Chapter 27 PrepU Safety
Which safety tip could the nurse give to parents to help decrease the risk of the leading cause of injury or death in children 1 to 4 years of age? -"Always provide close supervision for young children when they are in or around pools and bathtubs." -"Never smoke in the bed in the house when young children are present." -"Store medications in a locked area to prevent children from getting into them." -"Never keep firearms in the home with young children."
"Always provide close supervision for young children when they are in or around pools and bathtubs." Explanation: The leading cause of injury and death in children 1 to 4 years of age is drowning. Therefore, providing close supervision when children are in or around tubs and pools will help decrease and/or prevent this injury.
Which statement indicates that a family understands the teaching that has been provided by the nurse related to car seat safety for a 9-month-old infant? "We place our baby in a front-facing car seat in the middle of the back seat of the car." "We place our baby in a front-facing car seat in the front of the car so that he doesn't cry." "We place our baby in a rear-facing car seat in the back seat of the car." "We place our baby in a rear-facing car seat in the front of the car so that we can see him in case he chokes."
"We place our baby in a rear-facing car seat in the back seat of the car." Explanation: Children from birth to 2 years of age should remain in a rear-facing infant seat in the back seat of the car until they reach the maximum height and weight for a front-facing child car seat.
A client who was receiving care on a psychiatric unit died by suicide at a time when nurses are known to have been handing off to nurses on the next shift. What is a responsibility of the organization when responding to this sentinel event? -Inform local health care institutions about the event to promote safety. -Change the institution's policies regarding supervision of clients. -Appropriately discipline the nurses who were participating in the shift change. -Report the event to the Joint Commission.
Report the event to the Joint Commission. Explanation: Hospitals are required to report serious safety aand sentinel events to regulatory agencies such as the Joint Commission and to state health agencies. There is no formal responsibility to inform other local institutions. There is no obvious need for discipline, though education may be needed. Policies and procedures would be reviewed, but may not need to be changed.
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? -Instruct the toddler not to go near the pool. -Avoid unattended baths for the toddler. -Monitor the activities of the toddler. -Allow the child to swim with friends.
Avoid unattended baths for the toddler. Explanation: The parents should not leave the toddler for an unattended bath. Toddlers are naturally inquisitive, and instructing them to stay away from the pool may make them more curious. Monitoring the activities of the toddler is not always feasible. Allowing the child to swim with friends does not ensure 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. -Make a copy of the safety event report for the client. -Place the safety event report in the client's medical record for future reference. -Submit the safety report to the appropriate department within the facility so that it can be reviewed.
Submit the safety report to the appropriate department within the facility so that it can be reviewed. Explanation: When an adverse event occurs, a safety event report should be filed and submitted according to facility policy. Safety event reports should not become a part of the client's medical record, nor should they be mentioned in documentation or copied and given to the client.
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. -The nurse coordinator calls a meeting of all the health care professionals involved in the care of a client. -The nurse uses the Internet to find new nursing techniques for the care of a client with cystic fibrosis. -The nurse listens to a client who is having trouble adjusting to a long-term care facility and treats the client with compassion and respect.
-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. Explanation: The QSEN concept of quality improvement recommends use of data to monitor the outcomes of care processes and use of improvement methods to design and test changes. Early introduction of quality improvement concepts helps to continuously improve the quality and safety of health care systems. Some these concepts include the following: new ideas generated by meeting with the staff to review client care outcomes; scheduling meetings to update policies for client admissions; and committee review of procedure manuals. Calling a meeting to discuss a specific client and listening to the client's concerns are examples of the QSEN client-centered care competency
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. -Most fatal home fires occur while people are cooking. -About 10% of home fire deaths occur in a home without a smoke detector. -Most home fires are caused by children playing with matches.
Most people who die in house fires die of smoke inhalation rather than burns. Explanation: Most people who die in house fires die of smoke inhalation rather than burns. About 50% of home fire deaths occur in a home without a smoke detector. Many home fires are started because someone fell asleep smoking in bed or on a sofa, and most fatal home fires occur while people are sleeping.
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? -Lock all cabinets that contain cleaning supplies. -Keep all pots and pans in lower cabinets. -Give warm bottles of formula to the baby. -Restrain the baby in a car seat.
Restrain the baby in a car seat. Explanation: The client should restrain the baby in a car seat when driving. Infants are especially vulnerable to injuries resulting from falling off changing tables or being unrestrained in automobiles. Locking the cabinets, giving warm bottles of formula to the baby, and keeping all pots and pans in lower cabinets are secondary teachings.
