Question 1

A hospital has had higher than average reports of client handling and movement injuries.What could the nurse advocate for that could most help reduce the number of client handling injuries?

Accepted Answer

Purchasing lifting devices would provide a mechanical means of handling clients, reducing the physical strain on the nurses and decreasing the risk of handling injuries. Restricting clients to bed or encouraging weight loss may not be feasible or appropriate for all clients, and hiring more nurses may not necessarily address the root cause of the injuries.

Question 2

An experienced nurse has accepted a new position in the mental health unit after working in the medical-surgical floor for the past 4 years.What training would be beneficial for the nurse to refresh before starting her new position?

Accepted Answer

A)The nurse is exposed to a higher risk of injuries from assaults by clients or their families in a mental health unit compared to a medical-surgical unit. Therefore, the nurse may benefit from receiving training related to managing aggressive behaviors. Because of her experience on the medical-surgical unit, the nurse is already likely familiar with how to safely lift and move clients and how to prevent needlestick injuries. Knowing how to use a respirator is more important for an infectious disease unit, not a mental health unit.
B)The nurse is exposed to a higher risk of injuries from assaults by clients or their families in a mental health unit compared to a medical-surgical unit. Therefore, the nurse may benefit from receiving training related to managing aggressive behaviors. Because of her experience on the medical-surgical unit, the nurse is already likely familiar with how to safely lift and move clients and how to prevent needlestick injuries. Knowing how to use a respirator is more important for an infectious disease unit, not a mental health unit.
C)The nurse is exposed to a higher risk of injuries from assaults by clients or their families in a mental health unit compared to a medical-surgical unit. Therefore, the nurse may benefit from receiving training related to managing aggressive behaviors. Because of her experience on the medical-surgical unit, the nurse is already likely familiar with how to safely lift and move clients and how to prevent needlestick injuries. Knowing how to use a respirator is more important for an infectious disease unit, not a mental health unit.
D)The nurse is exposed to a higher risk of injuries from assaults by clients or their families in a mental health unit compared to a medical-surgical unit. Therefore, the nurse may benefit from receiving training related to managing aggressive behaviors. Because of her experience on the medical-surgical unit, the nurse is already likely familiar with how to safely lift and move clients and how to prevent needlestick injuries. Knowing how to use a respirator is more important for an infectious disease unit, not a mental health unit.

Question 3

The nurse is caring for a 3-year-old child who is in the hospital for the first time.The child appears frightened and is clinging to her parents.What action can the nurse take to help the child feel more secure if the child needs to stay at the hospital without her parents?

Accepted Answer

A)To help a child feel more secure, the nurse can suggest that parents bring in a few comfort items the child is familiar with, such as photos, a favorite blanket, or a favorite toy. Having the nurse stay with the child at all times once the parents have left is not practical and could cause harm to other clients under the nurse's care. Although the nurse should keep dangerous medications and equipment out of the child's reach and make sure the child wears proper identification at all times, these actions will likely not help the child feel more secure.
B)To help a child feel more secure, the nurse can suggest that parents bring in a few comfort items the child is familiar with, such as photos, a favorite blanket, or a favorite toy. Having the nurse stay with the child at all times once the parents have left is not practical and could cause harm to other clients under the nurse's care. Although the nurse should keep dangerous medications and equipment out of the child's reach and make sure the child wears proper identification at all times, these actions will likely not help the child feel more secure.
C)To help a child feel more secure, the nurse can suggest that parents bring in a few comfort items the child is familiar with, such as photos, a favorite blanket, or a favorite toy. Having the nurse stay with the child at all times once the parents have left is not practical and could cause harm to other clients under the nurse's care. Although the nurse should keep dangerous medications and equipment out of the child's reach and make sure the child wears proper identification at all times, these actions will likely not help the child feel more secure.
D)To help a child feel more secure, the nurse can suggest that parents bring in a few comfort items the child is familiar with, such as photos, a favorite blanket, or a favorite toy. Having the nurse stay with the child at all times once the parents have left is not practical and could cause harm to other clients under the nurse's care. Although the nurse should keep dangerous medications and equipment out of the child's reach and make sure the child wears proper identification at all times, these actions will likely not help the child feel more secure.

Question 4

A client who is living independently but needs skilled nursing services may take advantage of what type of healthcare?

Accepted Answer

Home healthcare provides skilled nursing services for clients who live independently but require medical attention. Long-term care, assisted living, and telehealth are not necessarily appropriate for clients who are living independently.

Question 5

The home healthcare nurse is traveling to a client's home for the first time.What observation would suggest a safety hazard for the nurse?

Accepted Answer

The broken and rotting porch steps could pose a safety hazard to the nurse when entering or leaving the client's home. The other options do not directly pose a safety hazard to the nurse.

Question 6

The nurse working in a healthcare setting is charged with inappropriate delegation after asking an unlicensed assistive personnel (UAP)to change the IV bag for a client.To which agency should this action be reported?

Accepted Answer

Inappropriate delegation is a violation of nursing practice standards and should be reported to the board of nursing, which is responsible for overseeing the licensure and practice of nurses in a given state or jurisdiction. The other options (B, C, and D) are focused on workplace safety and health hazards, which are not directly related to this issue of inappropriate delegation.

Question 7

The nurse is providing care to a pregnant client who has type 2 diabetes mellitus.The client has asked about how the medications she is taking will affect her fetus.How should the nurse respond?

Accepted Answer

The nurse should encourage the client to talk to her primary care physician about any concerns she has regarding how her medications will affect her fetus. The physician is better equipped to provide information about individual medication risks and benefits during pregnancy. The nurse should not provide medical advice beyond the scope of her practice.

Question 8

While reviewing safety precautions with the staff in a long-term care facility,which step should the nurse emphasize that helps to promote a safe environment for the clients?

Accepted Answer

Having clients wear shoes with rubber skid-resistant soles helps to prevent slips and falls which is a major safety concern in long-term care facilities. Keeping clutter out of the hallway and inside the client's room is also important, but it is not the most important step for promoting a safe environment. Providing dim lighting and turning off alarms do not promote a safe environment and may even increase the risk of falls and other accidents.

Question 9

A novice nurse has accepted a position on a medical-surgical unit at a local university hospital.In order to provide safe care to clients,the nurse should plan to develop which competency?

Accepted Answer

Functioning as a member of the healthcare team is crucial for safe and effective care. This includes communication, collaboration, and understanding of each team member's role and responsibilities. Creating a culture of trust and promoting appropriate values are important, but they are not specific competencies necessary for safe care. Reporting families for bringing food to the client's room is not appropriate or necessary in most circumstances.

Question 10

What nursing intervention is appropriate for a client with dry and cracked feet?

Accepted Answer

Applying lotion to the client's feet after bathing is the most appropriate nursing intervention for dry and cracked feet. This will help to moisturize the skin, prevent further drying and cracking, and promote healing. Providing slippers to wear at all times is also a good idea, but it is not a direct intervention for treating dry and cracked feet. Soaking the client's feet in water several times daily can actually worsen the condition by further drying out the skin. Massaging the client's feet daily may feel good, but it is not an effective treatment for dry and cracked feet.

Question 11

A complaint about unsafe working conditions should be reported to which agency?

Accepted Answer

The Occupational Safety and Health Administration (OSHA) is responsible for ensuring safe and healthy working conditions for employees. Complaints about unsafe working conditions should be reported to OSHA for investigation and potential enforcement actions. The National Institute for Occupational Safety and Health (NIOSH) conducts research and provides recommendations for workplace safety but does not have the authority to enforce safety standards. The State Board of Nursing and American Nurses Association are not responsible for regulating workplace safety.

Question 12

Which action by a nurse would require immediate intervention by another healthcare team member?

Accepted Answer

A)When working with used or contaminated sharps, nurses will employ extra precautions so as to avoid unnecessary injuries. Needles that have been used will be disposed of in an appropriate sharps container. If sharps do need to be recapped, this should be done with the use of another device (such as a hemostat), or with the scoop method. Nurses should never hold the cap in one hand while trying to guide the tip of the needle into the cap with the other-this method substantially increases the risk of a sharp-related injury.
B)When working with used or contaminated sharps, nurses will employ extra precautions so as to avoid unnecessary injuries. Needles that have been used will be disposed of in an appropriate sharps container. If sharps do need to be recapped, this should be done with the use of another device (such as a hemostat), or with the scoop method. Nurses should never hold the cap in one hand while trying to guide the tip of the needle into the cap with the other-this method substantially increases the risk of a sharp-related injury.
C)When working with used or contaminated sharps, nurses will employ extra precautions so as to avoid unnecessary injuries. Needles that have been used will be disposed of in an appropriate sharps container. If sharps do need to be recapped, this should be done with the use of another device (such as a hemostat), or with the scoop method. Nurses should never hold the cap in one hand while trying to guide the tip of the needle into the cap with the other-this method substantially increases the risk of a sharp-related injury.
D)When working with used or contaminated sharps, nurses will employ extra precautions so as to avoid unnecessary injuries. Needles that have been used will be disposed of in an appropriate sharps container. If sharps do need to be recapped, this should be done with the use of another device (such as a hemostat), or with the scoop method. Nurses should never hold the cap in one hand while trying to guide the tip of the needle into the cap with the other-this method substantially increases the risk of a sharp-related injury.

Quiz 51: Safety