1 EAQ- Chapter 27

The nurse has admitted the patient to the rehab unit with left-sided hemiparesis from a stroke. Which response would the nurses provide to the patient that reflects the implementation of universal fall precautions?

"Can you show me how to use the call light?" "What personal items can I place on your bedside table?"

The nurse has admitted a patient to the rehabilitation unit with left-sided hemiparesis from a stroke. Which response would the nurse provide to the patient that reflects the implementation of universal fall precautions?

"Can you show me how to use the call light?", "What personal items can I place on your bedside table"

Which order of steps is correct for safely using a fire extinguisher in the home?

1. Pulling the pin to unlock the handle 2.Aiming low at the base of the fire 3. Squeezing the handle 4. Sweeping the unit from side to side

Which action would the nurse take to support environmental safety for patients?

Provide patient education regarding see food preparation

Health care organizations foster patient-centered safety by focusing on which aspects?

Providing current reliable technology, engaging in performance-improvement endeavors, integrating evidence-based practice into procedures, cultivating a safe work environment

Which safety precaution would be taken for the patient with muscle weakness when walking?

Rubber-soled shoes

To ensure safe use of oxygen in the home by a patient, which teaching point would the nurse include?

Smoking is prohibited around oxygen, Do not use electrical equipment around oxygen, Special precautions may be required when traveling with oxygen.

The RN is teaching a nursing student about poisons. Which statement by the nursing student indicates effective learning?

"A poison control center is the best resource for treating accidental poisoning" "Emergency treatment is necessary when a poisonous substance comes into contact with the skin."

The RN its teaching a nursing student about procedure-related accidents. Which statement made by the nursing student indicates a need for further teaching?

"Accidents are mainly caused by the misuse of equipment."

Which patient would be suspected to have an electrolyte imbalance?

A person exposed to heat for an extended period

Which finding is a serious reportable event included in the National Quality Forum (NQF) list?

Disability associated with electric shock at a health care agency

The incidence of suicidal tendency is highest in which age group?

Adolescents

Which manifestation is an effect of lead poisoning in a chid?

Adverse effects on child's growth, learning and behavioral problems, brain and kidney problems

The National Quality Forum is collecting information from a health care agency about serious reportable events that have occurred. Which event would b listed as a care-management event?

Death caused by medication error

An 18-year-old patient is brought to the emergency department after a motor vehicle accident. Which factor is a possible cause of motor vehicle accidents in this age group?

Drunk driving, fast driving, carelessness regarding road hazards

Which health condition is likely to be observed in people working in cold conditions?

Frostbite, Hypothermia

Which common physical hazard can increase the risk of falling?

Inadequate lighting, barriers in the normal walking path, lack of safety devices in the home

Which safety precaution would be followed by a patient infected with Hepatitis A?

Practicing hand hygiene

The nurse is caring for a patient with muscle weakness. The patient is provided with skid-proof footwear. Which safety measure is implemented in this situation?

Preventing falls from slipping on the floor

The registered nurse is teaching a patient's family members tips for protecting the patient during a seizure. Which statement made by a family member indicates the need for further teaching?

"Hold the limbs tightly" "Life the patient from the floor to the bed"

The nurse is teaching the parent of a young child about car safety. Which statement by the parent indicates effective learning?

"I should place my 3-month-old child in the back sear with a rear facing convertible seat"

The nurse is providing education about restraint to the parents of a 7-year-old patient who has been restrained after pulling out their intravenous (IV) catheter multiple times. Which information will the nurse include in the teaching?

"I will be assessing your child every 15 minutes to ensure there are no injuries"

The nurse is teaching a parent about toddler care. Which instruction provided by the nurse indicates effective teaching?

"Immunize with all recommended vaccines"

The registered nurse (RN) is teaching a nursing student about safety for equipment-related accidents. Which statement by the nursing student indicates the need for further learning?

"Make regular safety checks of equipment"

The nurse is teaching parents of an adolescent the psychological signs that may be consistent with drug use to abuse in their child. Which statement would the nurse include in the teaching?

"Monitor for changes in school attendance", "Note any increase in aggressiveness", 'Be aware of changes in interpersonal relationships"

According to the American Hospital Association, a red wristband is given for which category?

Allergies

Which factor contributes to an increase in falls in older patients?

Anticonvulsants, high bed position

Which action describes a patient safety strategy planned by the nurse in the hospital setting?

Applying standards for infection prevention

At 10:00 AM an adult patient was restrained after physically assaulting another patient on the unit. Which monitoring parameter will the nurse incorporate into the plan of care?

Assess the patient's psychological status at 10:15 AM

Which factor is the greatest risk of injury for an adolescent?

Automobile accidents, suicide, and substance abuse

The nurse has admitted an 80-year-old patient with altered mental status diagnosed with pneumonia to the medical-surgical unit. Which action will the nurse take to help prevent the patient from falling?

Implement universal fall precautions

According to the National Quality Forum, which event is included under patient-protection events?

Infant discharge to an unauthorized person

Which group is at the highest risk of lead poisoning?

Infants

The nurse is assessing a patient with impaired mobility. The nurse observes poor coordination and muscle weakness. Which risk would the nurse anticipate in the patient?

Injury

The nurse finds an older-adult patient wandering the hall. The patient says that he is looking for the bathroom. Which intervention is appropriate to ensure the safety of the patient?

Leave a night-light on in the bathroom, Provide scheduled toileting during the night shift, keep pathway from the bed to the bathroom clear

Which question would the nurse ask a patient to determine environmental comfort in a patient's home?

"Are you using space heaters?", "Are you using an air conditioning system?", "Are your fire extinguishers routinely serviced?"

Which patient is at higher risk of motor vehicle accidents according to the Centers for Disease Control and Prevention (CDC)?

16-year-old adolescent

The nurse is assessing four patients with different conditions. Which patient would the nurse anticipate having a high risk of death? Patient A- Exposed to high levels of carbon monoxide for 1-3 minutes Patient B- Exposure to cold conditions of 48.7 degrees Fahrenheit Patient C- Poison exposure Patient D- Lead exposure

Patient A

The senior nurse is discussing with student nurses the serious reportable events included on the National Quality Forum (NQF) list. Which environmental event would be discussed?

Patient death caused by burns from agency equipment, Patient death associated with falls., Patient death caused by electrocution

According to the National Quality Forum, which event is considered a care-management event?

Stage III pressure injury acquired after admission to a health care agency

Which condition is a serious reportable event included in the National Quality Forum (NQF) list?

Surgery performed on the wrong site

The nurse is admitting a 64-year old patient who had a right hemisphere stroke and a recent fall. The spouse stated that the patient has a history of high blood pressure, which is controlled by an antihypertensive and a diuretic. Currently the patient exhibits left sided neglect and problems with spatial and perceptual abilities and is impulsive. The patient has moderate left sided weakness and requires the assistance of a cane to ambulate at home. The patient currently has an intravenous (IV) line and a urinary catheter in place. Which factors increases the patient's fall risk at this time?

Takes antihypertensive and a diuretic, history of recent fall, neglect, problems with spatial and perceptual abilities, impulsive, requires assistance with activity, unsteady gait, IV line, urinary catheter

Which order of steps would be correct for applying a belt restraint?

1. Ask the patient to sit on the bed 2. Apply the best over clothing 3. Remove wrinkles in clothing 4. Tie through slots in belt 5. Ask patient to lie down in bed

Which order of safety measures would the nurse follow in the event of a fire in a hospital area

1. Rescuing and removing all patients 2. Activating the alarm 3. Closing doors and windows and turning off electrical equipment 4. Extinguishing the fire with an appropriate extinguisher

A patient has been locked in a poorly ventilated room containing a furnace. Which condition is likely to be observed in the patient after a period of time?

Carbon monoxide poisoning

The family member of an adult patient reports that the patient is a long-term smoker. Which health risk factor does the nurse anticipate?

Cardiovascular disease

Which change can be observed upon exposure to severe heat

Changes in electrolyte balance, rise in core body temperature

Which health promotion strategy would be classified as passive?

Clean water laws

How would the nurse support a culture of safety?

Completing incident reports when appropriate, completing incident reports for a near miss, communicating product concerns to an immediate supervisor

Of which common cause of death in the elderly population would the nurse be aware?

Falls, hypothermia, heatstroke

Which precaution would the nurse take to avoid environmental risks at a health care agency?

Follow proper hand hygiene, follow standard isolation procedures, be aware of the location of material safety data sheets

Which patient would be at high risk of hypothermia?

Patients who have angina, Patients who are homeless, Patients who have taken drugs or alcohol in excess.

The nurse is training a health care provider on precautionary measures to avoid equipment-related accidents. Which information would be included in the training?

Placing a tag on faulty instruments, promptly reporting malfunctions, assessing potential electrical hazards

A patient with which documented finding would be provided with a yellow wristband according to the American Hospital Association (AHA)?

Risk of falls

A patient with postural hypotension its hospitalized. Which safety measure would the nurse implement during ambulation?

Use of gait belt