PrepU Chapter 27: Safety

The nurse begins a shift and finds that the wrong medication has been administered to a client. After completing a safety event report, what should the nurse do next? - File the safety event report in the appropriate file and document in the nurse's notes the date and time that it was filed. - Submit the safety report to the appropriate department within the facility so that it can be reviewed. - Place the safety event report in the client's medical record for future reference. - Make a copy of the safety event report for the client

Submit the safety report to the appropriate department within the facility so that it can be reviewed.

The nurse is performing a safety belt fit test for a young client at a well-child check-up. What criteria confirms that the child may sit in the back seat of a vehicle with a lap and shoulder belt in place? You Selected:

The child's feet touch the floor of the car when belted in with the lap and shoulder belt.

A school nurse is preparing an education session on safety for parents of school-age children. What would be an appropriate topic for this age group?

providing drug, alcohol, and sexuality education

What is the most appropriate outcome for the client who has a nursing diagnosis of "Risk for Injury related to the use of assistive mobility devices in an unfamiliar environment?" - the client will identify unsafe situations in his or her environment - the client will demonstrate safety measures to prevent falls

- the client will demonstrate safety measures to prevent falls

forward-facing seat (5 point harness)

4ft 9 in - between 8-12 years old (80-100 lb)

A nurse is performing safety assessments in a health care facility. Which statements reflect considerations a nurse should keep in mind when assessing a client for safety? Select all that apply. - A person with a history of falls is likely to fall again. - Between 15% and 25% of falls result in fractures or soft tissue injury. - A medication regimen that includes diuretics or analgesics places an individual at risk for falls. - Fires are responsible for most hospital incidents. - Some people are more at risk for accidents than others.

A person with a history of falls is likely to fall again. Some people are more at risk for accidents than others. A medication regimen that includes diuretics or analgesics places an individual at risk for falls.

The nurse is assessing a client's mental health competence and decision-making ability. Which activity will best provide the needed information to the nurse? - Discuss with the client's family any concerns about his mental stability. - Ask the client "what if" questions to determine level of thought organization. - Ask the client to review his medical health history to assess for the level of organization of his thought processes. - Ask the client to read and discuss a passage from a pamphlet.

Ask the client "what if" questions to determine level of thought organization.

A client is brought to the emergency department after inhaling a substance suspected to be anthrax from the contents of an envelope. What symptoms experienced by the client would the nurse correlate with this substance? Cough, dyspnea, and fatigue Nausea, vomiting, and diarrhea Ulcerated skin lesions Abdominal pain and hematemesis

Cough, dyspnea, and fatigue

The telehealth nurse receives a call stating that upon entering a family member's home, two people have been found semi-conscious with a bright cherry red skin color. They are reporting nausea and headache, and are unable to move. Which initial direction will the nurse provide? -Recommend that carbon monoxide detectors be installed in the home. -Allow emergency personnel to apply oxygen. - Wait inside until emergency personnel arrive. - Open doors and windows.

Open doors and windows.

A client on a hospital unit has been infected with hepatitis C virus (HCV) because a nurse mistakenly connected the client with an HCV-positive client's intravenous pump and tubing. What is an appropriate response by the hospital to this incident? - Offer compensation to the affected client in a timely manner, while maintaining the client's confidentiality. - Report this sentinel event to the Joint Commission and to relevant state agencies - Inform the public that the incident occurred, while protecting the confidentiality of the clients. - File an incident report with the American Nurses Association describing plans for preventing similar events in the future.

Report this sentinel event to the Joint Commission and to relevant state agencies

A nurse is assessing a client who was exposed to botulism from contaminated food supplies. Which symptom would the nurse expect to find in this client? - Flu-like symptoms - Skeletal muscle paralysis that progresses symmetrically and in a descending manner - Petechial hemorrhages - Skin lesion with local edema that progresses, enlarges, ulcerates, and becomes necrotic

Skeletal muscle paralysis that progresses symmetrically and in a descending manner

What is the best short-term outcome for a client with the nursing diagnosis of Risk for Injury related to risk-taking behaviors? -The client will seek counseling for risky behaviors. -The client will identify risk-taking behaviors. - The client will call for help when in a risky situation. - The client will identify behaviors that would decrease the risk for injury.

The client will identify behaviors that would decrease the risk for injury.

A health care provider has ordered restraints for an older adult client who is delirious from the pain medication she was administered. Which guideline is appropriate for utilizing restraints? The client's order for restraints must be renewed by the health care provider every 4 hours. The client's vital signs must be assessed every hour.

The client's vital signs must be assessed every hour.

A program has been introduced at a hospital with the goal of improving client safety. The nurses participating in the program should recognize what event as posing the most significant threat to a client's safety? admitting the client to the health care facility administering medications to the client

administering medications to the client

What is an example of a chemical restraint? - dose of an analgesic - dose of an antipsychotic

antipsychotic

infant carriers/car seats

infants and toddlers up to 2 years of age - rear-facing

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? delegating to the unlicensed assistive personnel (UAP) to sit with the client temporary application of devices that reduce the client's ability to move arms

temporary application of devices that reduce the client's ability to move arms

Which factor is related to the highest proportion of falls in long-term care settings?

toileting