Exam 66: Safety

The nurse is assessing an older adult client who has come to the emergency department with a possible urinary tract infection. Which would alert the nurse that this client has been abused?

The nurse is completing an assessment of an older adult client whose primary caretaker is the grandson. Which would alert the nurse that this client is a possible victim of emotional abuse?

Which statement by an older adult client to the nurse would indicate that the client is being abused? Select all that apply.

The nurse notices a fire at the end of the hall of a second-floor unit and recognizes that the clients will need to be evacuated out of the hospital. The nurse will use which carrying method to evacuate clients safely out of the hospital?

The nurse has just placed a bed alarm for a client who is disoriented and has explained its use to the client and his family. Which statement by a family member indicates a need for further information related to fall prevention?

The nurse is caring for a female client who has just completed taking a shower. The nurse notes that she is using her own hair dryer to dry her hair. Which is the nurse's best statement to the client concerning this possible safety issue?

The nurse is caring for a client who is disoriented and confused. Which is the safest and least restrictive way to assist this client?

The home health nurse visits an older adult client's home prior to a client's discharge from the hospital to evaluate the home for any safety issues. Which situation if seen by the nurse would constitute the largest safety issue for this client?

While admitting an adult client for treatment of pneumonia, the nurse discovers that the client has been diagnosed with a seizure disorder. What safety precautions will the nurse put into place for this client? Select all that apply.

The nurse has completed an assessment of an older adult client who lives with her son and his wife. The nurse observed some bruising on the client but no other signs of abuse. Which question by the nurse to the client would be most helpful in determining if abuse is occurring?

The nurse is caring for a client who becomes occasionally confused. When the client has a period of confusion, he attempts to pull out his Foley catheter. When the client is oriented, he likes to do crossword puzzles. After receiving an order for restraints, which would be the best place(s)to place the restraint in this client?

The nurse is caring for an older adult client who is very confused and is also very thin. The healthcare provider has prescribed wrist restraints to help prevent the client from getting out of bed. Which is the priority for the nurse in applying the wrist restraints to this client?

The nurse is developing a safety plan for an older adult client who has just been admitted to the nursing unit. The client has limited hearing and eyesight. His medications include furosemide (Lasix)and a baby aspirin. He still lives alone in his home and is able to do small household chores but his daughter comes over every week to take him grocery shopping. Which information will have an impact on the development of the safety plan? Select all that apply.

The nurse has been caring for a client who had a tonic-clonic seizure in the hallway of the nursing unit. Which is the first action the nurse should do when the seizure has finished?

The nurse is caring for a client who recently began taking prescribed blood pressure medicine. Which teaching will be most important to this client in the prevention of falls?

The nurse must restrain a child and knows that a blanket restraint will be best for which child in the nurse's care?

The nurse is caring for four clients and knows that which client is at the highest risk for falls?

The nurse is assisting a client to the bathroom when the client begins to have a tonic-clonic seizure. Which is the first thing that the nurse should do at this time?

The nurse smells smoke and notes what appears to be a fire in the waste basket in the client's room. Which is the nurse's first action when the fire is noted?

The nurse is discussing safety precautions at home with the parents of an 8-year-old child diagnosed with a seizure disorder. Which play activity would the nurse recommend to this family?