Prep U Chapter 26 Safety and Security
21 year old who cannot eat bananas
The nurse is caring for four clients. Which does the nurse anticipate may have a latex sensitivity?
The nurse researches new technological advances in the treatment of cancer.
The nurse uses the QSEN competency of Informatics when planning care for clients. What is an example of the use of this skill?
She may be the victim of cyber bullying.
A father asks the nurse who is caring for his 13-year-old daughter why his daughter could be performing poorly in school lately, and why she is distancing herself from friends and family. Which of these possibilities would the nurse consider as the priority risk?
Fire safety
A nurse is educating parents of preschoolers on appropriate safety measures for this age group. What might be a focus of the education plan?
A person with a history of falls is likely to fall again. Some people are more prone to have accidents than others. A medication regimen that includes diuretics or analgesics places an individual at risk for falls.
A nurse is performing safety assessments in a health care facility. Which statements reflect considerations a nurse should keep in mind when assessing a client for safety? Select all that apply. -A nurse whose behavior is reasonable and prudent, and similar to what would be expected of another nurse in a similar circumstance, is still likely to be found liable if a client falls, especially if an injury results. -Between 15% and 25% of falls result in fractures or soft tissue injury. -Some people are more prone to have accidents than others. -A person with a history of falls is likely to fall again. -A medication regimen that includes diuretics or analgesics places an individual at risk for falls.
Reduce the temperature on the water heater
An older adult client has developed diabetic neuropathy. What would be the most important education intervention for the client and family?
Call Nutrition Services for a plain hamburger. (tomato contains chitinase, a latex protein)
The nurse is caring for a client with a latex allergy. When the dietary tray arrives, the nurse notes that it contains a hamburger with lettuce and tomato, baked potato, apple, chocolate chip cookie, and small serving of milk. What is the appropriate nursing action?
class A
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 bonfire, what will the nurse identify?
Doors of classrooms and offices are open. Elevators are used to increase speed of vacating the building.
The school nurse is evaluating a school's response to a fire drill. Which action requires the school nurse to provide teaching to the schoolteachers, staff, and students? (Select all that apply.)
The client will identify behaviors that would decrease the risk for injury.
What is the best positive short-term outcome for a client with the nursing diagnosis of Risk for injury related to risk taking behaviors?
The client will demonstrate safety measures to prevent falls.
What is the most appropriate outcome for the client that has a nursing diagnosis of "Risk for injury related to the use of assistive mobility devices in an unfamiliar environment?"
Have a meeting place outside the home in case of fire
When educating families on fire safety in the home, which information is important for the nurse to emphasize?
Toileting
Which factor is related to the highest proportion of falls in long-term care settings?
importance of consistent seat belt use
he school nurse is preparing a presentation about safety promotion for middle school students. Which topic should the nurse plan to include?
1 hour
Owen is a 15-year-old client who is waking up postoperatively. He became combative and tried to strangle one of the nurses. A support team was called and 4-point restraints were applied in this emergent situation. How soon does a licensed provider need to assess the client and place the restraint order?
The documentation forms on the unit have no specified location where falls precautions should be noted.
Root cause analysis is being performed after a client who was supposed to be on falls precautions fell while trying to walk to the toilet. Which finding of the investigation would be considered to be a latent error?
using pesticides for mosquitos
The health department is reviewing community health initiatives for the year. During the summer, the health department focuses infection control activities on which program?
Report this sentinel event to the Joint Commission and to relevant state agencies
A client on a hospital unit has been infected with hepatitis C virus (HCV) because a nurse mistakenly connected an HCV-positive client's intravenous pump and tubing. What is an appropriate response by the hospital to this incident?
Report the event to the Joint Commission.
A client who was receiving care on a psychiatric unit committed suicide at a time when nurses are known to be handing off to nurses on the next shift. What is a responsibility of the organization when responding to this sentinel event?
identifying systemic factors on the unit that may have contributed to the event
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 rear-facing safety seat should be used for infants and toddlers younger than 2 years old or up to the maximum weight for the seat.
A new mother inquires about the use of a car seat for her infant. Which information provided by the nurse is most accurate regarding the use of a rear-facing safety seat for an infant?
Restrain the client, as he is harmful to others.
A nurse in a psychiatric care unit finds that a client with psychosis has become violent and is actively trying to harm another client in the unit. What action should the nurse take?
trial and error
A nurse instructs a group of parents of preschool-age children that the rules of safe social interaction for this age group are often learned by:
Consult with a colleague and identify the source of the error signal before proceeding.
A nurse is administering a scheduled medication to a client using the institution's bar code system. The nurse has scanned the client's armband as well as the scheduled medication. The system has signaled a discrepancy between the dose ordered and the dose scanned. What is the nurse's most appropriate response?
The nurse researches best current practices for prevention of the spread of infection in physician offices.
A nurse is using the QSEN competency of evidence-based practice when caring for clients. What is an example of this competency?
Infants should be rear-facing up to the age of 2 years. Booster seats should be used until the child is 4'9" (1.45 m) tall.
A nurse is volunteering in a free community health clinic at the local YMCA. One of the services offered is vehicle restraint checks for children. Which principles apply to infant and child restraints? Select all that apply.
providing drug, alcohol and sexuality education
A school nurse is preparing an education session on safety for parents of school-age children. What would be an appropriate topic for this age group?
Developmental level Mobility Communication ability
The nurse is able to help promote safety and prevent injury by identifying which factors that have a direct impact on client safety? Select all that apply.
black debris in nasal passages impaired judgement mild cough
The nurse is caring for a client that was brought to the emergency department after a building fire. Which assessment finding alerts the nurse to possible smoke inhalation? (Select all that apply.)
Flag the chart and room door. Apply an allergy-alert identification bracelet on the client. Communicate to the interdisciplinary healthcare team to use nonlatex equipment. Teach client to wear Medic-Alert bracelet.
The nurse is caring for a client with a latex allergy. Which nursing interventions are appropriate? (Select all that apply.)
Assess for the need to urinate.
The nurse is caring for an adult client on prescribed bed rest who repeatedly attempts to get out of bed, despite instructions to remain there. Which initial intervention is appropriate?
27-year old who cannot eat avocados
The nurse is caring for four clients. Which client does the nurse anticipate is at highest risk for latex sensitivity?
"I should be able to fit two fingers under the chin strap."
The nurse is conducting a community education program on bike helmet safety. The nurse determines additional information is needed when a participant states:
Risk for poisoning related to poor eyesight and the inability to read medication labels
The nurse is creating a plan of care for the older adult that has multiple medications and a difficult time reading medication labels due to poor eyesight. What is the most appropriate nursing diagnosis to include in this client's plan of care?
Supervise the child closely to prevent injury. Childproof the house to ensure that poisonous products and small objects are out of reach. Do not leave the child alone in the bathtub or near water.
The nurse is educating parents of toddlers on how to prevent injuries and promote safety for their children. What are age-appropriate safety interventions for this age group? Select all that apply. Practice emergency evacuation measures with the child. Do not leave the child alone in the bathtub or near water. Instruct the child to wear proper safety equipment when riding bicycles or scooters. Childproof the house to ensure that poisonous products and small objects are out of reach. Supervise the child closely to prevent injury.
The child's feet touch the floor of the car when belted in with the lap and shoulder belt.
The nurse is performing a safety belt fit test for a young client at a well-child check-up. What criteria confirms that the child may sit in the back seat of a vehicle with a lap and shoulder belt in place?
Class B
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 C
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?
Buy protective sporting equipment
The nurse is teaching the caregiver of a school-age child about safety. Which teaching will the nurse include?
Supervise your child on the changing table
The nurse is teaching the caregiver of an infant about safety. Which teaching will the nurse include?
Open doors and windows
The telehealth nurse receives a call from a caller who states that upon entering the home, two confused family members have been found with a bright cherry red skin color. They are reporting nausea and headache, and are unable to move. Which initial direction will the nurse provide?
CDC
What national organization determined that unintentional injuries were the fifth-leading cause of all deaths in the United States?
provides slippers for ambulation
Which action by the unlicensed assistive personnel (UAP) requires intervention from the nurse when providing care to an older adult client who is at risk for falls?
A hospital has set ambitious targets for reducing the incidence of catheter-related urinary tract infections.
Which action directly addresses one of the Joint Commission 2015 Hospital National Safety Goals?
The mother loves to drink coffee all day.
Which nursing assessment finding while screening a family with an 11-month-old infant who is beginning to pull to stand should be most concerning?
In most age groups, motor vehicle accidents are major causes of death.
Which statement should the nurse include in the education plan regarding safety issues for a group of adult clients?