Chapter 26 Safety
The nurse is reviewing a healthcare provider's orders in the electronic health record (EHR) and notices several abbreviations. What is the appropriate nursing action?
Contact healthcare provider to clarify order.
The unlicensed assistive personnel (UAP) tells the nurse that a client is very confused and trying to get out of bed without assistance. What is the appropriate action by the nurse?
Initiate use of a bed alarm.
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?
Most people who die in house fires die of smoke inhalation, rather than burns.
What best describes the nurse's role in disaster preparedness?
Multiple roles, including triage and the distribution of resources
An 17-year-old is brought to the emergency department with a head injury. The nurse knows that adolescents are vulnerable to injuries related to:
automobile accidents.
A school nurse is aware of poisoning risks in the adolescent population. Poisoning in this age group is most often related to:
experimentation with drugs and inhalants.
The nurse is caring for a client with Alzheimer's disease. A family member states, "I am afraid I will go to bed one night, and the next morning my loved one will be missing from wandering off." What is the appropriate nursing response?
"Consider the Alzheimer's Association 'Safe Return' program."
A nurse is teaching a community group about bicycle safety. Which statement should be included when creating a teaching plan regarding bicycle safety?
"Parents are effective role models for children when they also wear helmets while riding."
Which statement indicates that a family understands the teaching that has been provided by the nurse related to car seat safety for their 9-month-old infant?
"We place our baby in a rear-facing car seat in the back seat of the car"
The community health nurse is talking with four clients. Who does the nurse identify that would most benefit from teaching about alcohol and drug abuse?
19-year-old male college student majoring in physics
What is the most important safety concept that a nurse should include in the teaching plan for a family with a newborn infant in the household?
Avoid stuffed animals and blankets in the crib
A home care nurse provides health education to parents regarding the care of their toddler. Which precaution should the nurse suggest the parents take to protect the toddler from drowning?
Avoid unattended baths for the toddler.
Which item would alert the home care nurse to a safety hazard threatening a young child?
Dangling blind cords
The nurse is assessing clients for risk factors in the workplace. Which clients would be at risk for injury due to the environment of the workplace? Select all that apply.
Nursing assistant who lifts clients in a nursing home Worker who operates equipment in an automobile assembly plant Gardener who mows and places fertilizer on lawns
A nurse responds to the call bell and finds another nurse evacuating the client from the room, which has caught fire. Which action should the nurse take?
Pull the fire alarm lever.
A nurse is preparing discharge education for a client with a newborn baby. What is the highest priority item that must be included in the education plan?
Restrain the baby in a car seat.
Which Knowledge, Skills, and Attitudes (KSAs) are nursing actions based on the QSEN competency of quality improvement? Select all that apply.
The nurse manager schedules a meeting of staff to review client outcomes on the hospital ward. The nurse schedules a meeting with the nurse manager to review and update the policies for client admissions. The nurse administrator sets up a committee to review the procedure manual and recommend any needed changes.
A nurse was injured when a client with Alzheimer's disease struck the nurse on the side of the head during a transfer. The nurse has completed an incident report. Which statement about an incident report is most accurate?
The report provides a detailed and objective account of the circumstances before, during, and after the event.
The nurse is caring for a client who has been repetitively pulled at IV lines and the urinary catheter. After other methods of diverting the client's behaviors fail, the healthcare provider orders chemical restraints. Which treatment does the nurse anticipate?
administration of an antipsychotic agent to alter the client's behavior
The nurse recognizes that assessment for sensory-perceptual alterations is a priority for which client?
an 84-year-old male with four recent driving violations
The nurse is teaching fire safety to members of a community. When a community member asks which type of fire extinguisher would be appropriate to put out a gasoline fire, what will the nurse identify?
class C
During discharge planning, the nurse is assessing home safety for a client who has repeatedly fallen. Which condition increases the client's risk for falls? Select all that apply.
climbs two flights of stairway to get to his bedroom prefers to use the bathtub when taking a bath drinks 2 shots of alcoholic beverages before dinner takes a diuretic pill early in the morning
The nurse is conducting a home care visit for a new mother who delivered a baby 3 days ago. Which finding within the home requires immediate nursing intervention?
hot water heater thermostat set at 130 degrees F (54.4 degrees C)