Developmental

Question 1

The first year in life is prone to accidents to the point that it is not surprising that death is most prominent.

Answer 1

Newborns and Infants

Question 2

What are the common accidents during infancy?

Answer 2

Burns, choking and suffocation, falls, and poisoning

Question 3

It is the year of curiosity

Answer 3

Toddlerhood

Question 4

They are experiencing the world and are usually fascinated by pools and busy streets, two of which are some of the potential dangers lurking in the corner

Answer 4

Toddlers

Question 5

Children at this age are unusually active but very clumsy

Answer 5

Preschoolers

Question 6

The perfect age for safety education

Answer 6

Preschoolers

Question 7

Their cognitive and motor skills increase quickly so (answer) should be keep up with the acquisition of skills.

Answer 7

Safety measures

Question 8

What must continue because preschoolers are still not-reliant on safety matters?

Answer 8

Constant surveillance

Question 9

Children now at this stage think before they act

Answer 9

School-age Children

Question 10

They like fantasy and magical thinking and are usually known for imitating adults.

Answer 10

School-age Children

Question 11

They are especially prone to injuries caused by outdoor activities and recreational equipment.

Answer 11

School-age Children

Question 12

Their level of responsibility, common sense, and ability to resist peer pressure must be assessed at this stage.

Answer 12

Adolescence

Question 13

This is also the stage where some take driver license

Answer 13

Adolescence

Question 14

Sport injuries, suicide, and homicide are just some of the safety concern that nurses and parents should be concerned with.

Answer 14

Adolescence

Question 15

The injury rate is affected by physiological factors and work-related responsibilities

Answer 15

Middle-aged Adults

Question 16

They are particularly at risk for accidents and injuries because of their limited vision, slow reflexes, and brittle bones

Answer 16

Older Adults

Question 17

What is one of the major concerns when taking care of older Adults?

Answer 17

Injury prevention

Question 18

Factors affecting safety

Answer 18

Lifestyle
Mobility and Health Status
Sensory Perceptual Alterations
Emotional State
Cognitive Awareness
Environmental Factors
Safety Awareness
Ability to communicate

Question 19

Lifestyle Factors affecting safety

Answer 19

Unsafe work environments

Residence in neighborhood with high
crime rates and access to firearms

Insufficient income to purchase safety equipment and make necessary repairs

Access to illicit drugs

Alteration in mobility related to paralysis, muscle weakness, diminished balance and lack of coordination

Spinal cord injuries and paralysis

Question 20

Assessment (Nursing History and Physical Examination)

Answer 20

Age and Developmental

General Health Status

Mobility Status

Presence or absence of physiological or perceptual deficits such as olfactory, visual, tactile, taste or other sensory impairments

Altered thought process or impaired cognitive or emotional capabilities.

Substance Abuse

Any indications of abuse or neglect

Accident and Injury history

Question 21

Assessment (Risk Assessment tools)

Answer 21

Determine clients at risk for specific type of injury like falls

Evaluate the factors affecting safety

Question 22

Assessment (other causative factors)

Answer 22

Abnormal Blood Profile

Impaired Psychometric performance

Impaired sensory function

Changes in cognitive function

Weakened immune system

Physical Barriers

Improper use of Assistive Devices

Engaging in an unsafe mode of transportation

Lack of knowledge regarding environmental hazards

Question 23

Diagnosis Risks

Answer 23

Risk for injury related to sensory impairment

Risk for injury related to cognitive impairment

Risk for injury related to medication side effects

Risk for injury related to compromised skin integrity

Risk for injury related to invasive procedures

Risk for injury related to impaired judgment secondary to psychiatric conditions

Risk for injury related to environmental hazards

Question 24

Within 8 hours of nursing intervention and treatment, the patient will…

Answer 24

Determine the factors that increase their risk for injury and will demonstrate behaviors to avoid injury

Within 4 hours of nursing intervention and teaching, the patient will…

Question 25

Within 4 hours of nursing intervention and teaching, the patient will…

Answer 25

remain free of injuries

Question 26

In implementation, what do you consider if a patient is notably disoriented?

Answer 26

Special Safety Bed

Question 27

In implementation, what do you consider if a patient has a traumatic brain injury?

Answer 27

Emory cubical bed

Question 28

An efficient and useful alternative to restraint

Answer 28

Special Safety Bed

Question 29

They require a health care provider’s order to prevent falls and provide a safer environment

Answer 29

Emory cubical bed

Question 30

In implementation, what do you consider if a patient has a new set of delirium?

Answer 30

Render Reality Orientation

Question 31

It can help limit or decrease the confusion that increases the injury when the patient becomes agitated.

Answer 31

Reality Orientation

Question 32

Is a useful approach and form of communication to a person with mild-moderate stage of dilemma

Answer 32

Validation Therapy

Question 33

It relieves client stress and minimizes behavioral disturbances.

Answer 33

Validation Therapy

Question 34

In implementation, to prevent the incidence of accidental falling or pulling out tubes, what should you consider?

Answer 34

Ask Family or significant others to be with the patient.

Question 35

Who has the big role in hospitalized children and at ensuring their safety and protection against medical errors.

Answer 35

Parents.

Question 36

In implementation, what should you consider if patients with decreased cognition or sensory deficits cannot discriminate between extremes in temperature?

Answer 36

Avoid extreme temperatures (e.g heating pads and hot water for bath/showers)

Question 37

Affect a person’s mobility and judgement that led to being prone to burn injury

Answer 37

Age-related physiological changes and cognitive conditions such as dementia, peripheral arterial disease and diabetes.

Question 38

In implementation, what allows nurses to closely observe patients with high risk of injury and falls to provide interventions?

Answer 38

Place patient near Nurses’ station

Question 39

Lets the patient know that the nurse understands the information and concerns of the patient.

Answer 39

Validation

Question 40

In implementation, how do you deal with patients that has visual impairments?

Answer 40

Educate them and their caregivers to use labels with bright colors such as yellow or red in significant places in the environment that can be easily located.

Question 41

In implementation, what is the single most effective technique to prevent infection?

Answer 41

Hand Hygiene

Question 42

Interventions promoting safety through proper identification

Answer 42

1) Establish protocols
2) Identify Clients Correctly
3) Provide medical bracelets for patients at risk of injury
4) Establish a standardized system
5) Use non-verbal approaches
6) Label blood and other specimen containers in front of the patient
7) Use active communication if possible

Question 43

Interventions preventing the risk of injury due to medication errors

Answer 43

1) Administer medications using the 10 rights of medication administration.
2) Put a label on all medications, drug containers, bottles, syringes, or other solutions on/off sterile areas.
3) Ensure Accurate and complete medication transfer from admission, transfer, and discharge.
4) Provide extra caution to clients receiving anticoagulant therapy.
5) Review the clients medication regime

Question 44

Interventions to prevent trauma or injuries caused by Seizures

Answer 44

A) Teach patients and significant others to identify and familiarize warning signs for seizures.
B) Avoid using thermometers that can cause breakage.
C ) Monitor and record type, onset, duration, and characteristics of seizure activity.
D ) Uphold strict bedrest if prodromal signs of aura is experienced.
E) Turn head to the side during seizure activity to allow secretions to drain out of the mouth.
F) Put away all hazards in the room
G) Support head, place on a padded area, or assist to the floor if out of bed
H) Do not restrain the patient
I ) Monitor and document antiepileptic drug levels
J) Maintain a lying position on, flat surface.
K) Loosen cloth from neck or chest and abdominal areas
L) Supervise supplemental oxygen or bag verticillation as needed postictally.

Question 45

Lack of oxygen due to interrupted breathing

Answer 45

Suffocation or Asphyxiation

Question 46

One common reason for choking

Answer 46

Food or foreign object lodged on throat

Question 47

The emergency response for choking

Answer 47

Heimlich maneuver

Question 48

Interventions preventing risk of injury due to impaired mobility

Answer 48

A) Aid the patient when sitting or standing up from a chair or chair with an armrest.
B) To ensure propulsion with legs or arms, ensure that the chair or wheelchair fit the patient’s needs.
C) Limit the use of wheelchairs as much as possible because they can serve as restraining devices
D) Use assistive devices
E) Consider the principles of body mechanics before any procedure
F) Educate patients about safety ambulation at home
G) Coordinate with a physical therapist for strengthening exercises and gait training to increase mobility.

Question 49

Are devices used to reduce or prevent physical activity of a client or a part of a body of a client when the client is unable to remove the device.

Answer 49

Restraints.

Question 50

Types of Restraints

Answer 50

Physical Restraints
Chemical Restraints
Seclusion
Enclosure Beds
Mitt Restraints
Roll Belts
Limb restraints

Question 51

What type of Restraint that use an intervention or device that hinders the client from moving or restricts the individual from contact with his or her body.

Answer 51

Physical Restraints

Question 52

What type of Restraint that uses medication to control behavior or restrict client’s freedom of movement and is not the standard treatment for the client’s medical or psychological condition

Answer 52

Chemical Restraints

Question 53

What type of Restraint is the involuntary confinement of a client alone in a room or area from which the client is physically prevented from leaving

Answer 53

Seclusion

Question 54

Interventions preventing risk of injury due to poor vision.

Answer 54

A) Ensure Eyeglasses are functional
B) Ensure Appropriate Grading
C) Mark doorways and edges of steps if possible
D) Keep the environment tidy

Question 55

Interventions preventing risk of injury due to cognitive dysfunction

Answer 55

A) Set safety limits
B) Remove unsafe objects

Question 56

Interventions preventing risk of injury due to impaired gait or balance

Answer 56

A) Wear shoes or well-fitted slippers with nonskid shoes
B) Use ambulatory devices as necessary
C) Provide assistance with ambulation as needed
D) Monitor Gait and Balance
E) Adapt living arrangements to one floor if necessary
F) Ensure uncluttered environment with securely fastened rugs
G) Encourage exercise and activity as tolerated to maintain muscle strength, Joint flexibility and balance.

Question 57

A form of low blood pressure that happens when standing after sitting or lying down

Answer 57

Orthostatic hypotension

Question 58

How do you prevent Orthostatic hypotension

Answer 58

Instruct client to rise slowly from a lying to sitting to standing position, and to stand for several seconds before walking.

Question 59

As a nurse, how do you assist in Urinary Frequency with Clients?

Answer 59

Provide a bedside and assist with voiding on a frequent and scheduled basis

Question 60

As a nurse, how do you assist in clients with weakness from disease process or therapy

Answer 60

Encourage client to summon help and monitor activity tolerance

Question 61

As a nurse, how do you assist in clients with current medication regime

Answer 61

1) Attach one-quarter to one-half length side nails to the bed if appropriate
2) Keep the rails in place where the bed is in the lowest position
3) Monitor orientation and alertness status
4) Discuss how alcohol contributes to fall-related injuries
5) Encourage clients not to mix alcohol and medications and to avoid alcohol when necessary.
6) Encourage annual or more frequent review of all medications prescribed