prepu safety ch. 27
A nurse visits an older adult client at home and assesses the safety of the client's environment. Multiple small rugs are located in the home. Which statement by the nurse is appropriate when addressing the client's safety?
"I am concerned that the small rugs in your home can be a tripping hazard."
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 rear-facing car seat in the back seat of the car."
A nurse failed to document the administration of a client's warfarin and the nurse on the next shift administered the drug again, believing that it had been overlooked. When performing root cause analysis, what question should be asked first?
"What could the two nurses have done to ensure this did not happen?"
The acronym RACE is commonly taught as a means for remembering priorities for action during a fire. The "A" in this acronym stands for which of the following?
Activate the fire alarm and notify the appropriate person.
Which item would alert the home care nurse to a safety hazard threatening a young child?
Dangling blind cords
When educating families on fire safety in the home, which information is important for the nurse to emphasize?
Have a meeting place outside the home in case of fire.
A nurse is caring for a client who is receiving an intravenous therapy through an IV pump. Which intervention should the nurse implement to ensure electrical safety?
Obtain a three-prong grounded plug adapter.
The nurse is teaching the caregiver of an adolescent child about safety. Which teaching will the nurse include?
Peer pressure causes children of this age to take risks.
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 would be a priority recommendation for this client?
Placing the client in a bed with a bed alarm
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?
Refrain from using extension cords.
The nurse is caring for a young child in the hospital who is being discharged home with his grandmother, who has guardianship. When performing a risk assessment, the nurse identifies that his grandmother has one other adult living with her to help with the child, because the grandmother has congestive heart failure and diabetes mellitus. In addition, the financial situation is poor and she cannot afford to buy safety devices to safety-proof the house. What nursing diagnosis is most appropriate for this child based on these findings?
Risk for Poisoning related to medications in unlocked cabinets
The nurse is teaching the caregiver of a 8-month-old infant about safety. Which teaching will the nurse include?
Supervise your child on the changing table.
The nurse is caring for an 80-year-old client who was admitted to the hospital in a confused and dehydrated state. After the client got out of bed and fell, restraints were applied. She began to fight and was rapidly becoming exhausted. She has black-and-blue marks on her wrists from the restraints. What would be the most appropriate nursing intervention for this client?
Take the restraints off, stay with her, and talk gently to her.
A nurse is completing an intake assessment. The nurse notes that an older adult male client appears to have bruises in varying stages of healing. Which action by the nurse indicates an understanding of her responsibilities?
The nurse should question the client about the source of the bruises.
A nurse was injured when a client with Alzheimer 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.
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?
The students will demonstrate proper use of safety equipment while playing sports.
A child is playing soccer and is involved in a head-to-head collision with another player. Which assessment findings should the nurse be alert to that may indicate a concussion? Select all that apply.
drowsiness, headache, vommitting
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.
A client went missing from a long-term care facility and an emergency code was called. After a search of 1 hour, the client was discovered in a utility room that should have been inaccessible. When responding to this event, staff should:
fill out an incident report, with the goal of preventing a similar event in the future.
Which topic should a public health nurse emphasize when educating older adults on reducing their risk of poisoning?
keeping medications in clearly labeled containers