Prep U Safety
A nurse follows the universal patient compact principles for partnership when providing care for patients. Which nursing action does not reflect this philosophy?
The nurse makes health care decisions for a patient who is uncooperative.
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.
A large health care organization has committed to promoting a just culture when adverse events and near misses take place. Which question will guide the organization's response when a nurse commits an error?
"How did the nurse's actions contribute to this error?"
The community health nurse is talking with four clients. Who does the nurse identify that would most benefit from teaching about alcohol and drug abuse?
19-year-old male college student majoring in physics
The nurse overhears an older client's 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?
Ask to examine the client alone in order to speak to her privately.
A school-aged child is admitted to the Emergency Room with the diagnosis of a 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 patient?
Assessment of vital signs and respiratory status
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?
Avoid stuffed animals and blankets in the crib.
Which item would alert the home care nurse to a safety hazard threatening a young child?
Dangling blind cords
The unlicensed personnel tells the nurse that a client is very confused and trying to get out of bed without assistance. What is the appropriate action by the nurse?
Initiate use of a bed alarm.
A nurse is caring for a client who is receiving an intravenous therapy through an IV pump. Which intervention should the nurse implement to ensure electrical safety?
Obtain a three-prong grounded plug adapter.
A nurse responds to the call bell and finds another nurse evacuating the client from the room, which has caught fire. Which action should the nurse take?
Pull the fire alarm lever.
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 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 healthcare items with latex-free equipment.
Which reason best explains why adolescents behave in an unsafe manner despite knowledge of a particular activity's risk?
Social pressure
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.
A nurse was injured when a client with Alzheimer's disease struck the nurse on the side of the head during a transfer. The nurse has completed an incident report. Which statement about an incident report is most accurate?
The report provides a detailed and objective account of the circumstances before, during, and after the event.
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 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.
An 17-year-old is brought to the emergency department with a head injury. The nurse knows that adolescents are vulnerable to injuries related to:
automobile accidents.
Which topic should a public health nurse emphasize when educating older adults on reducing their risk of poisoning?
keeping medications in clearly labeled containers