Exam 4: Patient Safety and Quality Improvement

The nurse is reminding the unlicensed assistive personnel about manifestations of a possible impending seizure.What manifestations does the nurse include? (Select all that apply.)

The patient is having a generalized tonic-clonic seizure.To maintain the airway, which intervention should the nurse implement after the patient's motor activity ceases?

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.)

A patient at risk for falling is being ambulated.Which action by the nurse is most important to prevent the patient from falling?

The daughter of a patient tells the nurse that using the bathroom is embarrassing for the patient and she refuses to use a nurse call system when she needs to get up.Which is the best response by the nurse?

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.)

The nurse plans care for a patient who requires physical restraint.Which is a suitable goal for this patient?

A nurse is caring for a child who has frequent seizures.The family does not want the seizures treated and appear to be in awe when they occur.What action by the nurse is best?

The nurse is caring for an older patient who has a non-weight-bearing cast on the left lower extremity.The patient ambulates without using a walker despite repeated instruction from the nurse to call for assistance.Which response by the nurse is most likely to keep the patient from falling?

The nurse participates in the investigation of an incident in the agency.As a result of the root cause analysis, what would the nurse expect as the ultimate outcome?

A patient has been wandering and is at risk for falling.Which approach by the nurse regarding the use of chemical and physical restraints in the long-term care setting should be considered initially?

Which of the following are examples of alternatives to restraint use in patient care? (Select all that apply.)

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

The nurse is instructing a patient who has a difficult-to-control seizure disorder on home care issues.Which issue affecting safety is most important for the nurse to address with patient teaching before discharge?

After noticing a fire in a patient's room, what action by the nurse takes priority?

A nurse is assessing a patient after a seizure.What precipitating factors does the nurse consider as possibly causing the seizure? (Select all that apply.)

The nurse plans a restraint-free environment but cannot find activities to engage an agitated middle-aged patient.Which should the nurse implement to maintain the patient's safety?

The nurse plans a fall prevention program for a confused patient.Which task from the program is suitable for the nurse to delegate to nursing assistive personnel (NAP)?

The nurse finds the patient pulling on the nasogastric tube (NGT) and surgical drain and fears that the patient will pull them out.Which nursing intervention should the nurse implement to maintain the patient's self-esteem and avoid applying restraints?

The nurse listens to a family's request to bring a few familiar items into the room of a patient who is confused.What response by the nurse is best?