Chapter 27 PrepU

d

a 17-year old is brought to the emergency department with a head injury. the nurse knows that adolescents are vulnerable to injuries related to a- fails from beds b- play related injuries c- fails from staircases d- automobile accidents

a

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? a- restrain the baby in a car seat b- look all cabinets that contain cleaning supplies c- keep all pots and pans in lower cabinets d- give warm bottles of formula to the baby

c

an older adult client is planning to move with the son and daughter in law into a bigger apartment. the son asks the nurse for some tips to keep the parent safe. which safety principles should the nurse include in the client teaching a- combine medications into a few pill bottle for ease of use b- decorate the parents room with small rugs and wall hangings c- put a small nightlight in the hall and stairway d- locate the parent in a room near the kitchen

d

which factor is related to the highest proportion of falls in long-term care settings a- impaired sleep patterns b- polypharmacy c- agitation d- toileting

c

which nurse would be at the highest risk of causing a hazardous situation a- a nurse who has placed a client in the bed with three side rails up b- a nurse who is administering medications to four clients c- a nurse who has worked 32 hours of overtime this week d- a nurse who is transferred to another unit to assist with care

a

a client went missing from a long-term care facility and an emergency code was called. after a search of 1 hour, the client was discovered in a utility room that should have been inaccessible. when responding to this event, staff should: a- fill out an incident report, with the goal of preventing a similar event in the future b- hold a facility wide meeting to identify strategies for making improvements to the safety of residents c- document strategies in the clients health record for preventing future incidents d- complete an incident report to determine who was primarily responsible for the event

c

a client who is enrolled in medicare and who has been recovering in the hospital from a stroke has developed a pressure in injury on the coccyx, an event that the centers for medicare and medicaid services has identified as a "near event." the nurse should recognize what implication of this CMS designation? a- CMS will bear the hospitals costs if the client chooses to sue the hospital b- CMS may choose to divert clients to other health care facilities in the future c- the hospital must bear any costs incurred for treating the clients injury d- the hospital will be fined by CMS because the client developed a pressure injury

d

a health care provider orders extremity restraints for a confused client who is at risk for injury by pulling out her central venous catheter. what is the nurses most appropriate action when carrying out this order? a- remove the restraint at least every 4 hours, or according to facility policy b- apply restraints to the hands or wrists, never to the ankles c- use a quick-release knot to tie the restraint to the side rial d- ensure that two fingers can be inserted between the restraint and the clients extremity

b

a near miss has taken place on a medical unit in which a client nearly received a unit of packed red blood cells of an incompatible blood type. in the follow up to this event, which action should be prioritized? a- reinforcing the standards for nursing care to staff members who were involved b- identifying systemic factors on the unit that may have contributed to the event c- ensuring that the clients nurse is held accountable and educated about best practice d- communicating the potential consequences of the near miss to the client involved

b

a nurse is educating the family caregiver of an older adult client about measures to promote client safety in the home. which would be the most appropriate to include a- "store eyeglasses away from the bed at night to prevent breakage" b_ "install handrails in stairways and bathrooms" c- "make sure the client has socks on at bedtime in case of the need to use the restroom" d- "use small rugs in the bathroom to keep feet warm at night"

d

a nurse is filing a safety event report for an older adult client who tripped and fell when getting out of bed. which action exemplifies an accurate step of this process a- the nurse calls the primary health care provider to fill out and sign the safety event report b- the nurse provides an opinion of the physical and mental condition of the client that may have precipitated the incident c- the nurse details the clients response and the examination and treatments of the client after the incident d- the nurse adds the information in the safety event report to the client health record

a

a nurse is preparing to implement an order for the use of restraints to ensure a clients safety. which statement accurately describes a guideline to follow a- time-limit the use of restraints and release the client from the restraint as soon as he or she is no longer a risk to self or others b- respond to the past history of the client (including previous falls) to determine the need for restraints c- individualize the use of restraints and choose the most easily used device d- alert the health care provider and the clients family if restraints are ordered by the clients primary nurse

c,d,e

a nurse is teaching parents about internet safety for children. which action is a recommended guideline for internet use? a- emphasize that everything read online is usually true b- keep identifying information posted on the web sites c- use filtering software to block objectionable information d- investigate any public chat rooms used by children e- be alert for downloaded files with suffixes that indicate images or pictures

c

one of the leading causes of death in the united states is drowning. how can the nurse assist in lowering this statistic? a- educate children in cardiopulmonary resuscitation b- require fencing around all pools c- implement drowning prevention strategies d- begin swim lessons with toddles

c

the 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? a- alert the local fire department b- answer all telephone calls and call bells c- activate the fire alarm and notify the appropriate person d- attempt to extinguish the fire

c

the nurse is assessing an adolescent with an annual physical. the parents reports noticing a change in the childs behavior lately, including mood swings, withdrawal from the family, and failing school grades. the parent does not know what to do and asks the nurse for guidance. what is the most important appropriate guidance from the nurse? a- "adolescents are generally difficult children. sometimes punishment is necessary to make them change their attitudes" b- "this is typical adolescent behavior. ignore it and it will improve" c- "these could be signs of substance use. open communication and seeing a counselor who specializes in substances use would be beneficial" d- "lets admit your child to an acute care facility so that we can run more tests"

d

the nurse is caring for a client who has been prescribed extremity restraints. which action must be documented by the nurse a- a detailed description of the restraint application process b- the type of personal protective equipment used by the nurse during restraint application c- a verbal prescription for the restraints, renewed every 48 horus d- the alternative measures attempted before applying the restraints

c

the nurse on a medical-surgical unit notices smoke from a clients room. upon entering, the nurse notes that the curtain in the room is on fire. what should be the nurses first action? a- obtain the fire extinguisher b- close the clients door c- remove the client from the room d- activate the fire alarm

a

the nurse overhears an older adult clients son talking to her in a very aggressive and violent way. when the nurse walks into the room, the son changes and speaks kindly to his mother and the health care providers. what should the nurse do about this observation? a- ask to examine the client alone in order to speak to her privately b- nothing, as it is none of the nurses concern c- report the suspicions to the authorities d- document the observed behaviors in the clients chart

c

what is the most important safety concept that a nurse should include in the teaching plan for a family with a newborn infant in the household? a- include safeguards to prevent falls in the home b- educate about, and be aware of, signs of risky behaviors c- avoid stuffed animals and blankets in the crib d- teach seat belt safety

b

what is the primary role of the nurse in the care of clients who experience domestic violence? a- identifying health education and counseling measures for the family b- providing prompt recognition of the potential or actual threat to safety c- serving as a witness in court d- calling the police

d

when educating families on fire safety, it is important to: a- keep a fire extinguisher in a closet b- use extension cords to prevent shock c- account for all members and then exit d- have a meeting place outside the home

a

which level of health care provider may make the decision to apply physical restraints to a client? a- nurse practitioner b- LPN team leader c- RN nurse manager d- senior personal care assistant