and/or are concerns for young and middle-aged adults employed in stressful work environments.
Older adults experiencing or in abilities are increasingly vulnerable to and of .
Any limitation in mobility is potentially unsafe.
Nursing assessments include and potentially threatening circumstances caused by a lack of knowledge regarding and .
Many patients who fall have a or of such as a .
A patient with a history of accidents is likely to have another one.
Assessment of the environment includes an awareness of in both the and the , with the focus on the patient's and .
Continuous surveillance for environmental hazards is not crucial.
are an invaluable resource in assessing a patient's risk for a fall.
Nurses are responsible for who are at high risk for falls, pertinent on the chart, appropriate to ensure their .
Some health care experts suggest that fall risk assessment should be considered the .
Adults who are or who are experiencing or frequently need the same safety measures as those for .
use among teenagers is more common than that of or .
In 90% of the reported cases, a is the one who abused the older adult.
The Centers for Medicare and Medicaid services have identified as a " " because they are preventable and should never occur.
increase the possibility of serious injury due to a fall, they do not prevent falls.
A side rail is not considered a restraint if the patient requests that it be raised.
The restrictive restraint should be the first option.
The must be consulted and involved in the plan of care before applying restraints in a long-term care setting.
Restraints require an from a or a licensed independent practitioner. It should include the , , and . The order must never be written for use.
In an , the physical restraint can be applied, but an order from a physician or LIP must be obtained or w/in a few minutes.
Constant re-evaluation of the need for the restraint is vital.
Parents should call the poison control center immediately before attempting any .
The nurse caring for patients in a long-term care facility knows that there are factors that place certain patients at a higher risk for falls. Which patient would the nurse consider to be in this category?
A patient who is older than 60
A patient who has already fallen twice
A patient who is taking antibiotics
A patient who experiences postural hypotension
A patient who is experiencing nausea from chemotherapy
A 70 year old patient who is transferred to long-term-care
A school nurse is teaching parents about home safety and fires. What information would be accurate to include in the teaching plan?
60% of US fire deaths occur in the home
Most fatal fires occur when people are cooking
Most people who die in fires die of smoke inhalation
Over 1/3 of fire deaths occur in a home without a smoke detector
Fires are more likely to occur in homes w/out electricity or gas
More fires occur in homes occupied by single parents
A nurse is assessing the following children. Which child would the nurse identify as having the greatest risk for choking and suffocating?
A toddler playing w/his 9 year old brother's construction set
A 4 year old eating yogurt for lunch
an infant covered w/a small blanket and asleep in the crib
a 3 year old drinking a glass of juice
A nurse working in a busy emergency department is caring for a teenage patient who presents with a burning pain in his mouth, edema of the lips, vomiting, and hemoptysis. The teen admits that he was playing a dare game with friends and was forced to swallow a drain opener preparation. What would be the nurse's priority intervention?
induce vomiting and call the PCP
perform stomach lavage and call the poison control center
give activated charcoal orally and call the physician
dilute the poison with milk and call the primary care provider
A nurse is teaching parents in a parenting class about the use of car seats and restraints for infants and children. Which information is accurate and should be included in the teaching plan?
Booster seats should be used for children until they are 4'9" tall and weigh between 80 and 100 pounds
Most US states mandate the use of infant car seats and carriers when transporting a child in a motor vehicle
Infants and toddlers up to 2 years of age (or up to the maximum height and weight for the seat) should be in a front-facing seat
Children older than 6 years may be restrained using a car seat belt in the back seat
A nurse working with adolescents in a juvenile detention center teaches parents about behaviors that place adolescents at high risk for injury. Which statements accurately describe these risks?
Each year underage drinking claims the lives of approximately 5,000 individuals under the age of 21
Approximately 1 in 3 high school students reported using some type of tobacco product
The CDC lists motor vehicle accidents as the number one cause of death for adolescents
Marijuana use among teenagers has been on the increase and the abuse of prescription medication and OTC drugs has remained at a high level
Homicides rates for adolescents are high, and youths aged 10-19 years committed almost 500 suicides using firearms
As many as 30% of children are bullied during their school years and cyber bullying is even more damaging to children
When describing safety issues and related mortality to a local senior citizens group, what would the nurse identify as the leading cause of hospital admissions for trauma in older adults?
fires
exposure to temperature extremes
intimate partner violence
falls
What consideration should the nurse keep in mind regarding the use of side rails for a confused patient?
They prevent confused patients from wandering
A history of a previous all form a bed with raised side rails is insignificant
Alternative measures are ineffective to prevent wandering
A person of small stature is at increased risk for injury from entrapment
When a fire occurs in a patient's room, what would be the nurse's priority?
rescue the patient
extinguish the fire
sound the alarm
run for help
When completing a safety event report, the nurse should
include suggestions on how to prevent the incident form recurring
provide minimal info about the incident
discuss the details w/the patient before documenting them
objectively describe the incident in detail
When discussing emergency preparedness with a group of first responders, what information would be important to include about preparation for a terrorist attack?
PSD can be expected in most survivors of a terrorist attack
The FDA has collaborated w/drug companies to create stockpiles of emergency drugs
Even small doses of radiation results in bone marrow depression and cancer
Blast lung injury is a serious consequences following detonation of an explosive device
An older resident who is disoriented likes to wander the halls of his long-term care facility. Which action would be most appropriate for the nurse to use as an alternative to restraints?
sitting him in a geriatric chair near the nurses's station
using the sheets to secure him snugly in his bed
keeping the bed in the high position
identifying his door with his picture and a balloon
The Joint Commission issues guidelines regarding the use of restraints. In which case is a restraint properly used?
The nurse positions a patient in a supine position prior to applying wrist restraints
The nurse ensures that two fingers can be inserted between the restraint and patient's ankle
The nurse applies a cloth restraint to the left hand of a patient w/an IV catheter in the right wrist
The nurse ties an elbow restraint to the raised side rail of a patient's bed
A nurse orients an older patient to the safety features in her hospital room. What is a priority component of this admission routine?
Explain how to use the telephone
Introduce the patient to her roommate
Review the hospital policy on visiting hours
Explain how to operate the call bell
A nurse responds to the call bell and finds another nurse evacuating the client from the room. Which of the following actions should the nurse take?
extinguish fire
confine fire
pull the fire alarm lever
evacuate the unit
A nurse is providing instructions to the mother of a toddler regarding the prevention of burn injuries in the toddler. Which of the following instructions is of the highest priority to provide to the mother?
Keep coffee cups on the counter above the child's reach
Cool hot liquids before giving them to the child
Teach the toddler about fire safety
Instruct the toddler about the consequences of burns
A nurse is caring for a client who is receiving an intravenous therapy through an IV pump. Which of the following interventions should the nurse implement to ensure electrical safety?
Tape the electrical cord of the pump to the floor
Run the electrical cord of the pump under the carpet
Use an extension cord to provide freedom of movement
Obtain a 3-prong grounded plug adapter
a nurse is preparing to file a safety event report after a client experienced a fall. The nurse is aware that which statement below is correct regarding the filing of a safety event report?
The nurse should record the incident in the client's medical record and fill out a safety event report separately.
The nurse should await the results of an x-ray before filing the report
The nurse should make a copy of the safety event report and place it in the client's medical record
The nurse should include a note on the client's chart that mentions the report
During a course on terrorism, a group of emergency room nurses learns about terrorists who use bombs or other explosives to inflict injury on numerous people and cause multiple fatalities. This is an example of what type of terrorism?
Bioterrorism
Chemical terrorrism
Nuclear terrorism
Mass trauma terrorism
The nurse caring for a client with small pox would anticipate this client being on which type of precautions?
Contact
Surgical
Standard
Medical
Respiratory
A nurse smells smoke and subsequently discovers a fire in a garbage can in a common area on the hospital unit. What is the nurse's priority action in this situation?
Attempt to extinguish the fire
Rescue anyone who is in immediate danger
Activate the fire alarm on the unit
Evacuate clients and staff
