Question 1

The nurse is caring for a patient who has brought in his own CPAP device to use at night.What does the nurse need to do in addition to contacting Respiratory Therapy?

Accepted Answer

If a patient brings a device,it must be inspected for safe wiring and function before use through the process established by the agency.A patient should be able to use his own equipment such as CPAP since it is fitted for his own use.Although you can notify the physician,the device still must be safety inspected.

Question 2

The following is an example of an alternative to restraint use in patient care.(Select all that apply.)

Accepted Answer

Modifications of the environment are effective alternatives to restraints.More frequent observation of patients,involvement of family caregivers during visitation,and frequent reorientation are also helpful measures.Having all four side rails up is considered a restraint.A lap belt that the patient can release is not a restraint.

Question 3

The nurse is giving report to the next shift and describes how it is important to maintain a regular schedule for Mr.Jones,a confused elderly man who wanders.Why is it important for this intervention to be maintained?

Accepted Answer

The Department of Veterans Affairs has many suggestions for managing the wandering patient,most of which are environmental adaptations.Some of these include hobbies,social interaction,and regular routines (Veterans Administration,2010).Modifications of the environment are effective alternatives to restraints.Regular routines may reduce stress and confusion,but this patient's main problem is wandering.

Question 4

The nurse enters the room and finds the patient sitting in a chair and just beginning to have a seizure. Match the nursing interventions with the step, beginning with the nurse's first action.

-5. Step 1

Accepted Answer

The answer of The nurse enters the room and finds...

Question 5

The nurse enters the room and finds the patient sitting in a chair and just beginning to have a seizure. Match the nursing interventions with the step, beginning with the nurse's first action.

-6. Step 2

Accepted Answer

The first action the nurse should take is to guide the patient to the floor to prevent injury during the seizure. Maintaining the patient's airway and clearing away hazardous objects will come after the patient is safely on the ground. Calling for additional help may also be necessary but is not the immediate priority in this situation.

Question 6

MATCHING
While walking in the hallway with the nurse, the patient has a seizure. Match the nursing interventions with the step.

-4. Step 4

Accepted Answer

The answer of MATCHING
While walking in the hallway with the...

Question 7

MATCHING
While walking in the hallway with the nurse, the patient has a seizure. Match the nursing interventions with the step.

-1. Step 1

Accepted Answer

The answer of MATCHING
While walking in the hallway with the...

Question 8

MATCHING
While walking in the hallway with the nurse, the patient has a seizure. Match the nursing interventions with the step.

-3. Step 3

Accepted Answer

The answer of MATCHING
While walking in the hallway with the...

Question 9

MATCHING
While walking in the hallway with the nurse, the patient has a seizure. Match the nursing interventions with the step.

-2. Step 2

Accepted Answer

The answer of MATCHING
While walking in the hallway with the...

Question 10

The Joint Commission restricts the use of restraints to the least restrictive device necessary to prevent disruption of needed care.The order for restraints must include which of the following? (Select all that apply.)

Accepted Answer

Order must include purpose,type,location,and time or duration of restraint.Long-term care settings require informed consent from a family member prior to use.Orders may be renewed according to the time limits for a maximum of 24 consecutive hours.Size is determined by the nurse's judgment.

Question 11

The nurse is caring for a patient who just received a diagnosis of a seizure disorder.What supplies should the nurse gather to have at the bedside? (Select all that apply.)

Accepted Answer

A suction device with catheters and an oxygen source with nasal cannula will help maintain the airway should it become a problem.Extra pillows on the bed could cause suffocation during a seizure; firm padding on the sides of the bed are recommended instead.Padded tongue blades are no longer used in the care of patients with seizures.

Question 12

A nurse notes smoke coming from a garbage can in an otherwise empty nursing station.Which actions should the nurse take? (Select all that apply.)

Accepted Answer

Activate the fire alarm first; then use a type A fire extinguisher to put out the fire.Aim the nozzle of the extinguisher at the base of the fire,not the top.The fire is just smoking; so there is no need to evacuate at this time.The patients are safer where they are since they are not in the area where the fire is smoldering.This small fire could be extinguished easily by the time wet towels are placed along the base of the doors.

Question 13

Which of the following statements are examples of features that support a culture of safety? (Select all that apply.)

Accepted Answer

The Agency for Healthcare Research and Quality (2012)has outlined key features for a culture of safety.These features are (1)acknowledgment of the high-risk nature of an organization's activities and the determination to achieve consistently safe operations, (2)a blame-free environment where individuals are able to report errors or near misses without fear of reprimand or punishment, (3)encouragement of collaboration across ranks and disciplines to seek solutions to patient safety problems,and (4)organizational commitment of resources to address safety concerns.Incident reports are necessary to help identify errors and near misses to make corrections and improve safety.

Question 14

The nurse enters the room and finds the patient sitting in a chair and just beginning to have a seizure. Match the nursing interventions with the step, beginning with the nurse's first action.

-7. Step 3

Accepted Answer

The answer of The nurse enters the room and finds...

Question 15

The nurse enters the room and finds the patient sitting in a chair and just beginning to have a seizure. Match the nursing interventions with the step, beginning with the nurse's first action.

-8. Step 4

Accepted Answer

The answer of The nurse enters the room and finds...

Question 16

The nurse is caring for a patient and is exposed to a chemotherapy drug during IV administration.Where can she obtain information about the drug that is necessary for an exposure-related incident?

Accepted Answer

Chemicals in medications (e.g.,chemotherapy drugs),anesthetic gases,disinfectants,and cleaning solutions are potentially toxic.They injure the body after skin or mucous membrane contact,after ingestion,or when vapors are inhaled.Healthcare agencies provide employees access to material safety data sheets (MSDSs)for each hazardous chemical in the workplace.An MSDS contains information about properties of the chemical (melting point,boiling point,flash point,etc.),toxicity,health effects,first aid,reactivity,safe handling,storage,disposal,protective equipment to use,and spill-handling procedure.The nurse's supervisor,employee health services,or poison control center may also have the information,but they will go to the same place (the MSDS sheets)to obtain that information.

Quiz 4: Patient Safety and Quality Improvement

The nurse is caring for a patient who has brought in his own CPAP device to use at night.What does the nurse need to do in addition to contacting Respiratory Therapy?

The following is an example of an alternative to restraint use in patient care.(Select all that apply.)

The nurse is giving report to the next shift and describes how it is important to maintain a regular schedule for Mr.Jones,a confused elderly man who wanders.Why is it important for this intervention to be maintained?

The nurse enters the room and finds the patient sitting in a chair and just beginning to have a seizure. Match the nursing interventions with the step, beginning with the nurse's first action. -5. Step 1

The nurse enters the room and finds the patient sitting in a chair and just beginning to have a seizure. Match the nursing interventions with the step, beginning with the nurse's first action. -6. Step 2

MATCHING While walking in the hallway with the nurse, the patient has a seizure. Match the nursing interventions with the step. -4. Step 4

MATCHING While walking in the hallway with the nurse, the patient has a seizure. Match the nursing interventions with the step. -1. Step 1

MATCHING While walking in the hallway with the nurse, the patient has a seizure. Match the nursing interventions with the step. -3. Step 3

MATCHING While walking in the hallway with the nurse, the patient has a seizure. Match the nursing interventions with the step. -2. Step 2

The Joint Commission restricts the use of restraints to the least restrictive device necessary to prevent disruption of needed care.The order for restraints must include which of the following? (Select all that apply.)

The nurse is caring for a patient who just received a diagnosis of a seizure disorder.What supplies should the nurse gather to have at the bedside? (Select all that apply.)

A nurse notes smoke coming from a garbage can in an otherwise empty nursing station.Which actions should the nurse take? (Select all that apply.)

Which of the following statements are examples of features that support a culture of safety? (Select all that apply.)

The nurse enters the room and finds the patient sitting in a chair and just beginning to have a seizure. Match the nursing interventions with the step, beginning with the nurse's first action. -7. Step 3

The nurse enters the room and finds the patient sitting in a chair and just beginning to have a seizure. Match the nursing interventions with the step, beginning with the nurse's first action. -8. Step 4

The nurse is caring for a patient and is exposed to a chemotherapy drug during IV administration.Where can she obtain information about the drug that is necessary for an exposure-related incident?