Deck 32: Safety

Question 1

In which of the following situations is a physical restraint appropriate?

A)To restrain a client on a very busy shift when the unit is short staffed
B)In situations where bed exit alarms have been unsuccessful
C)To restrain a client who has just struck a nursing colleague
D)On a newly admitted client who has just crawled out of bed

Answer 1

In situations where bed exit alarms have been unsuccessful

Question 2

The nurse has just applied wrist restraints to Mr.Arkens after he has pulled his central line IV out.On the nurse's hourly assessment,Mr.Arkens complains that his hands are cold and tingly.What would the nurse's actions include?

A)Loosen restraints and reassess
B)Apply heat to hands
C)Change the restraints to mitt type
D)Apply restraints to elbows

Answer 2

Loosen restraints and reassess

Question 3

Ms.Johnson is a public health nurse making a home visit to Mrs.Dupuis.Mrs.Dupuis has just delivered twins,and has a 2 1/2-year-old toddler at home.What observations by the nurse would prompt her to do some health teaching regarding toddler safety?

A)Blind cords have been removed from the window coverings.
B)All lower cabinets in the kitchen have child-proof locks.
C)There is a backyard pool with a 1.8-metre high fence around it.
D)The toddler has a car seat placed in the front passenger seat of Mrs.Dupuis car.

Answer 3

The toddler has a car seat placed in the front passenger seat of Mrs.Dupuis car.

Question 4

A young first-time mother expresses concern to the nurse that her 22-month-old son continually climbs out of the crib at home.What advice could the nurse offer to the mother to increase the safety of the child?

A)Omit the afternoon nap
B)Replace crib with a low bed
C)Remove all objects from around the crib
D)Restrain the child if he gets up more than once

Question 5

Mrs.Miriam,an 86-year-old client with Alzheimer's disease,frequently attempts to get out of bed at night.Which alternative to restraints would nursing staff choose to use with this client?

A)Explain all procedures and treatments
B)Place a bed safety monitoring device on the bed
C)Orient the client to her surroundings
D)Implement the use of relaxation techniques

Question 6

Mr.Terrance was involved in a work-related accident one year ago that left him with a seizure disorder.In developing a return to work plan,the occupational health nurse must educate his co-workers on what to do if Mr.Terrance has a seizure.Which of the following interventions would be appropriate for Mr.Terrance?

A)Insertion of a tongue blade into his mouth
B)Loosen any clothing around his neck and chest
C)Restrain him during the seizure
D)Turn him to the supine position if possible

Question 7

Mrs.Sanders is in her first trimester of pregnancy.At her first prenatal visit,she asks the nurse about how various activities might affect the health of her unborn child.Which of the following would be considered a safety hazard for Mrs.Sanders' unborn child?

A)Dental work
B)Bicycle rides
C)Swimming
D)X-rays

Question 8

Mrs.Kymber has been admitted to hospital,and is determined by the nursing staff to be at risk for falls.Which of the following measures would help Mrs.Kymber remain free from injury while hospitalized?

A)Assess the client's mental status
B)Provide all care for Mrs.Kymber
C)Keep all bedsides up while she is in bed
D)Encourage client to use call bell to request assistance

Question 9

Ms.Jackson is a public health nurse teaching a prenatal class to parents on the prevention of injury to infants.Which of the following would the nurse identify as a safety hazard to the newborns?

A)Swimming pool
B)Poisonous cleaning liquids
C)Cluttered floors
D)Plastic bags

Question 10

Mrs.George is an elderly client who lives in a nursing care facility.The nurse enters her room to administer her evening medications as the fire sprinklers go off,as a result of a small fire in her waste paper basket.What should the nurse's immediate action be?

A)Use the extinguisher to put out the fire
B)Pull the fire alarm
C)Use the call bell to get assistance
D)Take Mrs.George out of the room

Question 11

Which of the following are methods of assessing clients at risk for injury?

A)Physical examination
B)Cognitive awareness
C)Nursing priorities
D)Mobility and health status

Question 12

Mr.Thomas,age 74 years,is showing signs of delirium following a general anaesthetic for surgical repair of his fractured right arm.What alternative to the use of restraints seems appropriate for this patient to prevent him from wandering in the hallways and off the unit?

A)Assign this client to the farthest room from the nurses' station for quietness
B)Ask family to stay with him during the day to support him
C)Replace partial side rails on the bed with full length side railings
D)Wedge pillows against the side rails on the bed

Question 13

Which of the following measures may have the greatest impact overall in the prevention of falls in the elderly?

A)Vision checks every 5 years
B)Regular exercise
C)Wearing wool socks
D)Night lights

Question 14

Which of the following potential injuries would be taken into consideration when planning care for an elderly client?

A)Burns
B)Drowning
C)Poisoning
D)Suffocation

Question 15

Mr.Peterson has just had a GUGT (Get Up and Go Test),an assessment for falls,in which he scored a zero.Which of the following interventions would be appropriate for Mr.Peterson?

A)Fit for hip and knee protectors
B)Complete an environment assessment for hazards
C)Use of appropriate ambulatory device
D)Installation of grab bars in the bathroom

Question 16

Which of the following indicators are included in Accreditation Canada's six national patient safety goals?

A)Ensuring the right mix of health care staff for care delivery
B)Elimination of polypharmacy in hospitals
C)Creating open family visiting for hospital units
D)Mechanisms for the transfer of information at change of shift

Question 17

Mr.Harris is an 82-year-old client with dementia who is admitted with pneumonia.After he has tried to climb out of bed on two occasions,the nurse has decided to utilize a bed exit monitoring device.Which of the following are accurate statements regarding this device?

A)It is not necessary to use bedrails with this device.
B)The device will prevent the client from getting out of bed.
C)The device will alarm when the client's legs are in a vertical position.
D)The device may only be used in a bed with sides raised.

Question 18

Mr.Simmons,43,has been diagnosed with a brain tumor.He has had two grand mal seizures in the last week.Which of the following are considered seizure precautions?

A)Functional oral suctioning device at the bedside
B)Have defibrillator on standby
C)Anticonvulsant medications at the bedside
D)Pad the head of the bed with blankets to protect the client

Question 19

Mrs.Ali,a nurse on the surgical floor,has just obtained an order for wrist restraints for a client.What are important safety considerations for the client?

A)Assess the limb restraints every 15 minutes
B)Pad bony prominences before applying the restraint
C)Secure the restraint to the bed side rail
D)Tie the restraint with a firm square knot

Question 20

While eating in a restaurant,a nurse notices that a customer at the next table begins to clutch his throat while eating a steak.Which of the following responses would the nurse perform first?

A)Ask the customer if he is choking
B)Attempt to give five back blows
C)Performing the Heimlich maneuver
D)Starting chest compressions

Question 21

Ms.Bell is a newly graduated nurse.She approaches her nurse manager and informs her that she has just made a medication error.After filling out an incident report she asks her manager what will happen to her because of the error.What response by the nurse manager demonstrates the organization's commitment to a culture of safety?

A)Tell her the error will be analyzed with her to determine how it happened
B)Remind Ms.Bell that she is a probationary employee
C)A copy of the incident will be placed on her employee record
D)Remind Ms.Bell that she is not to discuss the error with the client

Question 22

Which of the following is included as one of Accreditation Canada's client safety goals?

A)Prevention of the use of high-risk medications in the home
B)Identification of a method of determining blame for errors of omission
C)Assessment of standards related to patient safety while in hospital
D)Improving effective communication among care and service providers and the client

Question 23

Mrs.Hynes is a 69-year-old who is two days post-operative from an abdominal hysterectomy.Considering she has no cognitive impairment,which of the following measures would nursing staff implement to prevent falls?

A)Utilize a bed exit alarm
B)Keep all four bedrails up when she is in bed
C)Encourage her to ask for assistance getting in and out of bed
D)Provide a commode at her bedside

Question 24

Ms.Cruikshank is a public health nurse visiting a new mom with a one-week-old infant.Which of the following observations of the baby's room would provide the nurse with opportunities for health teaching related to safety?

A)Baby is lying on his back in the crib
B)Bumper pads that match the quilt and draperies
C)Mattress that fits snugly against the side of the crib
D)Change table with all supplies within easy reach

Question 25

Mr.Samson,75 years old,has been discharged home after a cerebral vascular accident that has left him with a slight left sided weakness.He lives with his wife.Which observation by the nurse would lead to health teaching regarding safety in the home?

A)Mr.Samson is wearing slippers with non-slip soles.
B)He is walking without the use of an aid.
C)He is out walking his dog.
D)Multiple electrical cords are plugged into an extension cord.

Question 26

How would an acute care hospital demonstrate that it is meeting Accreditation Canada's goal of "Ensuring the safe use of high-risk medications"?

A)The absence of concentrated electrolytes from all patient care units
B)Clear procedures for the reporting of adverse medication errors to patients
C)Tracking of antibiotic use for hospital acquired infections
D)Label with bold upper case letters the names of all high-risk medications

Question 27

Mr.Myles is an 84-year-old who has osteoarthritis in both knees.He lives in a complex care facility.He has dementia and wanders frequently in the evening; he has been found outside the facility at least once.Which of the following might prevent this behaviour in Mr.Myles?

A)Making sure he is adequately medicated for pain
B)Positioning his bed at a high level
C)Using restraints in bed
D)Providing a warm drink at bedtime

Question 28

Which of the following demonstrates a desired outcome following a community safety education workshop?

A)Removal of all poisonous products from a home
B)Demonstrating the correct use of child safety seats
C)Replacement of batteries in a hearing aid
D)Using a bow knot with a quick release on a bed frame restraint