Class Twenty Four Chapter 27 (3) Prep U

A nurse visits an older adult client at home and assesses the safety of the client's environment. Multiple small rugs are located in the home. Which statement by the nurse is appropriate when addressing the client's safety? - "You need to remove the small rugs from your house or you will fall." - "I think you should replace your small rugs with skid-resistant rugs on the floor." - "Your home needs to be a safe environment as older adults have a tendency to fall." - "I am concerned that the small rugs in your home can be a tripping hazard."

"I am concerned that the small rugs in your home can be a tripping hazard."

A nurse is educating the family caregiver of an older adult client about measures to promote client safety in the home. Which would be most appropriate to include? - "Install handrails in stairways and bathrooms." - "Use small rugs in the bathroom to keep feet warm at night." - "Store eyeglasses away from the bed at night to prevent breakage." - "Make sure the client has socks on at bedtime in case of the need to use the restroom."

"Install handrails in stairways and bathrooms."

Which are characteristics of chronic conditions? (Select all that apply.) - Are rarely curable - Resolve spontaneously - Have a rapid onset - Require lifelong management - Have a prolonged course

- Are rarely curable - Require lifelong management - Have a prolonged course

A pediatric nurse is discussing injury prevention with a group of new parents. What are the leading causes of mortality and morbidity in children? Select all that apply. - Complications of medical care - Drowning - Unintentional gunshot wounds - Suffocation - Accidental poisoning

- Drowning - Unintentional gunshot wounds - Suffocation - Accidental poisoning

A child is playing soccer and is involved in a head-to-head collision with another player. Which assessment findings should the nurse be alert to that may indicate a concussion? Select all that apply. - Fever - Vomiting - Drowsiness - Increased thirst - Headache

- Vomiting - Drowsiness - Headache

A school-age child is admitted to the emergency room with a possible concussion following a collision when playing football. After the collision, the parents state that he was "knocked out" for a few minutes before recognizing his surroundings. What is the priority assessment when the nurse first sees the client? - Evaluation of all of his cranial nerves - Assessment of vital signs and respiratory status - Initiation of a peripheral intravenous (IV) line for fluid administration - Assessment of head circumference

Assessment of vital signs and respiratory status

A home care nurse provides health education to parents regarding the care of their toddler. Which precaution should the nurse suggest the parents take to protect the toddler from drowning? -Allow the child to swim with friends. - Avoid unattended baths for the toddler. - Monitor the activities of the toddler. - Instruct the toddler not to go near the pool.

Avoid unattended baths for the toddler.

A nurse is educating parents of preschoolers on appropriate safety measures for this age group. What might be a focus of the education plan? - Back to sleep guidelines - Smoking cessation - Childproofing the house - Safety equipment for playing sports

Childproofing the house

Why are health promotion and illness prevention a key responsibility of nurses? - Chronic illnesses are the leading health problem in the world. - Chronic illnesses can cause pain and suffering. - Treatment of chronic illnesses is very expensive. - People do not like to be sick and feel bad.

Chronic illnesses are the leading health problem in the world.

Which item would alert the home care nurse to a safety hazard threatening a young child? - Three blankets in a crib - Padded child safety seat - A gated stairway - Dangling blind cords

Dangling blind cords

A teenaged client reports having diarrhea before every test in school. The nurse recognizes that this client needs to focus on which dimension of health? - Emotional dimension - Sociocultural dimension - Intellectual dimension - Physical dimension

Emotional dimension

The nurse is providing education to a group of healthy older adults. Which nursing recommendation best promotes client safety in an independent living environment? - Restrict consumption of liquids before bedtime - Provide a pamphlet on maintaining healthy sleep habits - Suggest a high-fiber, low-fat diet - Encourage exercise that improves balance and muscle strength

Encourage exercise that improves balance and muscle strength

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 fatal home fires occur while people are cooking. - Most home fires are caused by children playing with matches. - Most people who die in house fires die of smoke inhalation rather than burns. - About 10% of home fire deaths occur in a home without a smoke detector.

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

A client on a hospital unit has been infected with hepatitis C virus (HCV) because a nurse mistakenly connected the client with an HCV-positive client's intravenous pump and tubing. What is an appropriate response by the hospital to this incident? - File an incident report with the American Nurses Association describing plans for preventing similar events in the future. - Report this sentinel event to the Joint Commission and to relevant state agencies - Offer compensation to the affected client in a timely manner, while maintaining the client's confidentiality. - Inform the public that the incident occurred, while protecting the confidentiality of the clients.

Report this sentinel event to the Joint Commission and to relevant state agencies

Consultation and diagnostic tests are included in which level of health care? - Primary care - Extended care - Tertiary care - Secondary care

Secondary care

Which reason best explains why adolescents behave in an unsafe manner despite knowledge of a particular activity's risk? - Normal rebellion - Past experience - Social pressure - Poor judgment

Social pressure

A nurse is preparing to file a safety event report after a client experienced a fall. Which statement 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. - The nurse should include a note on the client's chart that mentions the report. - The nurse should await results of the x-ray before filing the report. - The nurse should make a copy of the safety event report and place it in the client's medical record.

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

The nurse is addressing primary prevention with a group of college students. Which promotional statement by the nurse would be the best example of a developmentally appropriate discussion? - Use of condoms can help prevent sexually transmitted infections and unwanted pregnancy. - Annual Papanicolaou test can detect cancer earlier. - Testicular examinations for male students can detect early stages of cancer. - HIV screening should be done on an annual basis if you are sexually active.

Use of condoms can help prevent sexually transmitted infections and unwanted pregnancy.

A staff development nurse is providing an in-service to a group of nurses on the use of restraints in health care facilities. What is an example of a chemical restraint? - a dose of an analgesic - side rails - a geriatric chair with a tray - a dose of an antipsychotic

a dose of an antipsychotic

The nurse is caring for a client who has been repetitively pulling at IV lines and the urinary catheter. After other methods of diverting the client's behaviors fail, the health care provider orders chemical restraints. Which treatment does the nurse anticipate? - asking the unlicensed assistive personnel (UAP) to sit with the client - articulating the reason for use of a physical restrictive device to the client's spouse - application of devices that reduce the client's ability to move arms - administration of an antipsychotic agent to alter the client's behavior

administration of an antipsychotic agent to alter the client's behavior

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: - play-related injuries. - falls from staircases. - automobile accidents. - falls from beds.

automobile accidents.

A school nurse is aware of poisoning risks in the adolescent population. Poisoning in this age group is most often related to: - malfunction of a carbon monoxide monitor in the home. - experimentation with drugs and inhalants. - exposure to toxic fumes in the home. - the ingestion of substances in the home that contain lead.

experimentation with drugs and inhalants.

Which topic should a public health nurse emphasize when educating older adults on reducing their risk of poisoning? - avoiding the use of alternative and complementary therapies - hidden sources of lead in the household environment - alternatives to chemical-based cleaning supplies - keeping medications in clearly labeled containers

keeping medications in clearly labeled containers

The nurse is working at a local elementary school. A mother arrives to pick up her 6-year-old son and has her 2-year-old daughter in tow. Based on the nurse's developmental knowledge of toddlers, which behavior would most concern the nurse? - the 2-year-old and 6-year-old each holding the mother's hand - the 2-year-old leaning against the screen of a window in a classroom - the 6-year-old riding a bike on the playground with his friend - the 2-year-old helping mom to open the front door of the school

the 2-year-old leaning against the screen of a window in a classroom

The school nurse is preparing a presentation about safety promotion for middle school students. Which topic should the nurse plan to include? - Identification of hazards associated with falls - The importance of consistent seat belt use - The importance of practicing moderation when consuming alcohol - Avoiding workplace injury

The importance of consistent seat belt use