Chapter 13 Home Safety Flashcards
What are some factors that can contribute to the clients risk for injury?
Age and development status Mobility and balance Knowledge about safety hazards Cognitive awareness Communication skills Home and work environment
Nurses often can collaborate with client, family, and members of the inter professional team to promote safety, name some of the members of the inter professional team.
Social workers
Occupational therapist
Physical therapist
In order to initiate a plan of care, the nurse must identify risk factors using which tools?
Risk assessment tool
Complete a nursing history
Physical examination
Home hazard appraisal.
In the plan of care for safety preparedness. Which emergency nursing principals should be included?
Basic first aid
CPR
What types of at home risks exist for infants and toddlers?
Aspiration (chocking) Suffocation "back to sleep" Poisoning Falls Motor vehicle injury Burns
What types of at home risks exist for infants and preschoolers and school-age children?
Drowning Motor Vehicle injury Firearms Play injury Burns Poison
What types of at home risks exist for adolescents?
Motor vehicle injury
Burns
In young to middle age adults what are the highest leading causes of death?
Motor vehicle
Occupational injuries
High consumption of alcohol and suicide.
How can a nurse promote client safety for young to middle age adults?
Reminding clients to drive defensively
Educate about long term effects of drinking
Discuss dangers of social networking
Within the home and community there are additional risks. Name a few.
Passive smoking
Carbon monoxide
Poisoning
bioterrorism
What is passive smoking?
The unintentional inhalation of tobacco smoke.
Why is carbon monoxide dangerous?
dangerous gas because it binds with hemoglobin and ultimately reduces the oxygen supply to the tissues in the body
What are the symptoms to carbon monoxide poisoning?
Nausea
vomiting
headache
weakness and unconsciousness
What is a primary survey?
Very rapid assessment of life threatening condition. It should take no longer than 60 seconds to perform.
What principle guides the primary survey?
ABCDE principal
Emergency care is guided by the principle of ABCDE. What does ABCDE stand for?
Airway cervical spine breathing circulation disability exposure
Which step is most important in the ABCDE principal guide?
Airway/cervical spine. Airway needs to be established as clear.
Should you complete the primary survey before performing first aid?
Yes
What should occur when a patient is bleeding?
If external bleeding apply direct pressure to the wound site.
Internal bleeding may require intravascular volume replacement (fluids/blood)
If there is an impaled object should a nurse remove it ?
No
When giving first aid for fractures or splints what should the nurse be assessing?
Assess the site for swelling, deformity nsd skin integrity.
Assess temperature, distal pulses and mobility
Apply splint
Reassess neurovascular status after splinting.
When giving first aid for sprains what should a nurse do?
Reframe from weight-bearing
Apply ice to decrease inflammation Apply compression
Elevate the affected limb
Basic first aid for heatstroke includes:
Must be identified quickly and treated aggressively
Rapid cooling must be achieved (remove clients clothing, ice packs, cold water bath)
What are the manifestations heat stroke?
Hot dry skin hypotension tachypnea tachycardia anxiety confusion unusual behavior seizures and coma
What is the difference between frostnip and frostbite?
Frostnip does not lead to tissue injury and may be treated by warming. Frostbite presents as white waxy areas on expose skin and tissue injury does occur.
What are the three procedures for frostbite?
Warm the affected area in 104 to 105 water bath
provide pain medication
administer tetanus vaccination
CPR is a combination of which basic interventions?
Sustaining oxygen and circulation to vital organs.
CPR is a component of what?
Basic life support (BLS)
What are the CABs of CPR?
Chest compression, airway and breathing
