Chapter 17 online questions

12. Which factor is related to the highest proportion of falls in long-term care settings? A) Toileting B) Agitation C) Polypharmacy D) Impaired sleep patterns

A

2. A child is learning to ride a bicycle and should be instructed to use which protective device? A) Helmet B) Wrist guard C) Knee pads D) Light

A

23. The occupational health nurse is planning a safety in-service for a group of clerical workers. Which topic would be most beneficial? A) Principles of body alignment B) The use of protective clothing C) The use of ear plugs D) Appropriate storage of combustible cleaning solutions

A

24. The client tells the nurse, "I need to use the restroom." Which safety intervention must be done by the nurse first? A) Assess the need for assistance with ambulation. B) Ask the nurse assistant to help the client to the restroom. C) Offer the bedpan to keep the client safe. D) Ask a family member to help the client to the restroom.

A

5. Which statement should the nurse include in the education plan regarding safety issues for a group of adult clients? A) In most age groups, motor vehicle accidents are major causes of death. B) Suicide is the leading cause of death in adults and adolescents. C) Occupational safety practices can eliminate all workplace hazards. D) Environmental lead exposure is a primary cause of death in adult clients.

A

8. In large metropolitan areas, clients who suffer from asthma will be affected by: A) air pollution. B) noise pollution. C) radiation. D) asbestos contamination.

A

14. A nurse is completing an incident report. Which information would the nurse include? Select all that apply. A) The events surrounding how the injury occurred B) The effects of the injury on the client C) Measures initiated for the client D) The client's condition E) Documentation of the report in the medical record

A, B, C

19. The nurse is assessing the client's sensory input. Which assessments should be included? Select all that apply. A) Sensitivity to touch B) Sensitivity of sharp to dull stimulation C) Ability to maintain balance D) Pupil sensitivity to light changes E) Ability to recall information

A, B, C

25. During discharge planning, the nurse is assessing home safety for a client who has repeatedly fallen. Which condition increases the client's risk for falls? Select all that apply. A) Climbs two flights of stairway to get to the bedroom B) Prefers to use the bathtub when taking a bath C) Drinks two shots of alcoholic beverages before dinner D) Takes a diuretic pill early in the morning E) Uses nonskid socks all day

A, B, C, D

15. The nurse manager is reviewing the QSEN quality and safety competencies for nurses. Which competencies are included in this initiative? Select all that apply. A) Client-centered care B) Teamwork and collaboration C) Clinical career ladders D) Licensure revamping E) Quality improvement (QI)

A, B, E

18. The nurse is assessing a client's mental health competence and decision- making ability. Which activity will best provide the needed information to the nurse? A) Ask the client to read and discuss a passage from a pamphlet. B) Ask the client "what if" questions to determine level of thought organization. C) Ask the client to review his or her medical health history to assess for the level of organization of his or her thought processes. D) Discuss with the client's family any concerns about his or her mental stability.

B

21. The nurse is discussing car safety with the mother of a 6-year-old child. The child's mother questions the need for the use of special car seats for her child. What information can be provided to her? A) "Car seats are only recommended until children are 3 years old." B) "At the age of 6, your child should be using a booster seat." C) "Car seats are recommended until children are at least 10 years old." D) "Your child will be safe in the car using the provided shoulder harness and lap belts."

B

3. A group of girls is camping in the woods with camp counselors. They should be instructed to: A) get adequate amounts of sleep. B) use the buddy system. C) eat nutritious foods. D) run on smooth surfaces.

B

7. An older adult client has developed diabetic neuropathy. What would be the most important education intervention for the client and family? A) Provide a stable temperature in the home. B) Reduce the temperature on the water heater. C) Keep the environment warmer in winter. D) Increase the amount of ventilation in the house.

B

20. After identifying a medication error, the nurse completes an incident report. The nurse correctly recognizes which statement as true about the use of these documents? Select all that apply. A) The incident report should be placed with the client's medical records. B) Incident reports provide a clear, concise recording of the situation that can be provided to the client's legal representative in the event of a lawsuit. C) The incident report should include factual information about the incident. D) The nurse should include his or her own personal perception about the cause of the incident in the report. E) Completion of the incident report should be noted in the nurse's notes.

B, C

10. The facility risk management team is preparing an in-service to nursing staff members. The presentation will highlight risk factor increase related directly to the type of clientele on a nursing unit. The presenter will correctly explain that which risk is increased for female nurses who work on an oncology care unit? A) Back injuries B) Blood-borne pathogens C) Adverse reproduction D) Neurologic disorders

C

11. The health department is reviewing community health initiatives for the year. During the summer, the health department focuses infection control activities on which program? A) Administering influenza immunizations B) Administering free antibiotics C) Using pesticides for mosquitoes D) Delivering fans to older adult residents

C

13. The nurse has just realized that the nurse committed a medication error by administering an antibiotic dosage greater than the dosage prescribed. The client does not appear to have experienced any obvious adverse effects. What action should the nurse perform first? A) Report the actions as a sentinel event. B) Contact the nursing supervisor. C) Notify the client's healthcare provider. D) Complete an incident report.

C

17. 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 his or her responsibilities? A) The nurse should notify the primary care provider about the bruises. B) The nurse should contact the facility's social services department. C) The nurse should question the client about the source of the bruises. D) The nurse should request permission from the client to photograph the bruises.

C

22. A client has presented to the emergency department after splashing a chemical in the eyes. When managing the injury, what should be included in the plan of care? A) Wash the eyes with a hypertonic solution for at least 30 minutes. B) Advise the client to avoid blinking until after the eyes are irrigated. C) Flush the eyes with water for 10 minutes. D) Flush the eyes with a cool saline solution for a 10-minute period.

C

4. Which reason best explains why adolescents behave in an unsafe manner despite knowledge of a particular activity's risk? A) Past experience B) Poor judgment C) Social pressure D) Normal rebellion

C

6. The older adult will have an increased risk for developing which of the following? A) Fire injuries B) Gunshot wounds C) Heatstroke D) Poisoning

C

9. The nurse instructs the family of an older adult client with a visual impairment and decreased mobility that the most common problem for these clients is related to: A) electrical cords B) medication errors C) falls D) aspiration

C

1. When educating families on fire safety, it is important to: A) have a meeting place outside the home. B) account for all members and then exit. C) use extension cords to prevent shock. D) keep a fire extinguisher in a closet.

D

16. The nurse is preparing to discuss safety with a group of parents of infants. When planning the program, which topic would be most important to include? A) The use of skid-proof mats for the bathtub B) The use of safety gates at stairwells C) Correct placement of booster seats for the car D) The use of flame-retardant pajamas

D