Chapter 19 Safety

"I will rescue clients from harm before doing anything else."

The nurse is teaching an unlicensed assistive personnel (UAP) about fire safety. Which UAP statement demonstrates that teaching has been effective?

Supervise your child on the changing table.

The nurse is teaching the caregiver of a 8-month-old infant about safety. Which teaching will the nurse include?

Get the victim out of the present environment.

A nurse finds a client in his room asphyxiated with carbon monoxide (CO) inhalation. Which activity should be the priority for the nurse?

"Is your child breathing at this time?"

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?

Dilute with water or milk.

A caregiver of a toddler has called the poison control nurse to report that the child licked a small amount of petroleum jelly. The caregiver states that the toddler is sitting on the floor, watching a cartoon, and playing with a toy. Which information will the poison control nurse provide?

using carbon monoxide detectors and alarms

A nurse is working as an industrial nurse. Which activity would the nurse suggest that the employers adopt to prevent carbon monoxide (CO) inhalation by the workers?

keeping medications in clearly labeled containers

A public health nurse is providing community education to older adults regarding their risk of poisoning. Which information does the nurse include in the teaching?

Most people who die in house fires die of smoke inhalation rather than burns.

A school nurse is providing information to a group of older adults during Fire Prevention Week. Which statement is correct regarding fires in the home?

a dose of an antipsychotic

A staff development nurse is providing an in-service to a group of nurses on the use of restraints in health care facilities. What is an example of a chemical restraint?

The students will demonstrate proper use of safety equipment while playing sports.

A team of inner city school nurses attends a community conference on child safety during the summer months. What would be the priority health outcome that these nurses would expect to achieve in summer school?

-"Did you experience dizziness prior to the fall?" -"Can you tell what you were doing before you fell?" -"Did you have pain in your hip prior to the fall?" -"Is it possible you may have tripped over a rug or a cord?"

An older adult woman in a long-term care facility has fallen and sustained a hip fracture. The nurse would ask which question(s) to assess possible causes of the fall? Select all that apply. -"Did you experience dizziness prior to the fall?" -"Can you tell what you were doing before you fell?" -"Did you have pain in your hip prior to the fall?" -"Did you attempt to get up without the assistance of staff?" -"Is it possible you may have tripped over a rug or a cord?"

Raising all side rails while the client is in the bed.

Over the past few weeks, a client in a long-term care facility has become increasingly unsteady. The nurses are worried that the client will climb out of bed and fall. Which measure does not comply with a least restraint policy?

Suggest to the nurse manager that an in-service on abbreviation use would be helpful.

The nurse is reading another nurse's notes that were recorded in the electronic health record (EHR) during the previous shift. What is the appropriate nursing action when numerous unapproved abbreviations are noticed in the previous nurse's notes?

19-year-old male college student majoring in physics

The community health nurse is talking with four clients. Who does the nurse identify that would most benefit from teaching about alcohol and drug use?

True.

The goal of evidence-based practice related to restraints is to avoid the use of restraints.

The client has had an anaphylactic response to latex products.

The nurse has just admitted a client preoperatively to a surgical unit. The client will undergo a surgical procedure the following day. After reviewing the chart, the nurse will prioritize communication to the care team regarding what client data?

Replace common health care items with latex-free equipment.

The nurse is admitting a client to a medical-surgical unit who states, "If someone brings balloons to me, I might have trouble breathing." What is the appropriate nursing action?

Refrain from using extension cords.

The nurse is providing discharge teaching to the family of an older adult client. Which teaching will the nurse include to decrease the risk for electric shock?

Wash hands thoroughly after removing gloves with a pH-balanced soap.

The nurse is teaching a nursing student about proper latex glove use. Which teaching will the nurse include?

-Doors of classrooms and offices are open. -Elevators are used to increase speed of vacating the building.

The school nurse is evaluating a school's response to a fire drill. Which action requires the school nurse to provide teaching to the schoolteachers, staff, and students? Select all that apply. -Hallways are cleared of visitors. -Doors of classrooms and offices are open. -Children in wheelchairs have teachers assist them during evacuation. -Elevators are used to increase the speed of vacating the building. -Windows to the building are closed.

Experimentation with drugs and inhalants

The school nurse is providing education on poisoning risks to adolescent students. Which topic does the nurse include in the teaching?

Household cleaners must be kept out of reach.

What teaching will the community health nurse include for parents of toddlers?

Have a meeting place outside the home.

When educating families on fire safety, it is important to:

At home chemicals should be kept in a locked cabinet.

When educating parents about the safety of preschool-aged children, which is most important for the nurse to include in the presentation?

-Use equipment only for the use for which it was intended. -Only operate equipment the nurse is familiar with. -Use three-pronged electric plugs whenever possible.

Which actions should the nurse perform to help prevent occupational safety hazards? Select all that apply. -Use equipment only for the use for which it was intended. -Only operate equipment the nurse is familiar with. -Use three-pronged electric plugs whenever possible. -Twist or bend electric cords to make sure the cords are not dragging on the floor. -Clean all equipment with soap and water after use.

84-year-old client with four recent driving violations

Which client will the nurse assess for sensory-perceptual alterations?

Nurse Practitioner

Which level of health care provider may make the decision to apply physical restraints to a client?

Request childproof caps on all prescription medications

Which measure would be most effective at protecting a toddler from accidental poisoning due to the ingestion of medication?