Fundamentals Chapter 19 Safety (Prep U)
A nurse is providing a safety program on childhood poisoning for a group of parents of preschool and school-age children. The nurse determines that the education was successful when the makes which statement?
"Berries and seeds that children find out in the woods are not safe for them to eat."
The poison control nurse receives a call from the parent of a 2-year-old child. The parent states, "I just took a quick shower, and when I finished, I walked into the kitchen and found my child with an open bottle of household cleaner." What is the poison control nurse's appropriate response?
"Is your child breathing at this time?"
An 8-year-old boy fell off his bicycle. He was not wearing a helmet and has sustained a concussion. What information should the nurse teach the parents about concussions?
"It is important to monitor frequently for headache, vomiting, visual disturbances, and changes in alertness."
The community health nurse is talking with four clients. Who does the nurse identify that would most benefit from teaching about alcohol and drug use?
19-year-old male college student majoring in physics
The nurse is caring for four clients. Which client does the nurse anticipate is at highest risk for latex sensitivity?
27-year-old who cannot eat avocados
The nurse is providing safety teaching to the family of an older adult client. Which finding in the client's home will the nurse teach the family to address?
A hair dryer is placed next to the sink.
The nurse has just admitted a client with a latex allergy to the medical-surgical nursing floor. Which is the priority nursing intervention?
Apply an allergy-alert identification bracelet on the client.
A nurse is providing an in-service program for staff on fire safety and is reviewing the types of fire extinguishers available. Which class of fire extinguisher would the nurse describe as appropriate for use on an electrical fire?
Class C
The nurse is reviewing a health care provider's orders in the electronic health record (EHR) and notices several abbreviations. What is the appropriate nursing action?
Contact the health care provider to clarify the orders.
A caregiver of a toddler has called the poison control nurse to report that the child licked a small amount of petroleum jelly. The caregiver states that the toddler is sitting on the floor, watching a cartoon, and playing with a toy. Which information will the poison control nurse provide?
Dilute with water or milk.
A nurse finds that a fire has broken out in a client's room at the health care facility. Place the steps the nurse should take in the correct sequence, from first to last.
Evacuate the client. Raise an alarm. Confine the fire. Extinguish the fire.
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?
Flush the eyes with water for 10 minutes.
A nurse finds a client in his room asphyxiated with carbon monoxide (CO) inhalation. Which activity should be the priority for the nurse?
Get the victim out of the present environment.
A nurse is caring for a client with asthma who has developed severe allergic reactions to latex. Which measure should the nurse take to protect a latex-sensitized client?
Keep the client's unit free from latex products.
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.
A fire has erupted in the trash can on the unit and the nurse implements the protocol for fire safety for the facility. Another nurse obtains the fire extinguisher and is preparing to use it. What would the nurse do first?
Pull the pin.
The nurse is providing discharge teaching to the family of an older adult client. Which teaching will the nurse include to decrease the risk for electric shock?
Refrain from using extension cords.
The nurse has received a medication order over the telephone from a provider. What is the next appropriate nursing action?
Repeat or read back the order.
The nurse is admitting a client to a medical-surgical unit who states, "If someone brings balloons to me, I might have trouble breathing." What is the appropriate nursing action?
Replace common health care items with latex-free equipment.
A nurse is caring for a stable toddler diagnosed with accidental poisoning due to the ingestion of medication. Which measure would be most effective at protecting a toddler from accidental poisoning with medication?
Request childproof caps on all prescription medications.
The nurse is reading another nurse's notes that were recorded in the electronic health record (EHR) during the previous shift. What is the appropriate nursing action when numerous unapproved abbreviations are noticed in the previous nurse's notes?
Suggest to the nurse manager that an in-service on abbreviation use would be helpful.
The nurse is teaching the caregiver of an infant about safety. Which teaching will the nurse include?
Supervise your child on the changing table.
A male client with early-stage Alzheimer's disease is being discharged home after a hospital admission, and his wife will be his sole caregiver. What action should the nurse encourage the wife to take in order to reduce her husband's risk of experiencing a fall in the home?
Teach the wife to remove loose rugs from the floors in the home.
The goal of evidence-based practice related to restraints is to avoid the use of restraints.
True
A 14-year-old boy is in the clinic for his well-child exam. When the client asks his mother if she has any questions for the practitioner, she states "He sleeps so much. I am worried about how lazy he is." What does the nurse know to be true about sleep in adolescents?
Trying to balance too many activities can result in sleep deprivation.
The school nurse is educating 7th grade children about safety. Which recommendation is most appropriate for this age group?
Use protective sporting equipment.
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?
administration of an antipsychotic agent to alter the client's behavior
The nurse recognizes that assessment for sensory-perceptual alterations is a priority for which client?
an 84-year-old male with four recent driving violations
A nurse visits an elderly client at home and assesses the safety of the client's environment. Which article can be a threat to the client's safety? Select all that apply.
area rugs kept on the stairs without carpet dimly lit hallways waxed floors
The nurse is teaching fire safety to members of a community. When a community member asks which type of fire extinguisher would be appropriate to put out a gasoline fire, what will the nurse identify?
class B
A school nurse is aware of poisoning risks in the adolescent population. Poisoning in this age group is most often related to:
experimentation with drugs and inhalants.
Which level of health care provider may make the decision to apply physical restraints to a client?
nurse practitioner
Which agent has the potential to affect the integrity of latex gloves?
oil-based lotions
The nurse educator has just completed a lecture regarding older adults and hazards in the home. The nurse educator recognizes that the education was effective when the students state that common dangers in the home setting of an older adult include:
polypharmacy and use of multiple extension cords.
Over the past few weeks, 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 measure does not comply with a least restraint policy?
raising all side rails while the client is in bed
An 18-year-old boy is brought to the emergency department with a head injury. The nurse knows that adolescents are vulnerable to injuries related to:
sports-related activities.
The nurse has been notified that a client who has traveled outside the country is being admitted to the hospital. The client has a diagnosis of dengue fever, a viral hemorrhagic fever. What safety measures would the nurse implement prior to admission of the client to protect the other clients on the floor? Select all that apply.
Assign the client to a private room that has negative-pressure capabilities. Stock the anteroom with gowns, gloves, and N95 respirators. Plan to instruct visitors how to place a surgical mask before entering into the client's room.
The nurse is caring for a client that is disoriented. The nurse places the client in soft wrist restraints to discourage pulling at a nasogastric tube. Which nursing action(s) is appropriate? Select all that apply
Obtain order from a licensed provider within minutes of restraint application. Check circulation and skin condition every 2 hours. Offer regular, frequent opportunities for toileting.
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.
An elderly client has a diagnosis of vascular dementia and has been found wandering the hospital unit at numerous times during the day and night. The nurse should assign what priority nursing diagnosis to this client's behavior?
Risk for Falls
A nurse has been appointed to oversee safety measures in an assisted living facility that caters to older adults. The nurse should prioritize measures aimed at reducing residents' risks of:
falls.
The residential home nurse is caring for a client who lives in an assisted living unit. In designing a plan of care to prevent fires, the nurse identifies which as the highest risk to the client?
gas stove
A nurse is preparing a community lecture about safety considerations for various age groups. For which age group would the nurse especially emphasize the prevention of falls?
older adults
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 to prevent this behavior, and chemical restraints fail, which treatment does the nurse anticipate will be ordered?
temporary application of devices that reduce the client's ability to move arms
What teaching will the community health nurse include for parents of toddlers?
Household cleaners must be kept out of reach.
The nurse is teaching an unlicensed assistive personnel (UAP) about fire safety. Which UAP statement demonstrates that teaching has been effective?
"I will rescue clients from harm before doing anything else."
One of the leading causes of death in the United States is drowning. How can the nurse assist in lowering this statistic?
Implement drowning prevention strategies.
An anxious son asks the nurse how he can keep his older adult father safe in his home. He tells the nurse that his father lives alone, has chronic illnesses, and also has sensory-perceptual alterations. What is the best statement by the nurse?
"A good idea is to get a weekly medicine tray at the pharmacy. This will keep him from missing medication doses or taking the wrong pill by accident."
A client with diabetes has impaired sensation in her lower extremities. What education would be necessary to reduce her risk of injury?
"Always test the temperature of bathwater before stepping in."
Which statement by a client would indicate that a nurse had successfully implemented an educating/learning strategy to prevent injury in the home?
"I am going to remove all those throw rugs on the floor."
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?
Activate the fire alarm and notify the appropriate person.
Which intervention to prevent client falls in the acute care setting requires collaboration with a client's primary care provider?
Avoid the use of medications that increase the likelihood of falls.
An older adult client is planning to move with her son and daughter-in-law into a bigger apartment. The son asks the nurse for some tips to keep his mother safe. What would the nurse most likely include?
Put a small nightlight in the hall and stairway.
The nurse is teaching a nursing student about proper latex glove use. Which teaching will the nurse include?
Wash hands thoroughly after removing gloves with a pH-balanced soap.
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 antipsychotic
A nurse is caring for an 18-month-old client after a tracheostomy. The is recovering well and noted a desire to be more active. The nurse selects a toy from the playroom for the client to play with. Which toy is most developmentally appropriate?
a rocking horse
The nurse is teaching fire safety to members of a community. When a community member asks which type of fire extinguisher would be appropriate to put out an electrical fire, what will the nurse identify?
class C
The clinical nurse educator at a long-term care facility is responsible for organizing and carrying out staff education sessions. Which topic for staff education is most likely to benefit the greatest number of residents?
educating nurses on how to prevent falls
The nurse is preparing to administer medication to a client. Which validation of client information is appropriate?
full name and date of birth
When educating families on fire safety, it is important to:
have a meeting place outside the home.
The nurse is conducting a home care visit for a new mother who delivered a baby 3 days ago. Which finding within the home requires immediate nursing intervention?
hot water heater thermostat set at 130 degrees F (54.4 degrees C)
Which topic should a public health nurse emphasize when educating older adults on reducing their risk of poisoning?
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 leaning against the screen of a window in a classroom
There is a fire in the neurology unit of a health care facility. What would be most appropriate to avoid in this situation?
use of elevators
A nurse is working as an industrial nurse. Which activity would the nurse suggest that the employers adopt to prevent carbon monoxide (CO) inhalation by the workers?
using carbon monoxide detectors and alarms
The nurse is assessing clients for risk factors in the workplace. Which clients would be at risk for injury due to the environment of the workplace? Select all that apply.
worker who operates equipment in an automobile assembly plant gardener who mows and places fertilizer on lawns nursing assistant who lifts clients in a nursing home
