Foundations of Nursing-Chapter 10

D

A newly admitted patient appears to be disoriented and the nurse is considering using a safety reminder device (SRD). What is the nurse's next intervention for this patient? A)Alert the staff about the patient's confusion B)Place the safety device on the patients consent. C)Discuss the matter with the family. D)Obtain a health care provider's order.

D

A type C fire extinguisher is required for which type of fire? A)Paper B)Cloth C)Grease D)Electrical

B C D E

The LPN is caring for a patient who has a safety reminder device (SRD). What are the most appropriate points that need to be included in the documentation? SATA A)Presence of a family member or representative B)Duration of the use of the physical restraint C) Explanation given to the patient and family D)Reason for the physical restraint E)Type of safety reminder used

D

The home health nurse is assessing a child for the risk of injury. Which factor places a child at greatest risk for specific types of injuries? A)Gender of the child B)Overall health C)Educational level D)Developmental level

B

What does "SRD" stand for? A)Safety Restraining Device B)Safety Reminder Device C) Secure Restraint Detector D) Sentry Radiation Detector

A

What does universal carry mean? A)How to remove a patient from the bed to the floor B)How to carry a patient as if he/she were an infant C)How to carry two patients at one time D)How to evacuate several patients in a short amount of time

B

What is the first measure for the nurse to carry out in the event of a fire in the workplace? A)Use an appropriate fire extinguisher to put out the fire. B)Remove the people from the room with the fire. C)Turn the oxygen off near the fire. D)Notify the switchboard operator where the fire is located.

B

While reviewing fire safety, a type C fire extinguisher can only be used on which type of fire? A)paper, wood, or cloth fire B)an electrical fire C)a fire caused by a flammable liquid D)any type of fire

D

A nurse is working in a long-term care facility caring for older adults. What type of accident is most often experienced by an older adult? A)Asphyxiation B)Burns C)Poisoning D)Falls

B C D E

A patient has a care plan with a patient problem of risk for injury. Which interventions would be most appropriate? SATA A)Allow patient to have reading materials and clothing lying about the room. B)Keep bed in low position except when care is given. C)Instruct in the use of a call bell and keep in reach at all times. D)Orient patient to the room and environment to provide familiarity. E)Assist the patient to the bathroom frequently.

A

During the 7 a.m. to 3 p.m. shift on the adult surgical unit, the code is announced for an external disaster emergency. Which event best represents this type of situation? A)A school bus accident B)A bomb threat in the mail room C)A hostage-taking event in the emergency department D)An electrical fire in the maintenance department

C

The LPN is reinforcing discharge teaching with parents of a small child regarding poisoning. Which statement by the parents would indicate the need for further teaching? A)"At the pharmacy, we will ask for child-proof lids on all prescriptions." B)"We're going to install child-resistant latches on all cupboard doors." C) "We have some empty food containers that we can use for storing anything dangerous." D)"We're going to move all the plants out of reach or outside."

C & E

The nurse is caring for a patient on a ventilator and reads the order "restrain prn." The nurse considers which factor when caring for this patient? SATA A)SRDs often decrease anxiety because the patient feels safer. B)All older adult patients need some type of SRD at night. C)Allow as much freedom of movement as possible when applying SRDs. D)When using soft SRDs to prevent pulling of the ventilator tubing, tie them to the side rail. E)Ensure that the nurse's two fingers can be inserted between the SRD and the patient's skin.

C

What are some safety considerations a nurse should contemplate when caring for an older adult? A)They are old and frail B)They are bitter and take a lot of medications. C)Their visual acuity is not good , and their reflexes are slow. D)They are concerned about their finances and what this hospitalization will cost them.

C E

When the staff's knowledge of the fire safety precautions is assessed, which action indicates the need for further fire safety instruction? SATA A)Fire exits and corridors are kept clear. B)A No Smoking sign is posted when oxygen is in use. C)A heating pad cord is taped when a frayed area is noted. D)Facility smoking policies are a part of the admission procedure for patients. E)An UAP evacuated critically ill patients on the elevator during a fire drill.

A

Why should a hospital have a disaster plan? A)to be prepared in times of an emergent community situation with the possibility of a large number of casualties. B)To be familiar with possible emergent situations that could affect a community C)To eliminate factors that could cause a community disaster D)To fulfill federal guidelines that pertain to hospitals

C

A patient has had a wrist safety reminder device on for the last 2 hours. What is the nurse's highest priority intervention? A)Loosen the safety reminder device, but do not remove them until ordered. B)Make sure the safety reminder devices are fastened securely. C)Remove the safety reminder device and assess circulation and skin integrity. D)Assess the patient's orientation for improvements.

B

An adult patient is brought to the emergency department for treatment of an unintentional poisoning. What is the nurse's first action in caring for this patient? A)Induce vomiting B)Assess the patient C)Place the patient in an upright position. D)Notify the poison control center.

A D

The nurse is observing the UAP who is assisting a resident in a long-term care facility ambulate with a gait belt. Which action by the UAP indicates to the nurse that further instruction is necessary? SATA A)The UAP loosely fastens the gait belt around the patient's waist. B)The UAP places the gait belt on the resident before assisting the resident to a standing position. C)The UAP grasps the gait belt while assisting the resident out of bed. D)The UAP fastens the belt around the arm of the chair to prevent the resident from slipping out of the chair. E)The UAP explains to the resident that the gait belt is used to prevent injury to the resident and the UAP when assisting with ambulation.

D

The nurse is providing home poison control instruction to the parent of a 2-year-old boy. Which statement by the parent indicates the need for further teaching? A)"I will call the national poison control center if my child ingests a poisonous substance." B)"I will call 911 immediately if my child ingests medication that is not intended for him." C)"Child safety caps on household cleaner can still be opened by some children" D)"I will give my child syrup of ipecac if he ingests a poisonous substance that is not caustic."

D

The LPN/LVN is reviewing the admission information of a patient. Which information is of most concern to the nurse that this patient is at high risk for falling? A)The patient has diabetes. B)The patient had a stroke 3 years ago with no complications. C)The patient becomes disoriented in the evening hours. D)The patient wears eyeglasses and a hearing aide.

A

The LPN/LVN is reviewing the care plan of the patient who has an SRD applied for personal safety. Which is the highest priority goal for this patient? A)Patient will remain free of injury. B)Patient will allow SRDs to be used. C)Nurse will check SRD every 30 minutes. D)Use least restrictive form of SRD possible.

A

The home health nurse is visiting an older adult patient and her husband. What safety concern is of the highest priority when the nurse is assessing this patient's home environment? A)Accidental poisoning B)Electrical shock C)Accidental falls D)Thermal burns

A

The nurse discovers smoke in a soiled utility room across the hall from a patient's room. What should the nurse's initial action be? A)Sound the fire alarm B)Disconnect the oxygen supply C)Use any extinguisher on the fire. D)Remove the patient from the area.

B

The nurse is documenting on a patient with an SRD. What information must the nurse include in this documentation? A)The nurse's feelings about having used the SRD. B)The specific type of SRD used and assessment of the patient. C)Confirmation of a prn order for use of the SRD. D)Evidence that the patient was assessed every 8 hours.

D

The occupational health nurse learns of a mercury spill that occurred in the factory in which she is employed. Which action by the nurse is correct? A)The nurse cleans the mercury spill with alcohol and ordinary cleaning cloths. B)The nurse closes all windows and doors to prevent the mercury spill from spreading out of the area. C)The nurse instructs the housekeeping staff to vacuum up the spill. D)The nurse evacuates the area and contacts trained personnel to clean up the spill.

C

What does "RACE" stand for? A)Reaction Accordingly to a Care Environment B)Remove, Accelerant, Contain, and Eliminate C)Rescue, Alarm, Confine, Extinguish D)Rescue, Alert, Contain, and Eliminate

B

What is the most common problem that nurses need to address to ensure the safety of their patients? A)Call light not in reach of the patient B)Percentage of falls in the facility C)Patients who are violent D)Side rails not in the upright position

D

What national organization provides guidelines to protect health care workers in their environment? A)National Institutes of Health B)National Alliance for Health Care Providers C)National League of Nurses D)Occupational Safety and Health Administration

D

What needs to be removed from a fire extinguisher before it can be activated? A)the nozzle B)the handle C)the inspection tag D)the pin

ABCD

What type of problem is a major concern for older adults? SATA A)Driving B)Hospitalizations C)Accidental poisoning D)Loneliness

C

What type of sensitivity is often seen in the health care environment? A)Allergic reactions to disinfecting chemicals B)Reactions to airborne disease C)Latex allergies D)Vinyl allergies

A B E

When caring for the patient who requires the use of an SRD, what should be included in the patient's plan of care? SATA A)Monitor the skin for signs of impairment. B)Remove the SRD once every 2 hours. C)Secure the ends of the ties to the side rails. D)Ensure that the SRD is in place at all times. E)Reevaluate the need for the SRD frequently.

D

Which mnemonic is used most often to set priorities in case of a fire? A)OSHA B)ABC C)CDC D)RACE

D

Which newly admitted patient would be at the greatest risk for an injury? A)A patient who wears corrective lenses B)An 80-year-old patient C)A patient who has arthritis D)A patient who has a history of falls