Chapter 23 Safety Terms Flashcards
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
Adolescents and young adults who experiment with drugs may suffer unintentional poisoning and death. The ready availability of inhalants on store shelves and in the home may provide the opportunity for children to sniff or “huff” these dangerous substances. Adolescents may also swallow medications in a suicide attempt
What is an example of a chemical restraint?
dose of an antipsychotic
Drugs that are used to control behavior and are not included in the person’s normal medical regimen can be considered a chemical restraint
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?
The nurse should obtain a three-prong grounded plug adapter, as it carries any stray electricity back to the ground
Mr. Geno is an 87-year-old client in a nursing home who keeps trying to get out of bed to use the bathroom, despite having a catheter in place. Which intervention would help keep this client safe and could be used as an alternative to restraints?
Discontinuing treatment devices, such as catheters or feeding tubes, can help calm the client.
pulling out his intravenous catheter and wandering throughout the unit. He has become more agitated as the nurses have attempted to reorient and redirect him. Which intervention should the nurses perform?
Position Mr. Ames’ bed closer to the nurses’ station and perform an assessment.
It is important to rule out causes of agitation by performing an assessment and to attempt alternatives to restraints or calling a “code gray
The charge nurse is observing a new nurse care for a client who is at high risk for falls. Which action by the new nurse would require the charge nurse to intervene?
waiting outside of the closed bathroom door while the client uses the toilet
The nurse should remain with a client who is at high risk for falls
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.
The nurse is caring for a client who scored 3 on the Hendrich II Fall Risk Model. Which intervention is appropriate?
Implement normal fall prevention measures.
Document the finding in the electronic health record (EHR)
A score below 5 on the Hendrich II Fall Risk Model demonstrates that the client is at normal risk (not high risk) for a fall. Normal fall prevention measures should be implemented, and this should be documented.
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
This is an independent nursing intervention
