Deck 23: Safety

Question 1

The nurse suspects a 3-year-old child who is coughing vigorously has aspirated a small object.Which action should the nurse take first?

A) Encourage the child to continue coughing.
B) Deliver upward abdominal thrusts with a fisted hand.
C) Deliver five rapid back blows between the shoulder blades.
D) Perform a blind finger sweep of the child's mouth.

Answer 1

Encourage the child to continue coughing.

Question 2

The nurse is teaching a group of community members about food safety.What should be included in this teaching?

A) Store deli meat for 1 week.
B) Cook eggs until the white is firm.
C) Avoid changing a diaper while cooking.
D) Roast meat at an oven temperature of 250°F or above.

Answer 2

Avoid changing a diaper while cooking.

Question 3

A nurse is teaching a group of mothers about first aid.What should the nurse include to prevent accidental burns in the home?

A) Wear loose-fitting clothing when cooking.
B) Turn pot handles toward the back of the stove.
C) Use the microwave to warm baby formula.
D) Apply butter to the area should a scald burn occur.

Answer 3

Turn pot handles toward the back of the stove.

Question 4

The nurse reviews the proper way to dispose of solid waste with a group of factory workers.What should be included in this teaching?

A) Donate used items.
B) Discard yard trimmings.
C) Discard used containers and bags.
D) Purchase products with extra packaging.

Question 5

An older client is suspected of drinking a glass of water with crushed pills that were being dissolved in efforts to destroy unused doses.What should the nurse do first?

A) Schedule for emergency dialysis.
B) Provide a dose of syrup of ipecac.
C) Prepare to administer activated charcoal.
D) Find out the name of the medication being destroyed.

Question 6

Despite less-restrictive interventions,a patient's behavior escalates,requiring emergency application of restraints.Which action must the nurse do in this situation?

A) Obtain a physician's order before applying restraints.
B) Monitor the patient's status every 4 hours while restrained.
C) Release the restraints and check circulation every hour.
D) Continually reevaluate the patient's need for restraint.

Question 7

The nurse notes that the electrical cord on an IV infusion pump is cracked.Which action by the nurse is best?

A) Continue to monitor the pump to see if the crack worsens.
B) Place the pump back on the utility room shelf.
C) A small crack poses no danger so continue using the pump.
D) Clearly label the pump and send it for repair.

Question 8

The Joint Commission's national Speak Up^® campaign encourages patients to become active and informed participants on the healthcare team.What is the goal of this campaign?

A) Prevent healthcare errors
B) Control the cost of healthcare
C) Reduce the number of automobile accidents
D) Provide a forum for people without health insurance

Question 9

Which instruction is most important for the nurse to include when teaching a mother of a 3-year-old about protecting the child against accidental poisoning?

A) Store medications on countertops out of the child's reach.
B) Purchase medication in child-resistant containers.
C) Take medications in front of the child and explain that they are for adults only.
D) Never leave the child unattended around medications or cleaning solutions.

Question 10

Which aspect of restraint use can the nurse delegate to the nursing assistive personnel?

A) Assessing the patient's status
B) Determining the need for restraint
C) Evaluating the patient's response to restraints
D) Applying and removing the restraints

Question 11

A child is brought to the emergency department after swallowing liquid cleanser.He is awake,alert and able to swallow.Which action should the nurse take first?

A) Administer a dose of syrup of ipecac.
B) Administer activated charcoal immediately.
C) Give water to the child immediately.
D) Call the nearest poison control center.

Question 12

A patient with a radiation implant is weak and needs help even to turn in bed.Which action should the nurse take when caring for this patient?

A) Avoid giving the patient a complete bed bath.
B) Limit the amount of time spent with the patient.
C) Allow extra time for the patient to express feelings.
D) Do not allow anyone to visit the patient.

Question 13

Physiological changes associated with aging place the older adult especially at risk for which nursing diagnosis?

A) Risk for Falls
B) Risk for Ineffective Airway Clearance (choking)
C) Risk for Poisoning
D) Risk for Suffocation (drowning)

Question 14

A patient with a history of falling continually attempts to get out of bed unassisted despite frequent reminders to call for help first.Which action should the nurse take first?

A) Apply a cloth vest restraint.
B) Encourage a family member to stay with the patient.
C) Administer lorazepam (an antianxiety medication).
D) Keep the patient's bed siderails up.

Question 15

A patient is brought to the emergency department after inhaling mercury.The nurse should be alert for which acute adverse effects associated with mercury inhalation?

A) Chest pain,pneumonitis,and inflammation of the mouth
B) Intestinal obstruction and numbness of the hands
C) Hypotension,oliguria,and tingling of the feet
D) Tachycardia,hematuria,and diaphoresis

Question 16

A patient in the emergency department is angry,yelling,cursing,and waving his arms when the nurse comes to the treatment cubicle.Which action should the nurse take?

A) Reassure the patient by entering the room alone.
B) Ask the patient if he is carrying any weapons.
C) Stay between the patient and the door; keep the door open.
D) Make eye contact while stating firmly,"I will not tolerate cursing and threats."

Question 17

The nurse prepares an educational program on safety for staff members.Which reason should the nurse emphasize that is the number one cause for accidental death in individuals over the age of 65?

A) Falls
B) Fires
C) Poisoning
D) Motor vehicle crashes

Question 18

The nurse notes that an older client has both upper siderails raised when in the bed.What should the nurse realize about the use of the siderails for this client?

A) Aids in independence
B) Serves as a mechanical restraint
C) Reminds the client to call for help
D) Eliminates the need for another restraint

Question 19

Which is the most commonly reported incident in hospitals?

A) Equipment malfunction
B) Patient falls
C) Laboratory specimen errors
D) Treatment delays

Question 20

The nurse observes that an older patient's gait and balance appear to be slightly unsteady.What assessment should the nurse perform next?

A) Perform the Get Up and Go Test.
B) Ask the patient if he has fallen in the past year.
C) Refer the patient for a comprehensive fall evaluation.
D) Administer the Timed Up and Go Test.

Question 21

The nurse prepares an educational session on safety for a community group.What should the nurse emphasize as the leading causes of accidental death in preschoolers? Select all that apply.

A) Falls
B) Fires
C) Poisoning
D) Drowning
E) Motor vehicle injuries

Question 22

The nurse prepares to assess whether a client has a risk for falling.Which question should the nurse ask if using the Morse fall scale? Select all that apply.

A) What is the client's gait?
B) Does the client use an ambulatory aid?
C) Does the client have a history of falling?
D) Does the client have an intravenous infusion?
E) Does the client need help walking to the bathroom?

Question 23

The school nurse prepares a teaching session for school-age children.What should be included about firearm safety? Select all that apply.

A) Stop.
B) Tell an adult.
C) Don't touch it.
D) Leave the area.
E) Check for bullets.

Question 24

Which point should the nurse include when teaching safety precautions to a mother of a toddler? Select all that apply.

A) Make sure the child sleeps on his back at night.
B) Keep the telephone number of the poison control center accessible.
C) Use a front-facing car seat placed in the back seat of the car.
D) Keep syrup of ipecac on hand in case of accidental poisoning.
E) Cover electrical outlets.