Deck 13: Safety

Question 1

The patient is at risk for orthostatic hypotension.The nurse should:

A) Have the patient sit slowly and dangle
B) Refer the patient to physical therapy
C) Keep the side rails up all the time
D) Obtain a walker or a cane for the patient to use

Answer 1

Have the patient sit slowly and dangle

Question 2

When working with a patient who has a radioactive implant,the nurse will:

A) Request to care for the patient over several days to maintain a sense of trust
B) Allow the family to visit as often as they would like
C) Wear a dosimeter at all times when in contact with the patient
D) Assist the patient up to the chair 3 or 4 times per day

Answer 2

Wear a dosimeter at all times when in contact with the patient

Question 3

When applying a belt restraint,it is important for the nurse to:

A) Apply the belt under the hospital gown to prevent embarrassment
B) Place the restraint around the abdomen
C) Have the patient in a sitting position
D) Apply the belt as tightly as possible

Answer 3

Have the patient in a sitting position

Question 4

As part of an attempt to implement a restraint-free environment,the nurse:

A) Provides constant activity for the patient
B) Covers or camouflages tubes and drains
C) Changes caregivers as often as possible
D) Reduces visiting hours and times in therapies

Question 5

A general guideline for the assessment of a restrained body part is removal of the restraint:

A) Every 15 minutes
B) Every 30 minutes
C) Every 1 hour
D) Every 2 hours

Question 6

The patient is well known to the hospital unit from previous admissions and is prone to wandering at night.To protect the patient when needed,the physician writes an order for "belt restraint PRN." The nurse should:

A) Put a belt restraint on the patient as needed
B) Have the patient sign an "informed consent" form
C) Inform the physician that "PRN" restraint orders are not acceptable
D) Obtain a signed informed consent from a family member

Question 7

When assessing a patient,a nurse notes that the skin distal to a restraint is pale and cool to the touch.The nurse should:

A) Remove the restraint
B) Loosen the restraint
C) Obtain a larger restraint
D) Reapply the restraint with more padding

Question 8

In a nursing home,an elderly patient drops his burning cigarette into a trash can and starts a fire.The most appropriate type of fire extinguisher for the nurse to use is the:

A) Type A
B) Type B
C) Type C
D) Type D

Question 9

After recognizing that a patient has received an electrical shock and after removing the source of the shock,the nurse will:

A) Go to get help
B) Start CPR
C) Ask the patient to assist in moving away from the source of the shock
D) Assess for the presence of a pulse

Question 10

Given the most common causes of hospital fires,which of the following choices would be most appropriate in the hospital setting?

A) Type A extinguisher
B) Type B extinguisher
C) Type C extinguisher
D) Type ABC extinguisher

Question 11

When caring for a patient who has a radioactive implant,which of the following is an important aspect of care? (Select all that apply.)

A) Allow patient to have unlimited visitation privileges.
B) Provide activities and distraction for the patient.
C) After caring for the patient, wash gloves before removing.
D) Do not allow family members to use lead aprons.

Question 12

On entering the patient's room,the nurse sees a fire burning in the trash can next to the bed.The nurse removes the patient and reports the fire.The next action of the nurse is to:

A) Extinguish the fire
B) Remove all of the other patients from the unit
C) Close all the doors of patient rooms
D) Move the trash can into the bathroom

Question 13

Government standards regarding mechanical and physical restraints identify that:

A) Alternative measures are to be implemented first
B) The nurse's judgment is all that is required for their implementation
C) Restraints should be used immediately for all patients who may need them
D) Restraints cannot be used except to prevent others from being harmed

Question 14

To prevent patient aspiration during a seizure,the nurse should:

A) Insert an oral airway
B) Restrain the patient securely
C) Sit the patient in an upright position
D) Turn the patient onto his/her side

Question 15

A general guideline for the assessment of a patient who has been restrained is:

A) Every 15 minutes
B) Every 30 minutes
C) Every 1 hour
D) Every 2 hours

Question 16

The patient is an elderly gentleman who is admitted for a medical problem.While doing his admission assessment,the nurse learns that the patient gets up two to three times a night to go to the bathroom.The institution only has beds with split side rails.The nurse uses her assessment skills and knowledge to leave the lower rails in the down position since she knows that:

A) Falls rarely happen in the inpatient setting
B) Raised side rails increase the occurrence of falling
C) Side rails have no bearing on whether or not a patient falls
D) Patient falls rarely result in physical injury

Question 17

A nurse enters the room,and the patient,who is sitting in a chair,begins to have a seizure.The nurse should:

A) Run for help
B) Guide the patient to the floor
C) Put the patient back into the bed
D) Insert a padded tongue blade into the patient's mouth

Question 18

To promote patient understanding and promote security,the nurse should:

A) Restrain the patient
B) Explain all procedures
C) Allow the patient more time alone
D) Restrict activity as much as possible

Question 19

The patient is being admitted to the hospital but is not on bed rest.He is wheelchair-bound at home and has brought his own electric wheelchair and battery charger to help him maintain mobility.The nurse realizes that:

A) Patients are not allowed to bring in an electric wheelchair
B) Electrical equipment is banned from all hospitals
C) The charger needs to be checked by hospital engineers
D) Electrical devices are not a cause for concern

Question 20

A safe environment is one in which: (Select all that apply.)

A) Patient's basic needs are met
B) Physical hazards are reduced
C) Transmission of microorganisms is reduced
D) Sanitary measures are carried out
E) None of above

Question 21

Alternatives to physical restraints include which of the following? (Select all that apply.)

A) Environmental modifications
B) Less frequent observation of patients to promote privacy
C) Involvement of family during visitation
D) Frequent reorientation of patient

Question 22

__________ are the most common type of inpatient accident.

Question 23

The use of physical restraints is one safety strategy that has been used to protect patients from injury.However,physical restraints are the ______________ and are used only when reasonable alternatives have failed.

Question 24

When working with a patient who has a new seizure disorder,the nurse is alerted to the need for further instruction when the patient tells the nurse: (Select all that apply.)

A) "I will avoid over-the-counter medications that contain alcohol."
B) "I have the medications that I take listed on this card that I carry with me."
C) "I will be keeping a regular supply of my medication at home and at work."
D) "I will visit the physician's right after I return home from my next trucking job."

Question 25

The use of restraints has been associated with which of the following complications? (Select all that apply.)

A) Pressure ulcers
B) Pneumonia
C) Constipation
D) Death
E) None of above

Question 26

An ________________ maintains immobilization of extremities to protect the patient from a fall or from accidental removal of a therapeutic device.

Question 27

Continuous seizure activity that lasts longer than 30 minutes is known as _______________.

Question 28

To prevent falls,the nurse needs to: (Select all that apply.)

A) Conduct hourly rounds
B) Provide the patient regular toileting
C) Assess the patient's comfort needs
D) Evaluate care according to the assessment tool only

Question 29

More than ____________ of adults 65 years of age and older fall annually in the United States.

Question 30

Health care facilities must provide employees access to information about the properties of particular chemicals and information for handling substances in a safe manner.Facilities do this by providing ______________.

Question 31

Effective fall prevention programs include which of the following? (Select all that apply.)

A) Risk assessment
B) Medication reviews
C) Use of assistive devices
D) Exercise and strength training
E) None of above

Question 32

A thumbless device used to restrain the patient's hands to prevent them from dislodging invasive equipment,removing dressings,or scratching is known as a ______________.

Question 33

It is important for nurses to understand what patients perceive as ___________ so that patients will become partners in programs to prevent them.

Question 34

_________________ are sudden,abnormal,and excessive electrical discharges from the brain that change motor or autonomic function,consciousness,or sensation.