Study Guide Ch. 10 Flashcards
(39 cards)
RACE
Rescue, Alarm, Confine, Extinguish
CDC
Centers for Disease Control and Prevention
OSHA
Occupational Safety and Health Administration
PASS
Pull, Aim, Squeeze, and Sweep
SRD
Safety Reminder Device
- The older adult tells the nurse that he is having trouble reading the labels on his medication bottles. What is the best strategy that the nurse could suggest to reduce the risk of an accidental medication error?
A. Recommend that a younger family member assist in handling the pills.
B. Teach the patient to use a medication organizer to manage the medication.
C. Tell the patient to have the pharmacist read the label information to him.
D. Assist the patient to memorize the shape and color of each pill.
B. Teach the patient to use a medication organizer to manage the medication.
- In which clinic setting is the nurse most likely to need knowledge of how to apply safety reminder devices (SRDs) and manage the care of these patients?
A. Pediatric walk-in clinic
B. Outpatient surgery clinic
C. Mental health walk-in clinic
D. Adult ambulatory care clinic
C. Mental health walk-in clinic
- A confused patient is yelling at the unlicensed assistive personnel (UAP). As the nurse enters the room, the patient throws the food tray at the UAP. What would the nurse do first?
A. Ask the UAP to explain what is happening with the patient.
B. Instruct the UAP to move toward the door and then slowly shut it.
C. Slowly walk toward the patient and use a gentle touch to soothe him.
D. Calmly talk to the patient and respectfully address him by name.
D. Calmly talk to the patient and respectfully address him by name.
- The nurse is teaching a new group of UAP how to evacuate residents from a long-term care facility in case of a fire or other emergency. Which item would be needed for the universal carry method?
A. A blanket
B. A wheelchair
C. A stretcher
D. A mechanical lift
A. A blanket
- The older adult residents in a nursing home must be evacuated because the facility is at risk for flooding and damage due to a hurricane that will pass through the area in several days.
The nurse is assigned to keep a log to document the events. Which information is most important to record? Select all that apply.
A. How each resident was transported
B. Names of residents
C. Where the residents were sent
D. What personal belongings were sent
E. Who transported each resident
F. Notification of family members and health care providers (HCPs)
A. How each resident was transported
B. Names of residents
C. Where the residents were sent
E. Who transported each resident
F. Notification of family members and health care providers (HCPs)
- In the event of a mercury spill, what is the priority nursing action?
A. Evacuate everyone from the room.
B. Close the interior doors and open windows.
C. Vacuum the mercury and the glass shards.
D. Mop the floor with hot water and soap.
A. Evacuate everyone from the room.
- The nurse is caring for a patient who relies on mechanical ventilation. The nurse hears a fire alarm and flames are visible in a back corridor. What would the nurse do first?
A. Seek assistance to move the patient and the ventilator to safety.
B. Turn off the oxygen supply and provide manual respiratory support.
C. Close the patient’s door, call 911, and fight the fire in the corridor.
D. Delegate the UAP to move ambulatory patients toward the exit.
D. Delegate the UAP to move ambulatory patients toward the exit.
- The nurse is planning to teach a community group about fire safety in the home. Which information would be included in the presentation? Select all that apply.
A. No smoking by the patient, family, or visitors in areas where oxygen is used.
B. Use safety matches to light candles or fireplaces.
C. Install fire alarms, smoke detectors, and carbon monoxide detectors.
D. Practice fire escape routes from each room and practice exit drills.
E. Use one electrical circuit to facilitate monitoring of cords and appliances.
F. Cover electrical cords with a secure carpet to prevent falls.
A. No smoking by the patient, family, or visitors in areas where oxygen is used.
C. Install fire alarms, smoke detectors, and carbon monoxide detectors.
D. Practice fire escape routes from each room and practice exit drills.
- An older adult patient in a long-term care facility has been wandering around outside of the room during the late evening hours. The patient has a history of falls. How would the nurse intervene?
A. Obtain an order for a bed and chair alarm.
B. Keep the light on and play the television all night.
C. Put up the side rails and frequently check on the patient.
D. Have the family come to check on the patient at night.
A. Obtain an order for a bed and chair alarm.
- The nurse applies a gait belt to a male patient of average build who has some weakness on the left side. How does the nurse position herself before assisting the patient to ambulate?
A. On the patient’s left side and holding the weak left arm.
B. On the patient’s right side and holding the front of the gait belt.
C. On the patient’s left side and holding the back of the gait belt.
D. On the patient’s right side and holding one arm around his waist.
C. On the patient’s left side and holding the back of the gait belt.
- The nurse is considering the use of an SRD to prevent a patient from self-injury. When using an SRD, what would the nurse do? Select all that apply.
A. Obtain an order from the HCP for the SRD.
B. Explain the purpose of the SRD to the patient.
C. Explain the purpose of the SRD to the family.
D. Obtain consensus of nursing staff for type of SRD.
E. Exhaust all alternatives before using an
SRD.
A. Obtain an order from the HCP for the SRD.
B. Explain the purpose of the SRD to the patient.
C. Explain the purpose of the SRD to the family.
E. Exhaust all alternatives before using an
SRD.
- The nurse notices smoke coming from the wastebasket in a patient’s room. Upon entering the room, the nurse sees a fire that is starting to flare up. What would the nurse do first?
A. Extinguish the fire.
B. Remove the patient from the room.
C. Close the door to the room.
D. Turn off all electrical equipment.
B. Remove the patient from the room.
- Which occurrence is most likely to be investigated as a “sentinel event”?
A. Patient leaves the hospital against medical advice because she gets angry with the nurse.
B. An older patient sustains a broken arm related to the use of an SRD.
C. A nurse is 2 hours late administering routine scheduled medications.
D. During a follow-up phone call, a patient reports that care in the hospital was poor.
B. An older patient sustains a broken arm related to the use of an SRD.
- The nurse is conducting a fall risk assessment on an older adult patient who is moving into an assisted living center. Which questions would the nurse ask? Select all that apply.
A. “Have you had any falls in the past year?”
B. “Are you able to independently get up after a fall?”
C. “Do you feel unsteady when you stand up?”
D. “Are you able to independently walk from room to room?”
E. “What medications are you taking?”
F. “Do you use a cane or other assistive device?”
A. “Have you had any falls in the past year?”
C. “Do you feel unsteady when you stand up?”
D. “Are you able to independently walk from room to room?”
E. “What medications are you taking?”
F. “Do you use a cane or other assistive device?”
- The nurse is giving instructions to the UAP about patient safety and fall prevention. What would the nurse tell the UAP about helping the older adult patient to go to the bathroom?
A. “Help the patient whenever she needs help.”
B. “Ask her if she wants to walk or use the bedpan.”
C. “Have her put on her glasses before getting up.”
D. “Help her to the commode chair if she seems weak.”
C. “Have her put on her glasses before getting up.”
- For the care of a patient who has an SRD in place, which task can be delegated to a UAP?
A. Observe for circulation distal to the SRD.
B. Check for respiratory effort and breathing.
C. Change position every 2 hours.
D. Determine when the SRD can be removed.
C. Change position every 2 hours.
- Which instructions would be given to the UAP who is assigned to assist in the care of a patient who is being treated with internal radiation?
A. “Do not go into the room unless the patient uses the call bell.”
B. “Help children to don a lead shield apron before entering the room.”
C. “Wear a mask, eye shield, and isolation gown when entering the room.”
D. “Wear your personal dosimeter during care or when handling patient items.”
D. “Wear your personal dosimeter during care or when handling patient items.”
- A patient begins to have a grand mal seizure. What is the priority action?
A. Monitor the patency of the airway.
B. Protect against falls and other injuries.
C. Suction the mouth to prevent aspiration.
D. Gently insert an oral airway between the teeth.
A. Monitor the patency of the airway.
- The nurse is talking to a young mother who has an infant who has just started to crawl. Based on knowledge of growth and development, which safety issue is currently the most important to discuss with the mother?
A. What to do when using pots and pans on the stove
B. How to ensure backyard pool safety measures
C. How to manage electrical sockets and cords
D. Where to obtain safety labels for cleaning products
C. How to manage electrical sockets and cords