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Fundamentals > Chapter 27 Patient Safety And Quality > Flashcards

Chapter 27 Patient Safety And Quality Flashcards

1
Q

A nurse knows that the people most at risk for accidental hypothermia are: (Select all that apply)

A. People who are homeless
B. People with respiratory conditions
C. People with cardiovascular conditions
D. The very old
E. People with kidney disorders
A

A. People who are homeless
C. People with cardiovascular conditions
D. The very old

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2
Q

A parent calls the pediatricians office to ask about directions for using a car seat. Which of the following is the most correct set of instructions the nurse gives to the parent?

A. Only infants and toddlers need to ride in the backseat
B. All toddlers can move to a forward facing car seat when they reach the age of 2.
C. Toddler must reach age 2 and the height and weight requirement before they ride forward facing
D. Toddlers must reach the age of 2 or the height requirement before they ride forward facing.

A

D. Toddlers must reach the age of 2 or the height requirement before they ride forward facing

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3
Q

The nursing assessment of a 78-year-old woman reveals orthostatic hypotension, weakness on the left side, and fear of falling. On the basis of the patients data, which one of the following nursing diagnoses indicates an understanding of the assessment findings?

A. Activity intolerance
B. Impaired bed mobility
C. Acute pain
D. Risk for falls

A

D. Risk for falls

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4
Q

A couple who is caring for their aging parents are concerned about factors that put them at risk for falls. Which factors are most likely to contribute to an increase in falls in the elderly? (Select all that apply)

A. Inadequate lighting
B. Throw rugs
C. Multiple medications
D.Doorway thresholds
E. Cords covered by carpets
F. Staircases with handrails
A 
A. Inadequate lighting
B. Throw rugs
C. Multiple medications
D. Doorway thresholds
E. Cords covered by carpet
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5
Q

You are caring for a patient who frequently tries to remove his intravenous catheter and feeding tube. You have an order from the health care provider to apply a wrist restraint. Place the steps for apply a wrist restraint in the correct order:

  1. Be sure that the patient is comfortable with arm in anatomic alignment
  2. Wrap wrist with soft art of restraint toward skin and secure snugly
  3. Identify patient using two identifiers
  4. Introduce self and ask patient about his feelings of being restrained
  5. Assess condition of skin where restraint will be placed.
A
  1. Identify patient using two identifiers
  2. Introduce self and ask pt about his feelings of being restrained
  3. Be sure that patient is comfortable with arm in anatomic alignment
  4. Assess condition of skin where restraint will be placed
  5. Wrap wrist with soft part of restraint toward skin and secure snugly
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6
Q

The family of a patient who is confused and ambulatory insists that all four side rails be up when the patient is alone. What is the best action to take in this situation ?

A. Contact the nursing supervisor
B. Restrict the family’s visiting privileges
C. Ask the family to stay with the pt if possible
D. Inform the family of the risks associated with side rail use
E. That the family for being conscientious and put the four bed rails up
F. Discuss alternatives that are appropriate for this patient with the family

A

C. Ask the family to stay with the pt if possible
D. Inform the family of the risks associated with side rail use
F. Discuss alternatives that are appropriate for this pt with the family

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7
Q

You are conducting an education class at a local senior center on safe-driving tips for seniors. Which of the following should you include?

A. Drive shorter distances
B. Drive only during day light hours
C. use the side and rear view mirrors carefully
D. Keep a window rolled down while driving if trouble hearing
E. Look behind toward the blind spot
F. Stop driving at age 75

A

A. Drive shorter distances
B. Drive only during day light hours
C. Use the side and rear view mirrors carefully
D. Keep a window rolled down while driving if trouble hearing
E. Look behind toward the blind spot

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8
Q

The nursing assessment of an 80-yr-old pt who demonstrates some confusion but no anxiety reveals that the pt is a fall risk because she continues to get out of bed without help despite frequent reminders. The initial nursing intervention to prevent falls for this patient is to:

A. Place a bed alarm device on the bed
B. Place the patient in a belt restraint
C. Provide one-on-one observation of the patient
D. Apply wrist restraints

A

A. Place a bed alarm device on the bed

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9
Q

A nurse is evaluating a pt who is in soft restraints. Which of the following activities does the nurse perform? (Select all that apply)

A. Check the pts peripheral pulse in the restrained extremity
B. Evaluate the pts need for toileting
C. Offer the pt fluids if appropriate
D. Release both limbs at the same time to perform (ROM)
E. Inspect skin under each restraint

A

A. Check the pts peripheral pulse in the restrained extremity
B. Evaluate the pts need for toileting
C. Offer the pt fluids if appropriate
E. Inspect skin under each restraint

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10
Q

You are admitting Mr. Jones, a 64-year-old to who had a right hemisphere stroke and a recent fall. His wife stated that he has a history of high blood pressure, which is controlled by an anti hypertensive and a diuretic. Currently he exhibits left-sided neglect and problems with spatial and perceptual abilities and is impulsive. He has moderate left-sided weakness that requires the assistance of two an the use of a gait belt to transfer to a chair. He currently had an IV line and urinary catheter in place. Which factors increase his fall risk at this time? (Select all that apply)

A. Smoked a pack a day
B. Used a cane to walk at home
C. Takes antihypertensive and diuretics
D. History of recent fall
E. Neglect, spatial and perceptual abilities, impulse
F. Requires assistance with activity, unsteady gait
G. IV line, catheter

A

C. Takes antihypertensive and diuretics
D. History of recent fall
E. Neglect, spatial and perceptual abilities, impulse
F. Requires assistance with activity, unsteady gait
G. IV line, catheter

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11
Q

At 12 noon the ED nurse hears that an explosion has occurred in a local manufacturing plant. Which action does the nurse take first?

  1. Prepare for an influx of patients
  2. Contact the American Red Cross
  3. Determine how to resume normal operations
  4. Evacuate pts per the disaster plan
A
  1. Prepare for an influx of pts
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12
Q

The nurse is caring for a pt who is having a seizure. Which of the following measures will protect the pt and the nurse from injury? (Select all that apply)

A. If pt is standing, attempt to get him or her back in bed
B. With pt on the floor, clear surrounding area of furniture or equipment
C. If possible, keep pt lying supine
D. Do not restrain pt; hold limbs loosely if they are falling
E. Never force apart a pts clenched teeth

A

B. With pt on the floor, clear the surrounding area of furniture or equipment
D. Do not restrain pt; hold limbs loosely if they are falling
E. Never force apart a pts clenched teeth

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13
Q

What is your role as a nurse during a fire? (Select all that apply)

  1. Help evacuate patients
  2. Shut off medical gases
  3. Use a fire extinguisher
  4. Single carry patients out
  5. Direct ambulatory pts
A
  1. Help evacuate patients
  2. Shut off medical gases
  3. Use a fire extinguisher
  4. Direct ambulatory pts
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14
Q

A nurse is educating parents to look for clues in teenagers for possible substance abuse. Which environmental and psychosocial clues should the nurse include? (select all that apply)

  1. Blood spots on clothing
  2. Long-sleeved tops in warm weather
  3. Changes in relationships
  4. Wearing dark glasses indoors
  5. Increased computer use
A
  1. Blood spots on clothing
  2. Long-sleeved tops in warm weather
  3. Changes in relationships
  4. Wearing dark glasses indoors
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15
Q

A pt has been newly admitted to a medicine unit with a history of diabetes and advanced heart failure. The nurse is assessing the pts fall risks. Place the following steps for measuring the “Timed Get-up and Go Test” (TUG) in the correct order.

  1. Have pt rise from straight-back chair without using arms for support
  2. Begin timing
  3. Tell pt to walk 10 feet as quickly and safely as possible to a line you marked on the floor
  4. Check time elapsed
  5. Look for unsteadiness in pts gait.
  6. Have pt return to chair and sit down without using arms for support
A
  1. Tell pt to walk 10 feet as quickly and safely as possible to a line you marked on the floor
  2. Have pt rise from straight-back chair without using arms for support
  3. Begin timing
  4. Look for unsteadiness in pts gait.
  5. Have pt return to chair and sit down without using arms for support
  6. Check time elapsed
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Fundamentals (7 decks)

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