Exam 20: Patient Environment and Safety

When caring for a patient with acute radiation sickness (ARS) after an accident at an atomic power plant, the nurse should:

Legal implications for using a protective device require thorough documentation and require that the nurse include: (Select all that apply.)

Each resident admitted must have a fall risk assessment performed so that appropriate actions to prevent falls can be included in the nursing care plan. The items are considered when doing a fall risk assessment on a newly admitted resident include: (Select all that apply.)

A patient is agitated and confused and keeps getting out of bed and needs to be observed constantly. The best initial nursing intervention is to:

An elderly patient who is unable to get out of bed complains that the room is too cold because of the air conditioning and asks the nurse to open the window. The nurse's best reply is:

A patient has left-sided paralysis following a right-sided cerebrovascular accident (CVA). After completing a bed bath, the nurse should begin to change the sheets by:

The nurse clarifies to the worried family that the guiding principle for using protective devices is:

An agitated resident who is seated in his wheelchair calls the nurse because the bed linens are smoldering. After moving the patient to the hall, the nurse should:

A diabetic patient has chronic peripheral vascular disease, which results in edema and poor circulation to her feet. She constantly complains of cold legs. The best nursing action is to provide:

The nurse in a long-term facility who is making a fall assessment would identify the person most at risk for a fall to be a resident who:

The doctor has written an order to place a resident in the nursing home in a vest protective device. It is the nurse's responsibility to:

When the nurse is making an occupied bed, back safety indicates that the nurse should initially:

An elderly patient is discharged home after hip surgery. The statement that indicates a family member understands discharge safety instructions given by the nurse is, "I will:

The home health nurse assessing the home for safety hazards notes a hazard that should be remedied is:

The best way to maintain safety measures relative to helping a patient get into bed is to:

The patient complains of an odor in his room that smells like something is rotting. The nurse makes an assessment of the room and:

A resident is confused and teary. She is threatening to leave the facility to return home. The nurse should:

There is evidence that a resident in a home care environment might have accidentally ingested gasoline left by the gardeners. The nurse should first:

The physician orders wrist restraints for an agitated patient. To safely use this protective device, the nurse:

A nurse is instructing a nursing student about restraint use. The nurse recognizes the need for further instruction when the nursing student states, "I will: