Deck 24: Promoting Safety

Question 1

Which points should the nurse include when teaching safety precautions to the mother of a toddler? Select all that apply.
1)Make sure the child sleeps supine (on the back) at night.
2)Keep the telephone number of the poison control center accessible.
3)Use a rear-facing car seat placed in the back seat of the car.
4)Keep syrup of ipecac on hand in case of accidental poisoning.
5)Remove philodendron and English ivy plants from the house.

Answer 1

2, 3, 5

Question 2

The nurse is invited to a childcare center for a safety class. An employee comes running into the class and says to the nurse, "I think one of the children swallowed a poisonous chemical from our storage area." What is the first action by the nurse?
1)
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
1)Identify the poison then call 911 or the local emergency number.
2)Assess for signs and symptoms then call 911 or the local emergency number.
3)Call 911 immediately, even if the child has no symptoms.
4)Induce vomiting in the child then call 91

Answer 2

3

Question 3

A patient is brought to the emergency department after inhaling mercury. The nurse should be alert for which acute adverse effects associated with mercury inhalation?
1)Chest pain, pneumonitis, and inflammation of the mouth
2)Intestinal obstruction and numbness of hands
3)Hypotension, oliguria, and tingling of feet
4)Tachycardia, hematuria, and diaphoresis

Answer 3

1

Question 4

Which aspect of restraint use can the nurse delegate to the unlicensed assistive personnel (UAP)?
1)Assessing the patient's status
2)Determining the need for restraint
3)Evaluating the patient's response to restraints
4)Applying and removing the restraints

Question 5

The nurse will teach the client that the most common cause(s) of death related to a house fire is/are:
1)Explosions
2)Falls from second-story windows
3)Thermal damage to skin and body surfaces
4)Smoke inhalation injury

Question 6

The nurse is caring for a group of patients on the medical-surgical unit. What is the most important action the nurse can take in preventing falls?
1)Raise the two siderails for each patient's bed.
2)Place a fall risk sign on the front of the patient's door.
3)Identify those patients who are at risk for falls.
4)Use bed alarms for patients prone to falls.

Question 7

The community health nurse is making a presentation on carbon monoxide (CO) poisoning at the neighborhood health fair. Which information will the nurse include in the presentation? Select all that apply.
1)Carbon monoxide is a colorless, odorless, and tasteless gas.
2)Home-installed carbon dioxide detectors are shown to be ineffective.
3)Carbon monoxide poisoning causes many older adult deaths in cold weather months.
4)During rainy weather, a home fireplace with charcoal may be used for barbequing.
5)Occasionally using a kerosene heater to heat the house is recommended.

Question 8

The quality and risk nurse in the local hospital is performing a hospital survey on sentinel events. Which statement would the nurse use to best describe a sentinel event?
1)An event that can cause serious injury to a patient that should never happen in a hospital
2)Specific events that enable a hospital to maximize reimbursement
3)An unexpected event involving death or serious physical or psychological injury
4)Operating room event involving the use of unsafe equipment

Question 9

While teaching a safety session at the local library, the nurse emphasizes that according to the National Weather Service, the leading cause of weather-related fatalities is:
1)Floods
2)Heat
3)Hurricanes
4)Tornadoes

Question 10

The nurse suspects a 3-year-old child who is coughing vigorously has aspirated a small object. Which action should the nurse take first?
1)Encourage the child to continue coughing.
2)Deliver upward abdominal thrusts with a fisted hand.
3)Complete five rapid back blows between the shoulder blades.
4)Perform a blind finger sweep of the child's mouth.

Question 11

The nurse is working in a doctor's office. Which annual assessment test would the nurse schedule for a 75-year-old patient?
1)Timed Up and Go
2)Get Up and Go
3)Morse Fall Scale
4)Safety Assessment Scale

Question 12

A male patient in the emergency department is angry, yelling, cursing, and waving both arms when the nurse comes to the treatment cubicle. Which action by the nurse is advisable?
1)Reassure the patient by entering the room alone.
2)Ask the patient whether he is carrying any weapons.
3)Stay between the patient and the door while keeping the door open.
4)Stand close to the patient to establish rapport and trust.

Question 13

A nurse is teaching a group of mothers about first aid. If mercury comes in contact with their child's clothing and skin, which action should the nurse instruct the mothers to take first?
1)Remove the contaminated clothing immediately.
2)Flood the contaminated area with lukewarm water.
3)Wash the contaminated area with soap and water and rinse.
4)Call the nearest poison control center immediately.

Question 14

Physiological changes associated with aging place the older adult especially at risk for which nursing diagnosis?
1)Risk for Falls
2)Risk for Ineffective Airway Clearance (choking)
3)Risk for Poisoning
4)Risk for Suffocation (drowning)

Question 15

The nurse instructing a new parent on the proper positioning of the infant car seat will explain that the child may be positioned forward facing in an automobile at which age?
1)2 years
2)3 years
3)4 years
4)5 years

Question 16

Which instruction is most important for the nurse to include when teaching a mother of a 3-year-old about protecting her child against accidental poisoning?
1)Store medications on countertops out of the child's reach.
2)Purchase medication in child-resistant containers.
3)Take medications in front of the child, and explain that they are for adults only.
4)Never leave the child unattended around medications or cleaning solutions.

Question 17

While eating in the hospital cafeteria, the nurse sees a visitor display the "universal sign of choking." Which action should the nurse take first?
1)Page a "Code Blue" emergency.
2)Immediately perform five abdominal thrusts.
3)Assess the situation by asking, "Are you choking?"
4)Deliver four sharp back blows between the scapulae.

Question 18

The nurse on the pediatric unit is preparing a teaching plan related to small children and drowning. Which sources of drowning will the nurse include in the plan? Select all that apply.
1)Empty bathtub
2)Water-filled wading pool
3)Toilet
4)Mop bucket filled with water
5)Unfilled hot tub

Question 19

Which is the most commonly reported incident in hospitals?
1)Equipment malfunction
2)Patient falls
3)Laboratory specimen errors
4)Treatment delays

Question 20

During a thermometer exchange program at a local hospital, a person drops a mercury thermometer on the floor. How should the trained nurse intervene? Select all that apply.
1)Use a flashlight to search for beads of mercury on hard surfaces.
2)Notify the hazardous material management team immediately.
3)Evacuate the area immediately.
4)After putting on a gown, gloves, and a mask, clean up the mercury.
5)Ventilate the area well.

Question 21

While working with an unlicensed assistive personnel (UAP) in a local nursing home, the nurse knows which fall risk and prevention measures may be delegated to the UAP? Select all that apply.
1)Remove clutter and spills in patient rooms.
2)Place nonskid slippers on patients.
3)Lock beds and wheelchairs.
4)Assess each patient for fall risk.
5)Monitor for injuries if the patient falls.

Question 22

The community health nurse is preparing a teaching plan on motor vehicle accidents. Which information will the nurse include in the plan? Select all that apply.
1)The risk of being injured or killed in a car crash increases for older adult drivers.
2)Young children should be placed in the front seat of a motor vehicle so that the driver can watch them.
3)Air bags have no effect on injury or death related to motor vehicle accidents.
4)Cell phone use while driving is directly correlated with an increase in motor vehicle accidents.
5)Failure to use seat belts is a major contributing factor for injury and death with regard to motor vehicle accidents.

Question 23

The nurse is preparing to write the nursing progress notes for a patient who has wrist restraints. Which chart entries will the nurse include in the progress notes? Select all that apply.
1)Family teaching initiated regarding the need for patient restraint
2)Restraint removed once per shift to assess skin color, sensation, and movement of extremity
3)Prescription for wrist restraint received from the primary care provider
4)Wrist restraints applied because of the patient's increasing confusion
5)Double knot used to tie restraints to bed frame

Question 24

The nurse is teaching a safety class for campers. Which statements by the participants indicate understanding of the safety measures against ticks? Select all that apply.
1)"I will wash the tick repellent off the next morning."
2)"I will apply sunscreen first and then the tick repellent."
3)"I will wear a long-sleeved shirt, tucked in."
4)"I will look over my whole body, even my hair, for ticks."
5)"I will not stay around old tires filled with water."

Question 25

The mother of 6-year-old twins says to the pediatric nurse, "My husband and I keep a gun in our home. Do you have any safety tips for us?" The most appropriate responses by the nurse are which of the following? Select all that apply.
1)"I do not recommend owning a firearm when children are living in the home."
2)"Be careful not to allow your children into the homes of others who own firearms."
3)"Be sure to keep your gun unloaded and in a secure and locked cabinet."
4)"Ammunition for your gun should be stored in a different location from the gun."
5)"I can't believe your family owns a gun, especially when you have twins."