Ch. 26 prac. questions

A boy 18 years of age is brought to the emergency department with a head injury. The nurse knows that adolescent are vulnerable to injuries related to which of the following?

Automobile accidents

A home care nurse provides health education to parents regarding the care of their toddler. Which of the following precautions should the nurse suggest the parents take to protect the toddler from drowning?

Avoid unattended baths for the toddler.

A school nurse is providing information to a group of older adults during Fire Prevention Week. Which statement is correct regarding fires in the home?

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

When completing a safety event report, the nurse should:

Objectively describe the incident in detail.

Which of the following topics should be included in an education plan for preventing falls in the home? Select all that apply.

Remove clutter from walkways. Avoid climbing on a chair or table to reach items that are too high. Use a nightlight. Keep electrical and telephone cords against the wall and out of walkways. Consider the use of a raised toilet seat.

The Joint Commission issues guidelines regarding the use of restraints. In which case is a restraint properly used?

The nurse ensures that two fingers can be inserted between the restraint and patient's ankle.

The nurse caring for patients in a long-term care facility knows that there are factors that place certain patients at a higher risk for falls. Which patients would the nurse consider to be in this category? Select all that apply.

A patient who has already fallen twice. A patient who experiences postural hypotension. A 70-year-old patient who is transferred to long-term care.

What consideration should the nurse keep in mind regarding the use of side rails for a confused patient?

A person of small stature is at increased risk for injury from entrapment.

Which of the following statements about restraints used in the acute care-setting is true?

A physician's order for use of a restraint is valid for 24 hours only

A nurse is assessing the following children. Which child would the nurse identify as having the greatest risk for choking and suffocating?

A toddler playing with his 9-year-old brother's construction set.

A nurse is caring for older adult clients. Which of the following is the most important safety tissue in older clients?

Accidental falls

An 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 code system and notify the appropriate person. *alarm*

The nurse is caring for an adult client on prescribed bed rest who repeatedly attempts to get out of bed, despite instructions to remain there. Which of the following initial interventions is appropriate?

Assess for the need to urinate

When discussing emergency preparedness with a group of first responders, what information would be important to include about preparation for a terrorist attack?

Blast lung injury is a serious consequence following detonation of an explosive device.

A nurse is teaching parents in a parenting class about the use of car seats and restraints for infants and children. Which information is accurate and should be included in the teaching plan?

Booster seats should be used for children until they are 4'9 tall and weigh between 80 and 100 lbs.

An administrative assistant of a large factory visits the medical unit and tells the nurse she is having pain in the right wrist, numbness in the index finger, and decreased mobility of the right hand. The nurse suspects the client has what?

Carpal tunnel syndrome.

A nurse is educating the family caregiver of an older adult client about measures to promote client safety in the home. Which of the following would be most appropriate to include?

Clear the clutter from the stairways and walkways.

The nurse caring for a client with smallpox would anticipate this client being on which type of precautions? Select all that apply.

Contact Respiratory

A nurse working in a busy emergency department is caring for a teenage patient who presents with a burning pain in his mouth, edema of the lips, vomiting, and hemoptysis. The teen admits that he was playing a dare game with friends and was forced to swallow a drain opener preparation. What would be the nurse's priority intervention?

Dilute the poison with milk and call the primary care provider.

A nurse working with adolescents in a juvenile detention center teaches parents about behaviors that place adolescents at high risk for injury. Which statements accurately describe these risks. Select all that apply.

Each year, underage drinking claims the lives of approximately 5,000 individuals under the age of 21. The CDC (2012) lists motor vehicle accidents as the number-one cause of death for adolescents. Marijuana use among teenagers has been on the increase and the abuse of prescription medication and OTC drugs has remained at a high level.

A school nurse is aware of poisoning risks in the adolescent population. Poisoning in this age group is most often related to which of the following?

Experimentation with drugs and inhalants.

A nurse orients an older patient to the safety features in her hospital room. What is a priority component of this admission routine?

Explain how to operate the call bell.

What is the leading cause of death for pts older than 65 yo?

Falls

When describing safety issues and related mortality to a local senior citizens group, what would the nurse identify as the leading cause of hospital admissions for trauma in older adults?

Falls

True or False: A nurse whose behavior is reasonable and prudent and similar to the behavior that would be expected of another nurse in similar circumstances is still likely to be found liable if a patient falls.

False

True or False: Among adults older than 65, fires are the leading cause of injury fatality.

False

A child is learning to ride a bicycle. He should be instructed to use which of the following protective devices?

Helmet

An older resident who is disoriented likes to wander the halls of his long-term care facility. Which action would be most appropriate for the nurse to use as an alternative to restraints?

Identifying his door with his picture and a balloon.

A nurse is providing instructions to the mother of a toddler regarding the prevention of burn injuries in the toddler. Which of the following instructions is of the highest priority to provide to the mother?

Keep coffee cups on the counter above the child's reach

Which of the following topics should a public health nurse emphasize when educating older adults on reducing their risk of poisoning?

Keeping medications in clearly labeled containers.

During a course on terrorism, a group of emergency room nurses learns about terrorists who use bombs or other explosives to inflict injury on numerous people and cause multiple fatalities. This is an example of what type of terrorism?

Mass trauma terrorism

A school nurse is teaching parents about home safety and fires. What information would be accurate to include in the teaching plan? Select all that apply.

Most people who die in fires die of smoke inhalation. Over 1/3 of fire deaths occur in a home without a smoke detector. Fires are more likely to occur in homes without electricity or gas.

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?

Obtain a three-prong grounded plug adapter.

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 would be a high priority recommendation for this client?

Placing the client in a bed with a bed alarm

A nurse responds to the call bell and finds another nurse evacuating the client from the room, which has caught fire. Which of the following actions should the nurse take?

Pull the fire alarm lever

An older adult client is planning to move with her son and daughter-in-law into a bigger apartment soon. The son asks the nurse for some tips to keep his mother safe. Which of the following would the nurse most likely include?

Put a small nightlight in the hall and stair.

A nurse smells smoke and subsequently discovers a fire in a garbage can in a common area on the hospital unit. What is the nurse's priority action in this situation?

Rescue anyone who is in immediate danger.

A nurse finds that a fire has broken out in a client's room at the health care facility. Which of the following interventions is of the highest priority?

Rescue the client.

When a fire occurs in a patient's room, what would be the nurse's priority?

Rescue the patient.

A nurse is preparing discharge education for a client with a newborn baby. What is the highest priority item that must be included in the education plan?

Restrain the baby in a car seat

While discussing home safety with the nurse, a patient admits that she always smokes a cigarette in bed before falling asleep at night. Which nursing diagnosis would be the priority for this patient?

Risk for Suffocation related to unfamiliarity with fire prevention guidelines.

What generalization can be made about safety in client care?

Safety is a paramount concern underlying all nursing care

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?

The nurse should record the incident in the client's medical record and fill out a safety event report separately

True or False: Unintentional gunshot wounds are a leading cause of mortality and morbidity in children.

True