NUR 209 Exam 3

A public health nurse is providing community education to older adults regarding their risk of poisoning. Which information does the nurse include in the teaching? a.using alternatives to chemical-based cleaning supplies b. avoiding the use of alternative and complementary therapies c. keeping medications in clearly labeled containers d. reviewing hidden sources of lead in the household environment

C. Keeping medications in clearly labeled containers Rationale: Medication overdoses are among the more common sources of poisoning in older adults, a phenomenon that can be reduced by ensuring that medications are in clearly labeled containers to avoid administration errors. Cleaning supplies and lead are more significant sources of poisoning in infants and children. Alternative and complementary therapies carry risks, but it would be unnecessary to recommend complete avoidance of all such therapies.

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. a dose of an antipsychotic b. a geriatric chair with a tray c.side rails d. a dose of an analgesic

a dose of antipsychotic Rationale: Drugs that are used to control behavior and are not included in the person's normal medical regimen can be considered a chemical restraint. Side rails and a geriatric chair with a tray are examples of physical restraints. Analgesics address pain and are not a restraint.

What age/development factors affect safety and security for older adults

altered balance or decline in cognitive ability. They are also vulnerable to falls and episodes of confusion

sentinel event

an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof

The nurse is creating a plan of care for an older adult client who takes multiple medications and a has difficult time reading medication labels due to poor eyesight. What is the most appropriate nursing concern to include in this client's plan of care? a. poisoning risk related to poor eyesight and the inability to read medication labels b. falls risk related to immobility c. altered sensory perception related to decreased visual acuity d. injury risk related to medication use

poisoning related to poor eyesight and the inability to read medication labels Rationale: Older adult clients are at an increased risk for falls and can have an altered sensory perception. However, neither of these nursing concerns address this client's lack of vision. Poor vision is causing difficulty for the client in reading the labels of the multiple medications, thereby causing a risk for injury by overdose (poisoning).

Bioterrorism

the deliberate spread of pathogenic organisms into a community to cause widespread illness, fear, and panic

asphyxiation

stoppage of breathing or the lack of air reaching the lungs; synonym for suffocation