Safety, Security, and Emergency Preparedness

50

Most people who die in house fires die of smoke inhalation, rather than burns. About ______% 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.

b

The goal of evidence-based practice related to restraints is to avoid the use of restraints. a) False b) True

d

The older adult will have an increased risk for developing which of the following? a) Fire hazards b) Gun shot wounds c) Poisoning d) Heatstroke

c

What would be the best restraint to use on an infant during care for a head wound? a) Waist restraint b) Extremity restraint c) Mummy restraint d) Elbow restraint

b

Which of the following clients is most likely to face an increased risk of falls due to his or her medication regimen? a) A man 90 years of age whose venous ulcer has required the administration of intravenous antibiotics b) A female client age 77 years who has received a benzodiazepine to minimize her anxiety c) A woman age 81 years who has required a blood transfusion to treat a gastrointestinal bleed d) A male client age 79 years whose recent high blood pressure has required a PRN dose of an angiotensin-converting enzyme (ACE) inhibitor

falls

While all drugs carry some risk of adverse effects, the use of benzodiazepines and antiepileptics are more predicative of ______ than are other drug families.

d

A nurse is assigned to care for a hospitalized toddler. Which of the following activities should be the highest priority for the nurse? a) Spend time with toddler in the play room b) Provide health education to parents c) Provide medications on time d) Protect the toddler from injury

c

A nurse is caring for a 10-month-old child who has had surgery for a cleft palate. The child is put in elbow restraints. The mother comes and asks the nurse to remove the restraints. Which of the following is the most appropriate action for the nurse to take? a) Loosen the restraints without removing them. b) Tell the mother that the restraints are important. c) Remove a restraint from one extremity. d) Remove both the restraints from the elbows.

b

A nurse is admitting a client to a geriatric medicine unit following the client's recent diagnosis of acute renal failure. Which of the following nursing actions is most likely to reduce the client's chance of experiencing a fall while on the unit? a) Place the client in a shared room with a client who is stable and oriented. b) Orient the client to the room and environment thoroughly upon admission. c) Administer pain medications sparingly in order to minimize cognitive or musculoskeletal side effects. d) Provide the client with a bedpan to reduce the need to transfer to a commode or washroom.

a

A nurse is caring for a client who is receiving an intravenous therapy through an IV pump. Which of the following interventions should the nurse implement to ensure electrical safety? a) Obtain a three-prong grounded plug adapter. b) Tape the electrical cord of the pump to the floor. c) Run the electrical cord of the pump under the carpet. d) Use an extension cord to provide freedom of movement.

d

A nurse is educating a mother about caring for a newborn baby. What should the nurse teach the client as a precautionary measure to protect the infant from burns? a) Keep hot substances on the table. b) Keep the infant away from the kitchen. c) Monitor the activities of the infant closely. d) Keep hot substances away from the baby.

d

A nurse is preparing to file a safety event report after a client experienced a fall. The nurse is aware that which statement below is correct regarding the filing of a safety event report? a) The nurse should make a copy of the safety event report and place it in the client's medical record. b) The nurse should await results of the x-ray before filing the report. c) The nurse should include a note on the client's chart that mentions the report. d) The nurse should record the incident in the client's medical record and fill out a safety event report separately.

a

A nurse is preparing to provide care to a client who is receiving radiation therapy for cancer in which the radiation source will be kept in the client's room. Which of the following would be most important for the nurse to do? a) Limit own exposure to radiation for the minimum time b) Wear an apron made of thick cotton material c) Ensure client is admitted to a semi-private room d) Dispose of linens immediately upon exposure

a

A school nurse is conducting a safety seminar with 6th-grade students. Which of the following teaching points is of primary importance? a) "Make sure that you have smoke detectors in your house and that they're in working order." b) "If your clothes should catch on fire, remember to stop, drop, and roll." c) "Remember that cigarettes don't just hurt your lungs, they can be a cause of fires." d) "A wood-burning fireplace is a major fire risk, and it shouldn't be used unless necessary."

b

Mr. Ames, age 84, has just been admitted to the hospital for the treatment of pneumonia. In addition to this diagnosis, Mr. Ames also has stage II Alzheimer's disease and is disoriented to place and time. As the night has progressed, he has become increasingly agitated, pulling out his intravenous catheter and wandering throughout the unit. He has become more agitated as the nurses have attempted to reorient and redirect him. Which of the following interventions should the nurses perform? a) Apply a restraint vest to Mr. Ames once he has been returned to bed. b) Position Mr. Ames' bed closer to the nurses' station and perform an assessment. c) Resettle Mr. Ames in his bed and raise the side rails. d) Call a "code gray" in order to call hospital security to deal with Mr. Ames.

a

Over the past few weeks, 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 of the following measures does not comply with a least restraint policy? a) Raising all side rails while the client is in bed b) Raising one bed rail to offer stabilization when standing c) Providing a bed that is low to the floor d) Placing the client in a bed with a bed alarm

2, 5, 3, 1, 6, 4

Place them in the correct order. Question: You are preparing to apply prescribed extremity restraints to a patient's ankles. Arrange the following steps in the correct order. 1 Ensure two fingers fit between the restraint and skin. 2 Explain rationale for use to patient and family. 3 Wrap restraint around ankle; secure with Velcro straps. 4 Secure restraints to bed frame with quick-release knots. 5 Pad bony prominences. 6 Position limbs in normal anatomic position.