Chapter 10 Safety

What type of problem is a major concern for older adults? a. Driving b. Hospitalizations c. Accidental poisoning d. Loneliness

all of the above

What does "SRD" stand for? a. Safety Restraining Device b. Safety Reminder Device c. Secure Restraint Detector d. Sentry Radiation Detector

b. Safety Reminder Device

When using a gait belt, when do you determine the patients bearing status?

before transferring

What type of sensitivity is often seen in the health care environment? a. Allergic reactions to disinfecting chemicals b.Reactions to airborne diseases c. Latex allergies d.Vinyl allergies

c. Latex allergies

What does "RACE" stand for? a. Reaction Accordingly to a Care Environment b. Remove, Accelerant, Contain, and Eliminate c. Rescue, Alarm, Confine, Extinguish d. Rescue, Alert, Contain, and Eliminate

c. Rescue, Alarm, Confine, Extinguish

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? 1. gender of child 2. overall health 3. education level 4. developmental level

4. developmental level

When using a SRD you must document...

Why it was used, explanation to family and pt. , date & time, duration, frequency, pt. response, assessment of circulation & skin integrity, reevaluation of need for SRD, & pt. outcome

A patient with no hope for survival or is deceased is categorized---- in the triage system?

black

When patients are drinking hot liquids, you should fill their cup..

half full

Type ABC fire extinguisher is used for?

any type of fire

Type A fire extinguisher is used for?

paper, wood, or cloth fires

What is the plan of care for older adults at risk for falls?

Provide information about home safety checks • Reinforce teaching about balance and strengthening exercises • Lock beds and wheelchairs during transfers. • Placing the bedside table and call light within the client's reach. • Keep a night light on in the client's room.

What do you do when you have a confused patient?

assign their room next to the nurses station

What is the most common problem that nurses need to address in order to ensure the safety of their patients? a. Call light not in reach of the patient b.Percentage of falls in the facility c. Patients who are violent d.Side rails not in the upright position

b.Percentage of falls in the facility

___________ capacity decreases and the __________ become less efficient with age.

bladder, kidneys

Paddings of restraints should be placed against the patient's...

bony prominences to protect the skin

Safety reminder device (SRD) are used to

immobilize a patient or part of the patient's body, such as arms or hands

The use of SRDs can also result in...

increased restlessness, disorientation, agitation, anxiety, and a feeling of powerlessness.

What is an external disaster?

originates outside the health care facility and results in an influx of casualties brought to the facility.

One of the major causes of death in children under 5 years of age is what?

poisoning

Centers for Disease Control and Prevention (CDC)

provides facilities and services for the investigation, identification, prevention, and control of disease

Hazard Communication Act of the Occupational Safety and Health Administration (OSHA)

provides guidelines to help reduce safety hazards in the workplace

The most life threatening (urgent) injuries are categorized as---- in the triage system?

red

Nurse should walk with his or her closest leg just behind?

the patients knee

When sorting out victims in a mass casualty, you should use the ______ system?

triage

Protect toddlers and young children from burns by?

turning away pot handles on a stove away from the child's reach

If poisoning is related to household cleaners what should you NOT induce?

vomiting

Injuries with systemic effects and complications are categorized as---- in the triage system?

yellow

Why are safety reminder devices used?

- Patient safety -Maintain treatment -Prevent wandering -Prevent or reduce the risk of falls -Restrict movement of an aggressive patient to protect other patients and staff

During the 7AM to 3PM shift on the adult surgical unit, a code is announced for an external disaster emergency. Which even best represents this type of situation? 1. a school bus accident 2. a bomb threat in the mail room 3. a hostage taking even in the emergency room 4. an electrical fire in the maintenance department

1. a school bus accident

When caring for the patient who requires the use of an SRD, what should be included in the patients plan of care? 1. monitor the skin signs of impairment 2. remove the SRD once every 2hrs 3. Secure the ends of the ties to the side rails 4. Ensure that the SRD is in place at all times 5. reevaluate the need for the SRD frequently

1. monitor the skin signs of impairment 2. remove the SRD once every 2hrs 5. reevaluate the need for the SRD frequently

The LPN/LVN is reviewing the care plan of the patient who has an SRD applied for personal safety. Which is the best goal for this patient? 1. patient will remain free from injury 2. patient will allow SRD to be used 3. nurse will check SRD every 30 minutes 4. use least restrictive form of SRD possible

1. patient will remain free from injury

Remove SRD on one extremity at a time at least every...

2 hours for 5 minutes.

A 63 year old patient is brought to the emergency department for treatment of an unintentional poisoning. what is the nurses first action in caring for this patient? 1. induce vomiting 2. assess the patient 3. place the patient in upright position 4. notify the poison control center

2. assess the patient

Vital capacity of the lungs decline nearly 50% between the ages of ?

20 and 70

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? 1. SRDs often decrease anxiety because the patient feels safer 2. All older adult patients need some type of SRD at night 3. Allow as much freedom of movement as possible when applying an SRD 4. When using soft SRDs to prevent pulling of the ventilator tubing, tie them to the side rail.

3. Allow as much freedom of movement as possible when applying an SRD

When assessing a patients knowledge of the fire safety precautions, which action indicates a need for further fire safety instruction? 1. fire exits and corridors are kept clear 2. A no smoking sign is posted when oxygen is in use 3. a heating pad cord is taped when a frayed area is noted 4.facility smoking policies are a part of the admission procedure

3. a heating pad cord is taped when a frayed area is noted

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 the patients home environment? 1. accidental poisoning 2. electric shock 3. accidental falls 4. thermal burns

3. accidental falls

The nurse is documenting on a patient with an SRD. Which information must the nurse include in this documentation? 1. the nurses feeling about having used the SRD 2. the specific type of SRD used 3. confirmation of a prn order for use of the SRD 4.Evidence that the patient was assessed every 8hrs.

3. confirmation of a prn order for use of the SRD

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? 1. the patient has diabetes 2. the patient had a stroke 3 years ago with no complications 3. the patient becomes disoriented in the evening hours 4. the patient wears eyeglasses and a hearing aid.

3. the patient becomes disoriented in the evening hours

The nurse is providing home poison control instruction to the parent of a 2yr old boy. Which statement by the parent indicates a need for further teaching? 1. "i will call the national poison control center if my child ingest a poisonous substance" 2. "i will call 911 immediately if my child ingests medication that is not intended for him" 3. "child safety caps on household cleaner can still be opened by some children" 4. "i will give my child syrup of ipecac if he ingest a poisonous substance that is not caustic"

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

A type C fir extinguisher is used for which type of fire? 1.paper 2.cloth 3.grease 4.electrical

4.electrical

What does PASS stand for?

P-pull A-aim S-squeeze S-sweep

Skin impairment, impaired circulation, incontinence and immobility are all increased when using..

Safety Reminder Devices

What requires a physicians order (most of the time)?

Safety reminder device

What does the term "universal carry" mean? a. How to remove a patient from the bed to the floor b. How to carry a patient as if he/she were an infant c. How to carry two patients at one time d. How to evacuate several patients in a short amount of time

a. How to remove a patient from the bed to the floor

Why should a hospital have a disaster plan? a. To be prepared in times of an emergent community situation with the possibility of a large number of casualties b. To be familiar with possible emergent situations that could affect a community c. To eliminate factors that could cause a community disaster d. To fulfill federal guidelines that pertain to hospitals

a. To be prepared in times of an emergent community situation

What needs to be removed from a fire extinguisher before it can be activated? a. The nozzle b. The handle c. The inspection tag d. The pin

d. The pin

What national organization provides guidelines to protect health care workers in their environment? a. National Institute of Health b.National Alliance for Health Care Providers c. National League of Nurses d.Occupational Safety and Health Administration

d.Occupational Safety and Health Administration

What should you do if your patient is left handed?

document in the patients record & accommodate the room for them

Type B fire extinguisher is used for?

flammable liquid fires, grease, and anesthetics

What is a safe environment?

freedom from injury, preventing falls, electrical injuries, fires, burns, and poisoning

Minor injuries are categorized as---- in the triage system?

green

The nurse discovers smoke in the soiled utility room across the hall from a patients room. What should the nurses initial action be? 1. sound the alarm 2. disconnect the oxygen supply 3.use any extinguisher on the fire 4. remove the patient from the area

4. remove the patient from the area

The occupation health nurse learns of a mercury spill that occurred in a factory in which she is employed. which action by the nurse is correct? 1. the nurse cleans the mercury spill with alcohol and ordinary cleaning cloths 2. the nurse closes all windows and doors to prevent the mercury spill from spreading out of the area. 3. the nurse instructs housekeeping staff to vacuum up the spill 4. the nurse evacuates the area and contacts trained personnel to clean up the spill

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

What is an internal disaster?

situation that is brought about by events within the health care facility

Fires in health care facilities are often related to...

smoking in bed or faulty electrical equipment

When do falls commonly occur?

during transfer either to a bedside commode or to a wheelchair.

Type C fire extinguisher is used for?

electrical fires

When do you use a quick release knot?

securing a SRD to a bed frame or wheelchair

What does RACE mean?

1. rescue 2. alarm 3. confine 4. extinguish

The nurse is observing the UAP who is assisting the 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? 1. The UAP loosely fastens the gait belt around the pt. waist 2. the UAP places the gait belt on the resident before assisting the resident to a standing position 3. the UAP grasps the gait belt while assisting the resident out of bed 4.The UAP fastens the belt around the arm of the chair to prevent the resident from slipping out of the chair 5. the UAP explains to the resident that the gait belt is used to prevent injury to the resident and the UAP when assisting with ambulation

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

What are some safety considerations a nurse should contemplate when caring for an older adult? a. They are old and frail. b.They are bitter and take a lot of medications. c. Their visual acuity is not good, and their reflexes are slow. d.They are concerned about their finances and what this hospitalization will cost them.

c. Their visual acuity is not good, and their reflexes are slow.