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
The quality and safety education for nurses project recommends that nursing students are taught that nurses should rely less on memory when performing nursing actions.
A- true
B- false
A- true
Which of the following is true regarding a just culture?
A- professionals are not held responsible for their errors if it is found that the error happened due to a systems problem
B- discouraging disclosure of errors among stakeholders
C- does not pertain to personal injuries and near miss events
D- people can report mistakes or errors without reprisal or personal risk
D- people can report mistakes or errors without reprisal or personal risk
Research indicates that as much as ___ % of errors in health care are related to teamwork, collaboration, and communication.
70
Stressors individuals are exposed to may be considered neutral, challenging, or threatening. Which of the following statements is true regarding a challenging stressor?
A- taxes existing resources
B- is manageable but requires mobilization of resources
C- exceeds existing resources and personal capabilities
D- disrupts equilibrium and homeostasis
B- is manageable but requires mobilization of resources
Which level of prevention includes health promotion and protection? A- primary prevention B- secondary prevention C- tertiary prevention D- co prevention
A- primary prevention
Stress is a concept with psychological, physiological, and behavioral components.
A- true
B- false
A- true
Children with chronic stress may show signs and symptoms of failure to thrive
A- true
B- false
A- true
Why are individuals with impaired cognition at risk for negative outcomes related to stress?
A- they do not have adequate support systems
B- they do not have adequate finances to pay for health care needs
C- they lack the ability to adequately appraise and process information related to stress and the environment
D- they do not attempt to cope with stressful events because of a lack of physical energy
C-they lack the ability to adequately appraise and process information related to stress and the environment
Which of the following statements are true regarding stress? (Select all that apply)
A- stress is experienced daily by people of all ages
B- stress that is severe, prolonged, and chronic is likely to result in disability and dysfunction
C- a perceived stress event initiates a response in the peripheral nervous system.
D- stress activities the limbic system
E- untreated stress is associated with chronic conditions such as coronary heart disease, tension headaches, insomnia, and depression
A
B
D
E
Stressors initiate a sympathetic nervous system response. The response stimulates the release of norepinephrine and epinephrine. Which of the following occur as a result of the release of norephrine and epinephrine?
A- decreased respiratory rate
B- bronchoconstriction
C- decreased blood pressure
D- increased blood glucose
E- increased heart rate, contraction and cardiac output
D
E
A patient experiences frequent headaches related to muscle tension. Which intervention would be most beneficial for this patient? A- cognitive behavioral skills training B- health education and counseling C- biofeedback D- meditation
C- biofeedback
Stress overload is defined as excessive amounts and types of demands that require action. Which of the following are considered defining characteristics of stress overload? (Select all that apply) A- excessive fatigue B- anger C- impatience D- inability to make decisions E- inability to communicate with others
B- anger
C- impatience
D- inability to make decisions
Tricyclic antidepressants are considered the medication of choice for older adults experiencing excessive stress
A- true
B- false
B- false
Which statements are true regarding coping (select all that apply)
A- coping is a multifaceted concept involving human cognition, individual perception, and behavior.
B- coping skills seldom change over an individuals lifespan
C- coping may be defined as being action oriented toward a goal of changing a situation
D- coping is related to the environment, evaluation of the environment, and the availability of resources.
E- coping is impacted by control over internal and external demands
A
C
D
E
Effective coping responses are most appropriately called which of the following? A- Maladaptive coping B- Adaptive coping C- Manageable coping D- Positive coping
B- Adaptive
Which of the following best describes evasion?
A- an effective coping response that occurs when an individual copes with a stressful event by mobilizing available resources
B- occurs when an individual resolves a problem effectively, but the problem recurs
C- a destructive mechanism that occurs when an individual addresses the anxiety of the feeling associated with the stressor without resolving the problem
D- an ineffective coping response that occurs when an individual totally ignores emotions associated with stressors
C- a destructive mechanism that occurs when an individual addresses the anxiety of the feeling associated with the stressor without resolving the problem
The concept of coping may apply to an individual, a family, or a community
A- true
B- false
A- true
Coping is divided into two main categories: problem focused and emotion focused coping. Which of the following statement is true regarding problem focused and Emotion focused coping?
A- emotion focused coping involve the cognitive process of evaluating the situation and taking an action to manage the situation
B- problem focused coping strategies are more effective than emotion focused coping strategies
C- emotion focused coping is more direct than problem focused coping
D- problem focused coping may include isolation or withdrawal from seeking social support and it can involve the use of drugs or alcohol to escape threat
B- problem focused coping strategies are more effective than emotion focused coping strategies
Identified risk factors linked to ineffective coping capacity include which of the following? Select all that apply
A- prior experience handling stressful situation
B- perceived lack of support
C- tackling the stressful situations head on
D- inability to accurately assess the stressor
E- perceived lack of control over the situation
B
D
E
Hardiness describes an individuals sense of control over stressful event, embracing commitment and challenge toward life events. Another term for hardiness is ________
Resilience
Which concept is most closely interrelated with coping? A- culture B- family dynamics C- cognition D- stress
D- stress
Which of these questions would be most appropriate for a health care provider to ask when assessing a patients perception of threat?
A- “did you seek assistance from your family the last time you encountered a stressful situation?”
B-“do you use alcohol to cope with stressful events?”
C- when you have an arguments with your spouse, do you withdraw and isolate yourself?”
D- “what is the meaning of this stressful event for you?”
D- “what is the meaning of this stressful event for you?”
What is the key element associated with an examination of coping?
A- asking questions about the individuals past coping skills
B- observing the behavior the individual displays when discussing the stressor
C- asking the individuals family about how the family responds to stressors
D- observing the interaction between the individual and family members
B- observing the behavior the individual displays when discussing the stressor
Know About fire safety
what is RACE
What is PASS
Have a fire plan
R-Rescue
A-Alarm
C- Confine the fire
E- Extinguish
P- Pull
A- Aim
S- Squeeze
S- Sweep
What type of extinguisher is Class A?
Water under pressure
Used for
Burning paper, wood, and cloth
What type of extinguisher is Class B?
Carbon dioxide
Fires caused by
Gasoline, oil, paint, grease, and other flammable liquids
What type of extinguisher is Class C?
Dry chemicals
Electrical fires
What type of extinguisher is Class ABC (combination extinguisher)
Graphite
Fires of any kind
What is a MACROshock?
A harmless distribution of low- amperage electricity over a large area of the body
What is a Microshock?
A low-voltage but high-amperage distribution of electricity
What is electrical shock?
The discharge of electricity through the body
Why is the body susceptible to electrical shock?
Because the body is composed of water and electrolytes
What is a conductor?
A substance that facilitates the flow of electrical current
What is an insulator?
Is a substance that contains electrical currents so they do not scatter
What devices use a grounded plug?
Laptops
PCs
Vacuums
Power Tools
What devices DON’T use a grounded plug?
Phone Chargers
Electrical Razors
Toothbrushes
What is a prevention for electrical shock?
Grounded equipment (a 3-pronged plug)
What is latex sensitivity?
An allergic response to the proteins in latex
What is contact dermatitis?
A delayed localized skin reaction that occurs with 6-48 hrs and last several days
What is acute hypersensitivity?
Sn instantaneous or fairly prompt systemic reaction manifested by a variety of signs and symptoms such as swelling, itching, respiratory distress, hypotension, and death in severe cases.
How could we keep patients safe from coming in contact with latex?
Use powder free gloves Reduce the time the gloves are worn Wash hands throughly Obtain allergy history Have a latex safe environment
What should you do to a patient that is movable and another that is unmovable, during carbon monoxide poisoning?
If moveable, move patient out of the present environment.
If un moveable rescuers should open windows and doors to reduce the level of toxic gas and promote adequate ventilation.
What is the nursing home reform law and why did it become into effect?
It’s a law that sets the federal quality standards for nursing homes.
It went into effect after the widespread studies of use of physical restraints in long term care facilities.
OBRA 1987
Mandatory since 1990
What is defibrillation?
The stopping of fibrillation if the heart by administering a controlled electric shock in order to allow restoration of the Normal rhythm
Who can write a restraint order?
A physician must write it or a nurse must obtain one from a physician by telephone within 1 hour after the restraint is initiated. If physician is unavailable a RN with knowledge, training, experience in the techniques that necessitate the use of restraints may initiate restraint use.
Age related safety: Infants Toddlers School-age children and adolescents Adults
Infants- falls from changing tables or being unrestrained in automobiles
Toddlers- accidental poisoning, falls down stairs, burns, drowning
School-age- play related injuries
Adolescents- sports related, take risks
Adults ignoring safety issues such as driving while texting.
What is national patient safety goal?
To help health care organizations obtain and retain their accreditation by demonstrating safe and effective care of the highest quality by reducing the risk of adverse client outcomes.
What is safe return program?
It’s a program sponsored by Alzheimer’s association.
It facilitates the reporting and return of people with cognitive impairments who become lost.
What errors are the result of a delay in diagnosis, failure to employ indicated tests, use of outmoded tests, or failure to act on a result of monitoring or testing
Diagnostic errors
What error occurs in the performance of an operation, procedure, or test; in administering a treatment; in the dose or method of administering a drug; or in a avoidable delay in the treatment or in responding to an abnormal test
Treatment error
What error occurs when there are failures to provide prophylactic treatment and inadequate monitoring or follow-up of treatment
Preventative error
What is a lack of communication or a lack of clarity in communication that can lead to many types of errors
Communication failure
What is the point of care
Active- Sharp end
What are latent errors?
Blunt ends.
What is an error at bedside by nurses, physicians, and techniques?
Active errors
Know the different types of focus coping strategies
Problem focused coping- reduce or eliminate
Emotion focused coping- regulation of emotional response
Meaning-focused coping- cultural beliefs, values, ethical foundations, education and life experiences with a goal of confronting feelings and biases.
What are Psychological stressors?
Occupational pressures, academic pressures, major life events, financial stress, or bereavement.
Can be chronic or acute.
Birth of child, caregiving, change in health status, divorce, death of close family, moving, violence, politics.
What are physiological stressors?
Trauma, acute myocardial infarction, or acute renal failure.
Autoimmune disorders, cancer, dementia, diabetes, organ failure.
What is coping?
Conscious or unconscious strategies used to reduce unpleasant emotions.
What is stressor?
something that causes a state of strain or tension.
What type of stress has problems with interpersonal relationships, strained family relationships, financial strain, occupational stress and food insecurity
Psychological stress
What is extrinsic
Something outside of our control.
Outside of the body
What is intrinsic?
Inside of the body
When does an ineffective coping response occur?
When an appropriate coping mechanism is used, but may be insufficient for the severity of the stressor.
What are common maladaptive coping response?
Include the use or abuse of alcohol and other substances, smoking, excessive eating, denial, withdrawal, or avoidance.
