safety

offer pacifier

A 4-month-old infant is on nothing-by-mouth status in preparation for surgery. What should the nurse do when the infant starts crying?

Don an N95 respirator mask before entering the room

A client is admitted to the hospital with a tentative diagnosis of infectious pulmonary tuberculosis. What infection control measures should the nurse take?

disturbances in hearing

A client with arthritis is taking large doses of aspirin. What symptom does the nurse include when teaching the client about the clinical manifestations of aspirin toxicity?

Rapid, thready pulse

A client with ascites has a paracentesis, and 1500 mL of fluid is removed. For which immediate response is it most important for the nurse to monitor?

I am glad that I only have to take the medication once a day.

Immediately after a bilateral adrenalectomy a client is receiving corticosteroids that are to be continued after discharge from the hospital. Which statement by the client indicates to the nurse that additional education is needed?

Near misses in health care are used to improve care.

In an agency with a culture of safety, when an error or patient safety issue is identified, the individual who reports the problem knows which information?

To minimize gastric irritation

After several days of intravenous (IV) therapy for chloroquine-resistant malaria, the health care provider replaces the IV medication with oral quinine, 2 g per day in divided doses. The nurse advises the client to take this medication after meals for what purpose?

Have the potential for physiologic and psychological dependence

An antianxiety medication is prescribed for an extremely anxious client. The client says, "I'm afraid to take this medication because I heard they're addictive." The nurse teaches the client that antianxiety medications have what properties?

call poison control

The parent of a 2-year-old calls a nurse who is a neighbor and reports that the child just ate several multivitamins with iron. What should the nurse say to the parent?

attitude

The three elements of nursing competency described in the Quality and Safety for Nurses (QSEN) initiative are knowledge, skill, and which other element?

care coordination

To promote safety, the nurse manager sensitive to point-of-care (sharp-end) and systems-level (blunt-end) exemplars works closely with administrators to address which organizational system exemplar?

Directing ancillary departments to deliver resources to meet service demands

What is the function of the emergency department nurse leader?

Elevate the head of the bed between 30 and 45 degrees

When caring for a client who is receiving enteral feedings, the nurse should take which measure to prevent aspiration?

Drink only bottled water

Which instruction should the nurse provide the client who is concerned about contracting amoebic dysentery during foreign travel?

furosemide

A client is admitted to the intensive care unit with acute pulmonary edema. Which diuretic does the nurse anticipate will be prescribed?

Clay-colored stools

A client is diagnosed with hepatitis A. The nurse provides the client with information about untoward signs and symptoms related to hepatitis. The nurse instructs the client to contact the primary healthcare provider if the client develops what symptom?

For short periods in the prone position

A client returns from surgery after a right below-the-knee amputation with the residual limb elevated on a pillow to prevent edema. In which position should the nurse place the client after the first postoperative day?

Immediately contact the primary healthcare provider

A client with a history of hemoptysis and cough for the last six months is suspected of having lung cancer. A bronchoscopy is performed. Two hours after the procedure the nurse identifies an increase in the amount of bloody sputum. What is the nurse's priority?

Priority upon arrival Interaction with caregivers Priority per process of care Priority according to location

A local emergency department (ED) recently implemented an automated tracking system for triage during mass casualty incidents (MCIs). Which items can the nurse track using this system? Select all that apply.

Constant one-on-one supervision

A nurse is caring for a client admitted to a mental health unit because of suicidal ideation. Which intervention provides the greatest safety for this client?

blurred vision

A nurse is providing discharge instructions about digoxin. Which response should a nurse include as a reason for a client to withhold the digoxin?

Watching cartoon videos and listening to stories

A nurse on the pediatric unit is planning recreational activities for a 4-year-old with an exacerbation of nephrotic syndrome. What are the most appropriate activities in light of the child's developmental level and physical status?

Dexamethasone

A pregnant client at 30 weeks' gestation begins to experience contractions every 5 to 7 minutes. She is admitted with a diagnosis of preterm labor. Although the client is being given tocolytic therapy, her cervix continues to dilate, and it is determined that a preterm birth is inevitable. Which medication does the nurse expect the primary healthcare provider to prescribe?

Treatment error

A student nurse receives an order for diazepam to be given intravenously. Diazepam tablets are available. The student nurse crushes a tablet and mixes it with sterile water for injection. The instructor notes that the solution is cloudy and asks to see the medication vial. When the student produces the vial of sterile water for injection and the instructor stops the medication from being given, what type of error is prevented?

The client belongs to class III

The nurse finds a green triage tag on a client. What does the nurse infer from this finding

foxglove azalea plum

The nurse is educating the parents of a preschooler on various poisonous plants that children may be exposed to. Which plants does the nurse mention as poisonous? Select all that apply.

Checking for residual stomach contents

The nurse is preparing to administer a nasogastric tube feeding to a client via infusion pump. What is the most important assessment the nurse needs to perform before beginning the pump?

assess respiratory status

The nurse is preparing to administer an intravenous piggyback antibiotic that has been newly prescribed. Shortly after initiation, the client becomes restless and flushed and begins to wheeze. The nurse determines the that appropriate priority action will be to stop the antibiotic infusion and then do what?

penicillin g

Which is the preferred drug of choice for the treatment of syphilis in a pregnant adolescent?

communication quality regulation teamwork

Which of the following concepts would a nurse think has the strongest link to safety

Teratogenic drugs act during all periods of gestation

Which statement regarding a teratogenic drug is incorrect

Red

Which tag is suitable for a client with high priority during a disaster with mass casualties?