Deck 32: Safety

Question 1

The nurse is reviewing safety with a home-care client.What should the nurse include in this teaching?

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

Answer 1

Always pull a plug at the plug-in from the wall outlet.

Question 2

The home care nurse wants to ensure the safety of an older client who lives at home alone.Which intervention should the nurse identify as a way to prevent this client from falling?

A)Check vision every 5 years.
B)Exercise regularly.
C)Place socks on feet.
D)Turn the light on after getting out of bed.

Answer 2

Exercise regularly.

Question 3

The nurse is admitting an older client to the care area.What can the nurse do to promote a safe environment for the client?

A)Keep clutter to a minimum in the client's room.
B)Have the client wear terry-cloth slippers.
C)Provide adequate lighting.
D)Turn off alarms to reduce noise.

Answer 3

Provide adequate lighting.

Question 4

The nurse would like to improve communication among caregivers.How should the nurse use the Joint Commission 2013 National Patient Safety Goals to achieve this objective?

A)Review a list of look-alike/sound-alike drugs used in the organization.
B)Use a verification process to confirm the correct procedure.
C)Report critical results of tests and diagnostic procedures on a timely basis..
D)Use the client's room number as an identifier.

Question 5

The nurse is reviewing safety hazards with a pregnant client.What should the nurse include when instructing this client about safety and the developing fetus?

A)Banging into objects
B)Bicycle rides
C)Recreational activities
D)X-rays

Question 6

The mother of a 2-year-old expresses concern to the nurse that her child continually climbs out of the crib at home.What should the nurse advise the mother to do?

A)Omit the afternoon nap.
B)Place a crib net over the top of the crib.
C)Remove all objects from around the crib.
D)Restrain the child if he gets up more than once.

Question 7

While the nurse is performing morning care,a client begins to have a seizure.What should the nurse do to help this client?

A)Insert a tongue blade into the client's mouth.
B)Loosen any clothing around the neck and chest.
C)Restrain the client.
D)Turn the client to the supine position if possible.

Question 8

The nurse is planning care for a client who is prone to falling.Which nursing diagnoses should the nurse use for this client?

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

Question 9

The nurse is considering the use of restraints for a client.In which situation can the nurse apply restraints to a client?

A)Client wanders around the care area.
B)Client is picking at the access site for intravenous infusion of chemotherapy.
C)Client needed to use the bathroom and waited for help but didn't want to soil the bed and fell while attempting to walk to the bathroom.
D)Client does not want to stay in bed but wants to sit in the lounge with others.

Question 10

As a member of the safety committee,the nurse's task is to identify actions to prevent falls within the organization.Which intervention should the nurse emphasize as important to prevent falls?

A)Display the phone number to the nurses' station.
B)Keep electrical cords under the bed.
C)Keep the environment tidy.
D)Read label directions.

Question 11

The nurse is preparing materials to instruct the parents of a newborn.What should the nurse identify as a safety hazard in an infant?

A)Exposure to alcohol consumption
B)Drowning
C)Pedestrian accidents
D)Suffocation in the crib

Question 12

The nurse is applying restraints to a client.After securing a health care provider's order,what should the nurse do?

A)Assess the restraints every 10 minutes.
B)Pad bony prominences.
C)Secure the restraint to the side rail.
D)Tie the restraint with a square knot.

Question 13

The nurse is caring for a client who is confused and wanders.Which alternative to a restraint can the nurse use for this client?

A)Assign this client to the farthest room from the nurses' station.
B)Place a rocking chair in the client's room.
C)Pull up all of the side rails on the bed.
D)Wedge pillows against the side rails on the bed.

Question 14

The nurse is determining a client's risk for injury.What should the nurse assess in this client?
Standard Text: Select all that apply.

A)Age
B)Mobility
C)Hearing
D)Vision
E)Dietary intake

Question 15

The nurse is attending a seminar on bioterrorism.What should the nurse identify as being the highest concern for homeland security?

A)Cancer
B)Seasonal flu
C)Tuberculosis
D)Smallpox

Question 16

The nurse is identifying care goals for a client who is prone to getting hurt.Which care goal should the nurse select for this client?

A)Assess the client's mental status.
B)Keep the client dependent on the staff for all care.
C)Make all choices for the client.
D)Remain free from injury.

Question 17

An older client diagnosed with Alzheimer's disease continually tries to get out of bed at night.Which safety measure should the nurse consider using with this client?

A)Explain all procedures and treatments.
B)Place a bed safety monitoring device on the bed.
C)Orient the client to surroundings.
D)Use relaxation techniques.

Question 18

While eating in a restaurant,a nurse notices that a customer at the next table begins to clutch his throat while eating a steak.What should the nurse do first?

A)Ask the customer if he is choking.
B)Attempt to give five back blows.
C)Perform the Heimlich maneuver.
D)Start chest compressions.

Question 19

The nurse is planning care for an older client.Which safety hazard should the nurse take into consideration when planning this care?

A)Burns
B)Drowning
C)Poisoning
D)Suffocation

Question 20

The nurse is identifying outcomes for an older client prone to injuries.Which outcome should the nurse identify as appropriate for this client?

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

Question 21

A client is prescribed seizure precautions.The nurse places functioning oral suction equipment in the client's room for what reason?

A)Suctioning might be needed to prevent the aspiration of oral secretions.
B)The client has difficulty swallowing liquids.
C)There was a spare oral suction set up,and the nurse did not want to return it to the engineering department.
D)It helps when the client is brushing her teeth.

Question 22

An older client is observed having difficulty moving from a sitting to standing position,and has an unsteady gait.What should the nurse assess in this client to promote home safety?
Standard Text: Select all that apply.

A)Presence of grab bars in the bathroom
B)Absence of scatter rugs on the floors
C)Correct use of cane to ambulate
D)Ability to stand in place for a minute before ambulating
E)Alcohol use with prescribed medications

Question 23

A client who is on seizure precautions experiences a seizure while ambulating in the room.What should the nurse include in this client's documentation?
Standard Text: Select all that apply.

A)Who assisted the client back to bed
B)Location of the seizure
C)Duration of the seizure
D)Status of airway and use of oxygen
E)Who discovered the client

Question 24

The nurse is evaluating teaching provided to a client about home safety.Which observation indicates that teaching has been effective?

A)Smoke alarm functioning with new batteries installed
B)Scatter rugs located in the kitchen and bathroom only
C)Cord for a space heater stretched across a hallway
D)Light bulbs burned out in the bathroom and living room

Question 25

During a home visit,the nurse determines that a toddler is at risk for injury.What did the nurse assess to identify this client's risk?
Standard Text: Select all that apply.

A)Unscreened windows
B)Electrical outlets uncovered
C)Yard with a built-in pool unfenced
D)Cleaning solution in the bottom cabinet
E)Pots on stove with handles turned inward

Question 26

The nurse is installing a bed safety-monitoring device for a client.What should the nurse do after testing the device and alarm sound?

A)Place the leg band on the client with the leg in a straight horizontal position.
B)Place the sensor under the mattress near the shoulder region.
C)Set a time delay for 30 seconds.
D)Connect the sensor pad to the control unit.

Question 27

The nurse is appointed to be a member of committee whose focus is to identify and address workplace safety issues.Which issues should the nurse recommend for analysis by this committee?
Standard Text: Select all that apply.

A)Lifting clients
B)Inadequate lighting
C)Bending and walking
D)Exposure to infectious agents
E)Exposure to hazardous medications

Question 28

The nurse is identifying activities and skills to delegate to unlicensed assistive personnel (UAP).Which action can the nurse safely delegate?

A)Provide oral fluids to a newly extubated client.
B)Irrigate the indwelling urinary catheter of a client recovering from prostate surgery.
C)Apply a wrist restraint to a client.
D)Administer oral pain medication to a client before the client attends physical therapy.

Question 29

A client is prescribed seizure precautions.What can the nurse safely delegate to UAP to complete when implementing the precautions?

A)Placing a tongue blade at the head of the bed
B)Padding the client's bed
C)Installing oxygen
D)Checking the oral suction apparatus

Question 30

After ambulating a client to the bathroom,the unlicensed assistive personnel did not reattach the client's bed safety-monitoring device,and the client fell out of bed.What should the nurse document?

A)Client fell out of bed;bed safety-monitoring device malfunctioning.
B)Client fell out of bed;client removed leg band of bed safety-monitoring device.
C)Client fell out of bed;no observable injuries.
D)Client fell out of bed;bed safety-monitoring device not activated.

Question 31

A client is being transferred from an acute care facility to a long-term care facility.What information should the nurse provide to the long-term care facility about the client's medications?

A)Nothing,as the medications all need to be reordered at the long-term care facility.
B)Have the client's medication prescriptions filled before going to long-term care facility.
C)Instruct the client to tell the nurses at the long-term care facility what medications are prescribed.
D)Inform the nurse at the long-term care facility what medications the client is prescribed,and document that this information was provided.

Question 32

The nurse is preparing to assess a client who has a history of falls.Which methods should the nurse use to assess this client's risk for injury?
Standard Text: Select all that apply.

A)Cognitive awareness
B)Mobility
C)Nursing history
D)Physical examination
E)Health status

Question 33

A client is prescribed to have wrist restraints applied.Place in order the steps the nurse will take to apply these restraints.
Standard Text: Click and drag the options below to move them up or down.

A)Pad bony prominences on the wrist.
B)Apply the padded portion of the restraint around the wrist.
C)Pull the tie of the restraint through the slit in the wrist restraint and ensure that it is not too tight.
D)Attach the other end of the restraint to the movable portion of the bed frame using a half-bow knot.