Week 5 Flashcards
A nurse hears a client call and finds that the client’s room has caught fire due to an electrical short circuit. The nurse evacuates the room and raises an alarm. Which of the following types of extinguishers should the nurse use in this situation?
Class B
Class ABC
Class C
Class A
Class c
A nurse has been appointed to oversee safety measures in an assisted living facility that caters to older adults. The nurse should prioritize measures aimed at reducing residents’ risks of:
falls.
violence.
burns.
poisoning.
Falls
The nurse is teaching the caregiver of a school-age child about safety. Which teaching will the nurse include?
Peer pressure causes children of this age to take risks.
Place all household cleaners out of reach.
Buy protective sporting equipment.
Supervise your child on the changing table.
Buy protective sporting equipment
A nurse is attending to an adolescent client at the health care facility who has sprained an ankle during a soccer match. What is the most common reason for an adolescent to risk injury?
cognitive immaturity
effect of disease
peer pressure
sensory change
Peer pressure
A 79-year-old client with a history of osteoporosis experienced a fall while attempting to walk independently to the hospital washroom to urinate. How can the nurse best prevent a repeat of this incident?
Apply an incontinence brief and remind the client of the risk for falls.
Withhold medications that may increase the client’s urine output.
Encourage the client to ring the call bell when the client has the urge to void.
Limit the client’s fluid intake in order to lessen the frequency of voiding.
Encourage the client to ring the call bell when the client has the urge to void.
The surgical nurse is preparing a client for surgery on the left leg. Which nursing action is appropriate? Select all that apply.
Delegate marking the operative lower extremity to the unlicensed assistive personnel (UAP).
Call for a “time-out” immediately before surgery begins.
Mark the appropriate lower extremity as the one intended for surgery.
Go through a preprocedural verification protocol.
Have the client mark the body part intended for surgery.
Call for a “time-out” immediately before surgery begins.,
Mark the appropriate lower extremity as the one intended for surgery.,
Go through a preprocedural verification protocol.,
Have the client mark the body part intended for surgery.
A male client with early-stage Alzheimer’s disease is being discharged home after a hospital admission, and his wife will be his sole caregiver. What action should the nurse encourage the wife to take in order to reduce her husband’s risk of experiencing a fall in the home?
Teach the wife to ensure that the husband does not wear shoes while in the house.
Teach the wife to remove loose rugs from the floors in the home.
Encourage the wife to keep her husband in bed whenever possible.
Encourage the wife to obtain a wheelchair for the husband to use in the home.
Teach the wife to remove loose rugs from the floors in the home.
An elderly client has a diagnosis of vascular dementia and has been found wandering the hospital unit at numerous times during the day and night. The nurse should assign what priority nursing diagnosis to this client’s behavior?
Insomnia
Impaired Physical Mobility
Risk for Impaired Skin Integrity
Risk for Falls
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?
Provide oxygen administration and resuscitation.
Go to the nursing unit and call for help.
Treat the client with hyperbaric oxygen.
Get the victim out of the present environment.
Get the victim out of the present environment
A nurse is caring for a restrained client who has suicidal tendencies. How should the nurse intervene to decrease the risk of injury?
Remove restraints two at a time, every 2 hours
Ensure client can move enough to maintain personal hygiene
Assess for circulation, movement and sensation
Confirm that the restraint is as tight as possible
Assess for circulation, movement and sensation.
A nurse is assigned to care for a 10-month-old boy. Which activity should be the priority for the nurse?
Provide sensory stimulation.
Provide health education to parents.
Protect the toddler from injury.
Spend time with the toddler in the play room.
Protect the toddler from injury
The nurse is teaching a nursing student about proper latex glove use. Which teaching will the nurse include?
Use hand cream or lotion after removing gloves to preserve skin integrity.
Use powdered gloves.
Snap the gloves when applying them to ensure proper fit.
Wash hands thoroughly after removing gloves with a pH-balanced soap.
Wash hands thoroughly after removing gloves with a pH balanced soap
The nurse is caring for a client who has been repetitively pulling at IV lines and the urinary catheter. After other methods of diverting the client’s behaviors fail, the health care provider orders chemical restraints. Which treatment does the nurse anticipate?
administration of an antipsychotic agent to alter the client’s behavior
asking the unlicensed assistive personnel (UAP) to sit with the client
articulating the reason for use of a physical restrictive device to the client’s spouse
application of devices that reduce the client’s ability to move arms
administration of an antipsychotic agent to alter the client’s behavior
A nurse is providing instructions to the mother of a toddler regarding the prevention of burn injuries in the toddler. Which instruction is the priority to provide to the mother?
Instruct the toddler about the consequences of burns.
Cool hot liquids before giving them to the child.
Teach the toddler about fire safety.
Keep coffee cups on the counter above the child’s reach.
Keep coffee cups on the counter above the child’s reach
A nurse is working as an industrial nurse. Which activity would the nurse suggest that the employers adopt to prevent carbon monoxide (CO) inhalation by the workers?
educating the workers about signs of the presence of CO gas
keeping the resuscitation equipment ready at hand
using carbon monoxide detectors and alarms
ensuring a good ventilation system at the workplace
Using carbon monoxide detectors and alarms
The nurse is providing discharge teaching to the family of an older adult client. Which teaching will the nurse include to decrease the risk for electric shock?
Refrain from using extension cords.
All machines that are used infrequently are to remain plugged in.
Leave outlets and switches open so air circulates through them.
Remove the plug from the wall by pulling the electric cord.
Refrain from using extension cords
Which action by the unlicensed assistive personnel (UAP) requires intervention from the nurse when providing care to an older adult client who is at risk for falls?
clears a path from bed to bathroom
provides slippers for ambulation
has client sit in bed for a few moments before standing
places bed at lowest setting
Provides slippers for ambulation
The nurse is teaching the caregiver of a 8-month-old infant about safety. Which teaching will the nurse include?
Supervise your child on the changing table.
Peer pressure causes children of this age to take risks.
Keep medications out of reach.
Buy protective sporting equipment.
Supervise your child on the changing table
The nurse is teaching the caregiver of an infant about safety. Which teaching will the nurse include?
Supervise your child on the changing table.
Buy protective sporting equipment.
Place all household cleaners out of reach.
Peer pressure causes children of this age to take risks.
Supervise your child on the changing table
A nurse is caring for a client with asthma who has developed severe allergic reactions to latex. Which measure should the nurse take to protect a latex-sensitized client?
Instruct the client not to touch latex products in their room.
The nurse should wash their hands thoroughly before donning gloves.
Keep the client’s unit free from latex products.
Use only sterile latex gloves for the client during procedures.
Keep the clients unit free from latex products
True or false
Class A extinguishers are used to extinguish fire caused by burning paper, wood, or cloth
True
True or false
Accidental poisoning among toddlers commonly involve substances located in bathrooms or kitchens
True
True or false
Elderly clients should use floor rugs to prevent falls caused by tripping
False
True or false
Intact skin offers resistance or acts as a barrier between the electrical current and the water and electrolytes within the human body
True
True or false
Clients who are not restrained are more likely to die during their hospital stay than restrained clients
False
A _____ is used to restrict a persons freedom of movement, physical activity, or normal access to his or her body with the goal of ensuring the persons safety
Restraint
A ______ is a plan or set of steps to follow when implementing an intervention
Protocol
_______ must be the last intervention used after trying all other measures for fall-prevention
Restraint
______ refers to the inability to breathe, sometimes resulting from airway obstruction
Asphyxiation
A ______ burn is a skin injury caused by flames, hot liquids, or steam
Thermal
A nurse has rushed to the site of an accident where members of a family have suffered carbon monoxide poisoning. What is the highest priority action that must take place during carbon monoxide poisoning?
A- treat with hyperbaric oxygen
B- remove the individual from the room
C- open the doors and windows of the room
D- give oxygen to the individual
B- remove the individual from the room
A nurse is caring for a stable toddler diagnosed with accidental poisoning due to the ingestion of cleaning solution. What must be included in educating parents about how to protect a toddler from unintentional poisoning?
A- closely monitor the toddlers activity
B- label poisonous solutions
C- keep cleaning solutions locked up
D- do not leave the toddler alone
C- keep cleaning solutions locked up
A nurse on a home visit to a healthy elderly client finds that too much clutter has accumulated in the house. What is the most appropriate nursing diagnosis for the client? A- impaired home maintenance B- disturbed sensory perception C- impaired mobility D- impaired walking
A- impaired home maintenance
An 18 year old is brought to the emergency department with a head injury. The nurse know that adolescents are vulnerable to injuries related to: A- falls from beds B- automobile accidents C- play related injuries D- falls from staircases
B- automobile accidents
A nurse finds that a fire has broken out in a clients rooms at the health care facility. Which intervention is of the highest priority? A- extinguish the fire B- evacuate the client C- raise an alarm D- confine the fire
B- evacuate the client.
A home care nurse provides health education to parents regarding the care of their toddler. Which precaution should the nurse suggest the parents take to protect the toddler from drowning?
A- instruct the toddler not to go near the pool
B- avoid unattended baths for the toddler
C- monitor the activities of the toddler
D- allow the child to swim with friends
B- avoid unattended baths for the toddler
The nurse administers a medication to which the patient is allergic. The allergy was noted in the patients chart and on the patients identification band. Which type of error did this nurse commit? A- an error of commission B- an error of omission C- an error of execution D- an error of documentation
A- an error of commission
The nurse is administrating medications to a pediatric patient. The nurse notes that one of the medications for the child, which was sent to the floor from pharmacy, consisted of an adult dosage. The nurse recognizes this error and does not administer the medication. Which of the following best describes this situation. A- an adverse event B- a near miss event C- a sentinel event D- a latent event
C- a sentinel event
A patient had orthopedic surgery. The surgeon failed to prescribe a blood thinner following surgery and the patient developed a deep vein thrombosis as a result. Which of the following best describes this scenario? A- diagnostic test B- treatment error C- preventive error D- communication error
C- preventive error
Which statement best describes an active error?
A- occurs at the organizational level
B- made by a physician, nurse, or technician who is providing direct patient care
C- an event that results in unintended harm to a patient
D- an event that could have been prevented if effective communication processes were in place
B- made by a physician, nurse, or technician who is providing direct patient care.
Which of the following statements are true regarding a culture of safety? (Select all that apply)
A- acknowledges the influence complex systems and human factors have on safety
B- discourages nurses from reporting mistakes they make related to medication administration
C- requires support from those in leadership roles
D- focuses on teamwork and communication
E- does not consider individual members attitudes and perceptions regarding safety; only group attitudes and perceptions are deemed valuable
A
C
D
According to the institute of medicine, it is acceptable for health care facilities to have lower standards of care on night shifts because fewer treatments are prescribed during those hours and patients are atypically sleeping.
A- true
B- false
B- false
