Deck 20: Safety-Hygiene

Question 1

An 82-year-old client who is recovering from a fractured pelvis requires a walker to move about the room.The client is also frequently disoriented,and the family has expressed displeasure that restraints are applied when the client is put to bed at night.Which of these responses by the nurse would be MOST therapeutic?

A)"Do you want the client to fall again?"
B)"Restraints are a temporary measure to be used while the client heals."
C)"Restraints are necessary to prevent the client from harm."
D)"I can make arrangements for a family member to stay in the room with the client."

Answer 1

"I can make arrangements for a family member to stay in the room with the client."

Question 2

To reduce bathroom hazards,a nurse should teach a client to do which of the following?

A)Position throw rugs around tubs,showers,and sinks.
B)Use hot water liberally.
C)Install grab bars near the tub or shower.
D)Keep extra toilet tissue within easy reach.

Answer 2

Install grab bars near the tub or shower.

Question 3

The use of restraints for a hospitalized client is indicated in which of these situations?

A)when close observation and supervision of the client cannot be provided by nursing personnel
B)when all other interventions have been tried first
C)when other disciplines prefer not to deal with the client's underlying problem
D)when only jacket restraints are indicated

Answer 3

when all other interventions have been tried first

Question 4

For a client who is unable to adequately perform personal daily care,which of these nursing diagnoses would be applied?

A)Infection,risk for
B)Knowledge deficit
C)Pain
D)Self-care deficit

Question 5

Which of these statements regarding the use of physical restraints is TRUE?

A)The need for a health care provider's order varies from state to state.
B)Physical restraints are applied when chemical restraints are ineffective.
C)The nurse's responsibility in meeting the client's basic needs increases.
D)Restraints must be reevaluated during every shift for need and correct placement.

Question 6

To extinguish a small fire that started when a cigarette was accidentally thrown into a waste can,which type of extinguisher should the nurse select?

A)class A
B)class B
C)class B or C
D)class A,B,or C

Question 7

When discussing the use of crutches by a client,a nurse should include which of these safety measures?

A)Position the crutch tips to move with the stronger side while allowing the weaker side to rest.
B)The axillary crutch should fit firmly under the arms to bear weight properly.
C)Metal crutches provide greater stability than wooden crutches.
D)The rubber tips should be inspected regularly and replaced if loose or worn.

Question 8

In addition to a tub bath or shower,which of these aspects should a nurse make sure to include in a client's daily hygiene care?

A)brushing and flossing teeth
B)shampooing
C)lower limb massage
D)cutting toenails

Question 9

When the nurse is using a wheelchair to transport a client,which of these actions is essential?

A)Push the wheelchair into doorways and elevators with the client facing forward.
B)Lift the footrests when getting the client into or out of the chair.
C)Push the wheelchair slowly from behind.
D)Keep the wheelchair unlocked when the client is not in motion.

Question 10

Which type of bath requires a health care provider's order?

A)complete bed
B)partial
C)therapeutic
D)tub

Question 11

Safety measures for young adults and adolescents focus primarily on:

A)preventing injury secondary to physical infirmity or effects of medications
B)prevention of injury and education related to lifestyle choices and high-risk behaviors
C)providing adult supervision of activities
D)providing safety education related to stranger awareness

Question 12

Which of the following would pose a safety hazard in a hospital environment?

A)Side rails are raised for clients of all ages.
B)An incontinent client has urinated on the floor.
C)A dietary tray is left on a bedside table.
D)The door to a client bathroom is open.

Question 13

A nurse should instruct a client taking a tub bath to do which of the following FIRST if feeling weak or faint?

A)Add cooler water to the tub.
B)Call the nurse.
C)Pull the plug.
D)Get out of the water as soon as possible.

Question 14

A nurse would be MOST concerned about injury risk for clients in which age group?

A)newborn
B)toddlers and preschoolers
C)adolescents and young adults
D)adults of middle or advanced age

Question 15

What is a nurse's highest priority when providing client care?

A)adhering to facility policy and procedure
B)ensuring client confidentiality
C)maintaining a safe environment
D)providing clinically competent client care

Question 16

When a client is using oxygen,the nurse should ensure which of the following?

A)Portable radios are placed on the bedside table.
B)Cotton or acrylic blankets are used on the client's bed.
C)Use of perfumes or deodorants is limited.
D)The client takes tub baths.

Question 17

Clients unaccustomed to the noise and activity of the hospital are at increased risk for:

A)client behavior accidents
B)equipment accidents
C)self-care deficits
D)sensory overload

Question 18

Before a nurse provides any client care,what is the BEST way for a nurse to identify a client?

A)asking the client to state name
B)checking the name on the door of a private room or at the bedside if in a semiprivate room
C)checking the name on the client identification band
D)checking the name on the client identification band and asking client to state name

Question 19

Which of these nursing activities can protect the nurse from radiation exposure?

A)washing hands before applying gloves
B)wearing fluid-repellant cover gowns
C)covering the client with a lead apron
D)reducing the amount of time spent in client contact

Question 20

To reduce an adult client's risk of falling,which of these actions should the nurse take?

A)Keep the bed locked in the upright position with the side rails up.
B)Keep the lighting dim.
C)Place the client's personal belongings and call light within easy reach.
D)Remove walkers and wheelchairs from bedside.

Question 21

The nurse is aware that which of the following factors influence hygiene practices? (Select all that apply. )

A)body image
B)health status
C)knowledge
D)cultural practices
E)personal preferences
F)risk for injury

Question 22

Before using any supplies labeled as "sterile," the nurse must FIRST do which of the following?

A)Charge the client for the item.
B)Confirm that the procedure requires sterile supplies.
C)Inform the client of the planned procedure.
D)Verify that the package is intact and dry.

Question 23

The nurse is caring for a client in restraints.Which of the following would the nurse ensure was included in the documentation for this client? (Select all that apply. )

A)type of restraint used
B)client's response to the restraints
C)assessment for the need of the restraint
D)position of the bed
E)client's age
F)notification of the family