharge stable clients to make beds available for injury victims. Which of the following clients should the nurse recommend for discharge? (Select all that apply.) A. A client who is dehydrated and receiving IV fluid and electrolytes B. A client who has a nasogastric tube to treat a small bowel obstruction C. A client who is scheduled for elective surgery D. A client who has chronic hypertension and blood pressure 135/85 mm Hg E. A client who has acute appendicitis and is scheduled for an appendectomy

C,D

A nurse is instructing a client who has COPD about using the orthopneic position to relieve shortness of breath. Which of the following statements should the nurse make? A. "Lie on your back with our head and shoulders supported by a pillow." B. "Have your head turned to the side while you lie on your stomach." C. "Have a table beside your bed so you can sit on the bedside and rest your arms on the table." D. "Lie on your side with your top arm resting on the bed and your weight on your hip.

C. "Have a table beside your bed so you can sit on the bedside and rest your arms on the table."

An occupational health nurse is caring for an employee who was exposed to an unknown dry chemical, resulting in a chemical burn. Which of the following interventions should the nurse include in the plan of care? A. Irrigate the affected area with running water. B. Wash the affected area with antibacterial soap. C. Brush the chemical off the skin and clothing. D. Leave the clothing in place until emergency personnel arrive.

C. Brush the chemical off the skin and clothing.

A nurse observes smoke coming from under the door of the staff's lounge. Which of the following actions is the nurse's priority? A. Extinguish the fire. B. Activate the fire alarm. C. Move clients who are nearby. D. Close all open doors on the unit.

C. Move clients who are nearby

A home health nurse is discussing the dangers of carbon monoxide poisoning with a client. Which of the following information should the nurse include? A. Carbon monoxide has a distinct odor. B. Water heaters should be inspected every 5 years. C. The lungs are damaged from carbon monoxide inhalation. D. Carbon monoxide binds with hemoglobin in the body

D. Carbon monoxide binds with hemoglobin in the body

Reasons Patients Choose CAM

Cost-effective option, easier access than traditional medicine, patients more able to participate and control their own care, patients feel practitioners of CAM spend more time with them

A security officer is reviewing actions to take in the event of a bomb threat by phone to a group of nurses. Which of the following statements by a nurse indicates understanding? A. "I will get the caller off the phone as soon as possible so I can alert the staff." B. "I will begin evacuating clients using the elevators." C. "I will not ask any questions and just let the caller talk." D. "I will listen for background noises

D. "I will listen for background noises

A nurse educator is conducting a parenting class for new guardians of infants. Which of the following statements made by a participant indicates understanding? A. "I will set my water heater at 130° F." B. "Once my baby can sit up, they should be safe in the bathtub." C. "I will place my baby on their stomach to sleep." D. "Once my infant starts to push up, I will remove the mobile from over the crib.

D. "Once my infant starts to push up, I will remove the mobile from over the crib.

A nurse is caring for a client who is sitting in a chair and asks to return to bed. Which of the following actions is the nurse's priority at this time? A. Obtain a walker for the client to use to transfer back to bed. B. Call for additional staff to assist with the transfer. C. Use a transfer belt and assist the client back into bed. D. Determine the client's ability to help with the transfer.

D. Determine the client's ability to help with the transfer.

A nurse discovers a small paper fire in a trash can in a client's bathroom. The client has been taken to safety and the alarm has been activated. Which of the following actions should the nurse take? A. Open the windows in the client's room to allow smoke to escape. B. Obtain a class C fire extinguisher to extinguish the fire. C. Remove all electrical equipment from the client's room. D. Place wet towels along the base of the door to the client's room

D. Place wet towels along the base of the door to the client's room

aloe vera cautions

Has a laxative effect that may cause cramping and diarrhea

Within alternative and complementary therapies, which of the following terms refers to the relationship of all living things?

Holism

coenzyme Q10 cautions

Interacts with anticoagulant drugs such as warfin (Coumadin)

Garlic cautions

Interacts with blood thinners, antiplatelet drugs and HIV antiviral meds

Cranberry cautions

May interact with anticoagulant medications causing increased bruising and bleeding

Complimentary and Alternative Medicine (CAM)

a group of diverse medical and health care systems, practices, and products that are not presently considered to be a part of conventional medicine

National Patient Safety Goals are established by what organization a. The Joint Commission b. AHRQ c. American nurses association d. ISMP

a. The Joint Commission

Before applying restrains to any patient, you must first take which steps a. try using restraint alternatives without success b. identify the need for restraints to prevent harm to patient c. tell the family they must watch the patient or else the patient must be tied down d. ensure that the most restrictive environment is used to prevent harm to the patient e. obtain a health-care providers order for the type of restraint and the length of time it is to remain in place

a. Try using restraint alternatives without success. b. Identify the need for restraints to prevent harm to the patient. e. Obtain a physician's order for the type of restraint and the length of time it is to remain in place.

To protect other patients, yourself, and your family from contagious pathogens, such as methicillin-resistant Staphylococcus aureus (MRSA), you will (select all that apply) a. Wash your hands before and after wearing gloves. b. Use standard precautions at all times. c. Keep your immune system healthy. d. Use transmission-based precautions when indicated. e. Use surgical asepsis at all times when caring for patients. f. Use hand sanitizer to sterilize your hands after being in a patient's room.

a. Wash your hands before and after wearing gloves. b. Use standard precautions at all times. c. Keep your immune system healthy. d. Use transmission-based precautions when indicated.

In the event of a MCE, guidelines have been established for shifting standards of care. What do these include a. treating those most likely to survive 1st b. how to stockpile antibiotics and antivirals c. treating contaminated water to render it safe for drinking d. schedules for calling off duty staff to work

a. treating those most likely to survive 1st

Why would emptying the bedside commode be a nursing responsibility rather than a housekeeping responsibility? a. Nurses are responsible for doing everything for their patients, including housekeeping tasks. b. Nurses are responsible for measuring urine output and creating a pleasant environment for patients. c. Nurses can delegate that task to the housekeeping staff, but they must have a doctor's order to do so. d. The housekeeping staff should not be expected to perform any task that might put them at risk for contact with blood or body fluids.

b. Nurses are responsible for measuring urine output and creating a pleasant environment for patients.

How often should you or an assistant check on a patient who is restrained? a. every 15 minutes b. every 30 minutes c. every hour d. every 2 hours

b. every 30 minutes

Hospitalized patients often have impaired mobility causing risk for injury because of what reasons a. they are usually old and confused b. they may be weak as a result of surgery or bed rest c. they often have had procedures and tests that causes disorientation d. they all have injuries that cause poor balance

b. they may be weak as a result of surgery or bed rest

A nurse is caring for multiple clients during a mass casualty event. Which of the following clients is the nurse's priority? A. A client who received crush injuries to the chest and abdomen and is expected to die B. A client who has a 4-inch laceration to the head C. A client who has partial-thickness and full-thickness burns to his face, neck, and chest D. A client who has a fractured fibula and tibia

c. A client who has partial-thickness and full-thickness burns to his face, neck, and chest

How are fall assessment scales used? a. To predict the number of days a patient will be in the hospital after a fall b. To identify patients who have had accidents or injuries during previous hospitalizations c. To predict the patient's risk for falls while in the hospital d. To serve as reminders to all staff to be aware of safety concerns

c. To predict the patient's risk for falls while in the hospital

What has been a cause of death for patients who were restrained? a. the patient tried to get out of the restraints, which cause increased heart rate + BP b. the caregiver abused the patient while restrained, which caused blunt trauma c. the restraint was applied incorrectly which caused choking d. the patient struggled against the restraint, which caused broken skin and overwhelming infection

c. the restraint was applied incorrectly which caused choking

You walk into a patient's room and discover that he has fallen in the bathroom. What will you do first a. follow the facility policy and assist the patient to the bed with help from others b. notify the provider and explain what happened c. call for help to get the patient off the floor d. check the patient for any obvious injuries, including hip fracture and paralysis

d. check the patient for any obvious injuries, including hip fracture and paralysis

Contact precautions are initiated for a client with MRSA. The nurse prepares to assist with providing colostomy care and would obtain which protective items to preform the procedure a. gloves and gown b. gloves and goggles c. gloves, gown, shoe protection d. gloves, gown, googles, mask or face shield

d. gloves, gown, googles, mask or face shield

what must you always do when you apply restraints? a. tie them to the bedrails b. tie them tightly so the patient cannot struggle c. administer medication to prevent the patient from being loud or upset. d. tie them in a quick-release knot

d. tie them in a quick-release knot

alternative therapy

includes herbs and other "natural" products as often found in ancient records; these products are not controlled or tested by the U.S. Food and Drug Administration and are considered to be dietary supplements

complementary therapy

methods of treatment that are used in conjunction with conventional medical therapies

If you need to extinguish a fire in the motor of an electric hospital bed, the type of fire extinguisher you obtain would need to marked with which class of fire a. type a b. type b c. type c d. type d e. type k

type c