1811 FoN Chap 10 Safety (NCLEX)

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?

(1 or 4)

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?

2. Assess the patient

The nurse is documenting on a patient with an SRD. What information must the nurse include in this documentation?

2.The specific type of SRD used and assessment of the patient

When the staff's knowledge of the fire safety precautions is assessed, which action indicates the need for further fire safety instruction? (select all that apply)

3. A heating pad cord is taped when a frayed area is noted 5. An UAP evacuated critically ill patients on the elevator during a fire drill

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.

3. Accidental falls

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? (select all that apply.)

3. Allow as much freedom of movement as possible when applying SRDs. 5. Ensure that the nurse's two fingers can be inserted between the SRD and the patient's skin

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?

3. The patient becomes disoriented in the evening hours

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?

4. "I will give my child syrup of ipecac if he ingests a poisonous substance that is not caustic."

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?

4. Developmental level

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?

4. The nurse evacuates the area and contacts trained personnel to clean up the spill

A type C fire extinguisher is required for which type of fire?

4.Electrical

The LPN/LVN is reviewing the care plan of the patient who has SRD applied for personal safety. Which is the highest priority goal for this patient?

1. Patient will remain free of injurty

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 f situation?

1. A school bus accident

When caring for the patient who requires the use of an SRD, what should be included in the patient's plan of care? (select all that apply)

1. Monitor the skin for signs of impairment 2. Remove the SRD once every 2 hours 5. Reevaluate the need for the SRD frequently

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? (select all that apply)

1. The UAP loosely fastens the gait belt around the patient's waist 4. The UAP fastens the belt around the arm of the chair to prevent the resident from slipping out of the chair