Exam 13: Safety and Quality Improvement

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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 ______________.

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material safety data sheets (MSDSs)
Health care facilities provide employees access to a material safety data sheet (MSDS) for each hazardous chemical.An MSDS is a form that contains data about the properties of a particular chemical and information for handling a substance in a safe manner (e.g., storage, disposal, protective equipment, spill handling procedures).

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

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last resort
The use of physical restraints is one safety strategy that has been used to protect patients from injury.However, efforts have been in place for several years by the Centers for Medicare and Medicaid Services and The Joint Commission to reduce the use of restraints and to use them only under extreme caution.Physical restraints are the last resort and are used only when reasonable alternatives have failed.

Which of the following alternatives to physical restraints should the nurse use to promote patient safety? (Select all that apply.)

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A, C, D

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

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

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When assessing a patient, a nurse notes that the skin distal to a restraint is pale and cool to the touch.Which of the following interventions will the nurse perform first?

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When caring for a patient who has an arm or leg restraint in place, how often will the nurse remove the restraint?

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Continuous seizure activity that lasts longer than 10 minutes is known as _______________.

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To promote patient safety, government standards regarding mechanical and physical restraints state that:

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

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A nurse enters the room of a patient who is sitting in a chair and begins to have a seizure.To promote patient safety, which nursing intervention will the nurse initially perform?

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

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After recognizing that a patient has received an electrical shock and removing the source of the shock, what should the nurse do next?

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In a long-term care facility, an elderly patient drops his burning cigarette into a trash can and starts a fire.A Type _____ fire extinguisher is the most appropriate type of fire extinguisher for the nurse to use in this situation.

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

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

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__________ are the most common type of inpatient accident.

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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.)

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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 use the restroom.The institution has only beds with four side rails.Which of the following is the appropriate rationale for leaving one of the lower side rails down?

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A thumb-less device used to restrain patients' hands to prevent them from dislodging invasive equipment, removing dressings, or scratching is known as a _____________.

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