Exam 4: Patient Safety and Quality Improvement

The nurse is orienting a group of new nurses and explaining the concept of sentinel events and their causes.What should the nurse explain as the number one root cause of all sentinel event reports to The Joint Commission?

The nurse enters the room and finds the patient sitting in a chair and just beginning to have a seizure. Match the nursing interventions with the step, beginning with the nurse's first action. -5. Step 1

The female patient wearing bilateral wrist restraints complains that her hands are numb; and the nurse assesses pale,cool fingers.Which is the nurse's priority intervention?

MATCHING While walking in the hallway with the nurse, the patient has a seizure. Match the nursing interventions with the step. -2. Step 2

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 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 is instructing a male 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?

The patient sustains a minor leg abrasion and stops breathing for a few seconds during a grand mal seizure.Which is the best nursing documentation after the patient's seizure?

The nurse enters the room and finds the patient sitting in a chair and just beginning to have a seizure. Match the nursing interventions with the step, beginning with the nurse's first action. -8. Step 4

Although the interdisciplinary team is responsible for the safety of the patient,who has the ultimate responsibility for making the patient's bedside area safe?

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

The nurse is caring for a patient who has brought in his own CPAP device to use at night.What does the nurse need to do in addition to contacting Respiratory Therapy?

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

MATCHING While walking in the hallway with the nurse, the patient has a seizure. Match the nursing interventions with the step. -4. Step 4

Which of the following statements are examples of features that support a culture of safety? (Select all that apply.)

The nurse enters the room and finds the patient sitting in a chair and just beginning to have a seizure. Match the nursing interventions with the step, beginning with the nurse's first action. -6. Step 2

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

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?

MATCHING While walking in the hallway with the nurse, the patient has a seizure. Match the nursing interventions with the step. -1. Step 1

The nurse is giving report to the next shift and describes how it is important to maintain a regular schedule for Mr.Jones,a confused elderly man who wanders.Why is it important for this intervention to be maintained?