Deck 51: Safety

Question 1

The nursing instructor is educating a group of nursing students on sports-related injuries.Which comment made by a student nurse would indicate to the nursing instructor the need for further instruction?

A) "Clients who participate in sports, strenuous exercise, or athletics of any kind should be educated about the dangers of unreported head injuries."
B) "Adolescents are at the greatest risk for not reporting sports-related injuries."
C) "Young adults are at the greatest risk for not reporting sports-related injuries."
D) "Clients who have been injured playing a sport need to be counseled on the risks of unreported concussions."

Answer 1

"Young adults are at the greatest risk for not reporting sports-related injuries."

Question 2

The nurse is caring for a client who will be discharged on a new blood pressure medication which increases the risk of orthostatic hypotension.Which should the nurse include in the discharge teaching to decrease the risk of injury at home?

A) Encourage appropriate lighting.
B) Provide a bedside commode.
C) Rise slowly when getting up.
D) Monitor activity tolerance.

Answer 2

Rise slowly when getting up.

Question 3

The nurse manager is evaluating a staff nurse's knowledge,skills,and attitudes when addressing safety issues with client care.What observations indicate the nurse is skilled when addressing safety concerns? Select all that apply.

A) Documents care immediately after providing it
B) Devises methods that enhance teamwork
C) Participates in conflict resolution
D) Recognizes deficiencies between current and best practice
E) Participates in root cause analysis when appropriate

Answer 3

Documents care immediately after providing it
Participates in root cause analysis when appropriate

Question 4

A nurse educator is teaching nursing students about the application of personal protective equipment (PPE)and emphasizes the importance of appropriate technique when removing the face mask.Which student response indicates appropriate understanding?

A) "I will touch the mask by the strings only."
B) "I will bend the strip at the top of the mask."
C) "I will tie the strings in a bow."
D) "I will loop the ties over the ears."

Question 5

The nurse is developing a plan of care for a client who is at risk for falls.Which interventions would be appropriate for the nurse to include in the plan of care? Select all that apply.

A) Apply physical restraints if the client gets out of bed.
B) Assess the client's vision and make sure he is utilizing any prescribed eyewear.
C) Utilize side rails on client beds.
D) Keep frequently used items within easy reach.

Question 6

A client in the intensive care unit is combative and pulling at the endotracheal tube,which must remain in place.After applying soft hand restraints to protect the client's airway,which action should the nurse take next?

A) Notify the primary healthcare provider.
B) Notify the family of the need for restraints.
C) Reassess the need for the restraints in 8 hours.
D) Document the application of restraints in the chart.

Question 7

A home health nurse is teaching an older adult client who has returned home after discharge from the hospital about injury prevention.Which goal would be appropriate to include in this client's plan of care?

A) The client will take prescribed medication as desired.
B) The client will make uninformed choices when addressing health issues.
C) The client will demonstrate an understanding of all limitations.
D) The client will establish a buddy system.

Question 8

A nurse manager is assessing the hospital environment in order to decrease the risk for client falls.Which is the best intervention to decrease the risk of client falls?

A) Keep the call button within reach at all times.
B) Read label directions.
C) Keep electrical cords under the bed.
D) Clean the environment of clutter.

Question 9

The nurse is conducting a home risk assessment for a family with toddler and preschool-age children.Which finding is considered a safety hazard for this family?

A) Safety plugs in electrical outlets
B) Medications on the kitchen counter
C) Lack of helmets next to bicycles
D) Deadbolt locks on the doors

Question 10

A client asks the nurse if the staff members make many mistakes because there are so many posters and signs about safety on the walls.Which response by the nurse is most appropriate?

A) "We want the public to know we are trying to be safe."
B) "Clinic staff members require frequent reminders about client safety."
C) "National safety goals focus on the individual making the error."
D) "National safety goals seek prevention of injury."

Question 11

While reviewing safety precautions with the staff in a long-term care facility,which step should the nurse emphasize that helps to promote a safe environment for the clients?

A) Keep clutter out of the hallway and inside the client's room.
B) Provide dim lighting.
C) Turn off alarms to reduce noise.
D) Have the client wear rubber skid-resistant slippers.

Question 12

A nurse is teaching a group in the community ways to decrease the spread of infection.Which measure is the most appropriate for the nurse to include when teaching this group?

A) Use personal protective equipment (PPE) sparingly.
B) Place contaminated linens in a paper bag.
C) Wear gloves at all times.
D) Cover the mouth and nose when sneezing.

Question 13

The nurse is conducting a home safety class for a group of parents in the community.Which should the nurse teach families that would contribute to maintaining safety in the home?

A) Remove labels from containers and refill for recycling.
B) Use overloaded outlets only when necessary.
C) Keep plants in the home.
D) Always pull a plug at the plug-in from the wall outlet.

Question 14

The nurse is conducting a class for a group of pregnant clients.Which topics should the nurse include when teaching this group about safety of the fetus?

A) Pedestrian accidents
B) Suffocation in the crib
C) Alcohol consumption
D) Drowning

Question 15

A clinic nurse is preparing a class for new parents on the effects of poor prenatal nutrition.Which is inappropriate to include as an outcome of poor prenatal nutrition?

A) Low birth weight
B) High birth weight
C) Premature birth
D) Altered brain function

Question 16

After completing an assessment,the nurse determines a client is at risk for safety issues.Which data supports the nurse's conclusion? Select all that apply.

A) Lives with adult married daughter and family
B) Occasional dizziness with walking
C) Prescribed antihypertensive and pain medication
D) Ingests three meals a day and two snacks
E) Receives an annual ophthalmologic examination

Question 17

Several nurses are discussing the Joint Commission's 2013 National Patient Safety Goals during a staff meeting.Which goal improves the effectiveness of communication among caregivers?

A) Conduct a verification process to confirm the correct procedure.
B) Transmit test results in a timely manner to the appropriate staff member.
C) Review a list of look-alike/sound-alike drugs used in the organization.
D) Use the client's room number as an identifier.

Question 18

The nurse is planning care for a client who is experiencing confusion.Which action by the nurse ensures safety for this client?

A) Keep the windows in the client's room closed.
B) Keep the side rails up on the bed when the client is with a staff member.
C) Place the call bell next to the client.
D) Administer ordered medication.

Question 19

The nurse manager is assessing safe medication administration in preparation for the Joint Commission's (TJC)visit to the hospital.Which observed action is not recommended according to the TJC's National Patient Safety Goals?

A) Labeling all medicines that will be administered to the client appropriately
B) Using extra caution with blood thinners
C) Taking care when recording client medicine information
D) Allowing the client to keep home meds at the bedside for use while in the hospital

Question 20

The nurse is caring for a client who is prone to falls.Which nursing diagnosis would be most appropriate for this client?

A) Risk for Injury
B) Risk for Suffocation
C) Deficient Knowledge
D) Risk for Disuse Syndrome

Question 21

The nurse is preparing to assess the client's blood pressure using an electronic monitoring unit and notices that the end of the cord is frayed.Which action by the nurse is most appropriate to prevent harm?

A) Plug the machine in to make sure it works appropriately.
B) Get another machine from the equipment room.
C) Label the machine as broken and notify engineering.
D) Complete an incident report.

Question 22

A novice nurse has accepted a position on a medical-surgical unit at a local university hospital.In order to provide safe care to clients,the nurse should plan to develop which competency?

A) Creating a culture of trust within the hospital
B) Functioning as a member of the healthcare team
C) Promoting appropriate values that clients should adopt
D) Reporting families for bringing food to the client's room