Foundations of Nursing - Chapter 10 Test
A mother brings her alert and playful child to the clinic because she found him playing with this empty bottle of baby aspirin. What question is the most important to ask the mother?
Did you contact poison control before you drove to the clinic?
The fire extinguisher Type C is used for?
Electrical fires
The fire extinguisher Type B is used for?
Flammable liquids
What newly obtained piece of equipment creates the greatest risk for falls for an older adult?
Prescription lenses
The nurse notices smoke coming from the wastebasket in a patient's room. Upon entering the room, the nurse sees a fire that is starting to flare up. What should the nurse do first?
Remove the patient from the room.
The nurse started a new job in the small long-term care facility in a rural area. The back exit hallway is being used for storage. What should the nurse do first?
Report the facility for unsafe conditions.
It is suspected that a patient has been exposed to cyanide gas. The nurse is alert for which symptom?
Respiratory distress
An infant has a wound with dressing on the left upper arm. He repeatedly attempts to remove the dressing. What SRD would the nurse select?
Right elbow
What does SRD stand for?
Safety Reminder Device
The older adult tells the nurse that he is having trouble reading the labels on his medication bottles. What is the best strategy that the nurse could suggest to reduce the risk of an accidental medication error?
Teach the patient to use a medication organizer to manage the medication
Before the nurse can intervene, the UAP pushes contaminated material into an overfilled sharps container and sustains a puncture wound. What should the nurse do first?
Tell the UAP to immediately report to the infection-control nurse.
What factors affect disaster responses?
Time of day, the scope and duration of the triggering event, readiness of the health care facility, personnel, and equipment. preparations for appropriate procedures and the extent of various community agencies and institutions collaborate with one another.
The nurse is caring for a patient who relies on mechanical ventilation. The nurse hears a fire alarm and flames are visible in the back corridor. What should the nurse do first?
Turn off the oxygen supply and provide manual respiratory support
What instructions should be given to a UAP who is assigned to assist in the care of a patient who is being treated with internal radiation?
Wear your personal dosimeter during care or when handling patient items.
The fire extinguisher Type A is used for?
Paper, wood, and cloth
A confused patient is yelling and throws the food tray at the UAP when the nurse enters the room. What should the nurse do first?
Calmly talk to the patient and respectfully address him by name
What does CDC stand for?
Centers for Disease Control and Prevention
For the care of a patient who has an SRD in place, which task can be delegated to a UAP?
Change positions every 2 hours.
In the event of a mercury spill, what is the priority nursing action?
Close the interior doors and open windows
Describe the symptoms of acute radiation syndrome
1. 2. 3.
What organizations focus on safety and issues related to health?
1. Centers of Disease Control and Prevention (CDC). 2. Occupational Safety and Health Administration
The nurse is conducting a fall risk assessment on an older adult patient who is moving into a assisted-living center. What questions would the nurse ask?
1. Have you had any falls in the past year? 2. Do you feel unsteady when you stand up? 3. Are you able to independently walk from room to room? 4. Do you use a cane or other assistive device?
The older adult residents in a nursing home must be evacuated because the facility is at risk for flooding and damage due to a hurricane. The nurse is assigned to keep a log to document the events. What information is most important to record?
1. How each resident was transported 2. Name of residents 3. Where the residents were sent 4. Who transported each resident 5. Notification of family members and health care providers
The nurse is planning to teach a community group about the fire safety in the home. What information should be included in the presentation?
1. No smoking by the patient, family, or visitors in areas where oxygen is used. 2. Install fire alarms, smoke detectors, and carbon monoxide detectors. 3. Practice fire escape routes from each room and practice exit drills.
The nurse is considering the use of an SRD to prevent a patient from self-injury. When using a SRD, what should the nurse do?
1. Obtain a provider's order for the SRD 2. Explain the purpose of the SRD to the patient 3. Explain the purpose of the SRD to the family
The nurse is reviewing the disaster preparedness plan for a small nursing home. What should be included in the plan?
1. Possible admission to a hospital or transfer to a temporary shelter. 2. Log to document residents' names and locations. 3. System to notify families and providers 4. Method of patient identification, such as a bracelet or picture ID.
What does PASS stand for?
1. Pull 2. Aim 3. Squeeze 4. Sweep
What are the agents that may be used for chemical terrorism?
1. Pulmonary agents 2. Incapacitating agents 3. Cyanide agents 4. Nerve agents 5. Vesicant agents
What are the different types of fire extinguishers?
1. Type A 2. Type B 3. Type C 4. Type ABC
What does RACE mean?
1. rescue 2. alarm 3. confine 4. extinguish
How is a SRD used?
A SRD is a device used to immobilize a patient or a part of a patient's body, such as arms or hands.
What is a safety reminder device?
A SRD is a restraint.
The nurse is teaching a new group of UAP how to evacuate residents from a long-term care facility in case of a fire or other emergency. What piece of equipment for the universal carry method does the nurse need to teach about?
A blanket
The fire extinguisher Type ABC is used for?
All fires
The patient reports dizziness when standing too fast. What over-the-counter medication is most likely to be contributing to the patient's orthostatic hypotension?
Antihistamine
The postoperative patient demonstrates some mild dizziness and mild shortness of breath when moving from sitting to standing position. What action would the nurse perform first?
Assist the patient to sit back down
The nurse is giving instructions to the UAP about the patient safety and fall prevention. What should the nurse tell the UAP about helping the patient to go to the bathroom?
Have her sit up slowly and dangle her legs before standing up.
What are the symptoms of latex type 1 hypersensitivity?
Hives, generalized edema, itching, rash, wheezing, bronchospasm, difficulty breathing, laryngeal edema, diarrhea, nausea, hypotension, tachycardia, and respiratory or cardiac arrest.
The nurse is talking to a young mother who has an infant who has just started to crawl. Based on knowledge of growth and development, which safety issue is currently the most important to discuss with the mother?
How to manage electrical sockets and cords.
A patient with a latex allergy is exposed to latex. What sign or symptom is cause for the greatest concern?
Laryngeal edema
What clinical setting would a nurse most likely need knowledge on safely using a SRD and manage the care of these patients?
Mental health walk-in clinic
A patient begins to have a grand mal seizure. What is the priority action?
Monitor the patency of the airway.
A patient comes in with a fever, malaise, and muscle aches with a rash on the tongue, mouth, and throat. The nurse notes pustules on the patient's palms. What should the nurse do first?
Notify the public health department.
An older adult patient in a long-term care facility has been wandering around outside of the room during the late evening hours. The patient has a history of falls. How should the nurse intervene?
Obtain an order for a bed and chair alarm.
What does OSHA stand for?
Occupational Safety and Health Administration
The nurse applies a gait belt to a male patient of average build who has some weakness on the left side. How does the nurse position herself before assisting the patient to ambulate down the hall?
On the patient's left side and holding the back of the gait belt.