Nursing exam 2 safety

Question 0

Young adults leading cause of death

Answer 0

mvc

Question 1

leading cause of injury for elderly

Answer 1

falls

Question 2

Who is at risk for injury?

Answer 2

Elderly - falls
hospitalized patients-med errors, wrong site surgery, restraint related injury, falls, pressure ulcers, mistaken identity
young adults-mvc, drowning, fires, burns, firearms, SUICIDE
middle age-mva, falls, fires, burns, poisoning, work accidents

Question 3

Fire-RACE

Answer 3

Rescue
Activate alarm
Contain fire
Extinguish

Question 4

Romberg’s sign

Answer 4

Stand with feet together, eyes closed, no swaying

Question 5

Leading cause of injury in hospitalized patients

Answer 5

Falls

Question 6

To prevent falls it is important to:

Answer 6

orient and explain call system
call bell, bedside table, phone in reach
assess ability to walk and transfer
closely supervise first week in facility
lights to bathroom and dim light at night

Question 7

2 reasons for restraint use
1.
2.

Answer 7

1. To avoid harm or prevent purposeful or accidental harm to pt
2. To provide medical treatment

Question 8

Types of restraint
1.
2.

Answer 8

1. physical

2. chemical

Question 9

Selecting a restraint

5 things

Answer 9

Least restrictive, avoid interference with therapy or health, easily removed or changed, assess needs (one wrist restraint could cause harm, use vest), least obvious to others

Question 10

cubitus fossa/elbow splint

Answer 10

holds arm straight

Question 11

Never events

Answer 11

should never happen like:

object left after surgery, air embolism, wrong blood, pressure ulcers, falls, infctions, dvt after knee/hip replacement

Question 12

Restraint guidelines
check restraint every _ min.
release at least every_ hrs
provide ROM every _ hrs
reassess need every _ hrs
new md order every _ hrs

Answer 12

check every 30 min
release every 2 hrs
provide rom every 2 hrs
reassess need every 8 hrs
new md order every 24 hrs

Question 13

4 sides up =

Answer 13

restraint

Question 14

Joint commission 2014 National Patient Safety Goals purpose:

Answer 14

improve patient safety by focusing on problems in health care and how to solve them

Question 15

Sentinel event

Answer 15

An unexpected occurence involving death or serious physical injury
Signal the need for immediate investigation and response

Question 16

Joint commission national patient safety goals

Answer 16

Use 2 ids, eliminate transfusion errors, report critical results, label everything, reduce harm re: anticoagulants, maintain and communicate accurate patient med info, improve hearing of alarms, comply with cdc hand hygiene guidelines, prevent bloodstream inf., surgical site inf, catheter inf,. id suicide risks