Chapter 26: safety, Security, and Emergency Preparedness

[blank_start]Drug[blank_end] and/or [blank_start]alcohol[blank_end] [blank_start]abuse[blank_end] are concerns for young and middle-aged adults employed in stressful work environments.

Older adults experiencing [blank_start]altered[blank_end] [blank_start]balance[blank_end] or [blank_start]decline[blank_end] in [blank_start]cognitive[blank_end] abilities are increasingly vulnerable to [blank_start]falls[blank_end] and [blank_start]episodes[blank_end] of [blank_start]confusion[blank_end].

Any limitation in mobility is potentially unsafe.

Nursing assessments include [blank_start]identifying[blank_end] and [blank_start]recognizing[blank_end] potentially threatening circumstances caused by a lack of knowledge regarding [blank_start]safety[blank_end] and [blank_start]security[blank_end] [blank_start]precautions[blank_end].

Many patients who fall have a [blank_start]primary[blank_end] or [blank_start]secondary[blank_end] [blank_start]diagnosis[blank_end] of [blank_start]cardiovascular[blank_end] [blank_start]disease[blank_end] such as a [blank_start]stroke[blank_end].

A patient with a history of accidents is likely to have another one.

Assessment of the environment includes an awareness of [blank_start]risk[blank_end] [blank_start]factors[blank_end] in both the [blank_start]home[blank_end] and the [blank_start]health[blank_end] [blank_start]care[blank_end] [blank_start]agency[blank_end], with the focus on the patient's [blank_start]developmental[blank_end] [blank_start]level[blank_end] and [blank_start]health[blank_end] [blank_start]status[blank_end].

Continuous surveillance for environmental hazards is not crucial.

[blank_start]Family[blank_end] [blank_start]members[blank_end] are an invaluable resource in assessing a patient's risk for a fall.

Nurses are responsible for [blank_start]identifying[blank_end] [blank_start]patients[blank_end] who are at high risk for falls, [blank_start]documenting[blank_end] pertinent [blank_start]assessments[blank_end] on the chart, [blank_start]planning[blank_end] appropriate [blank_start]interventions[blank_end] to ensure their [blank_start]safety[blank_end].

Some health care experts suggest that fall risk assessment should be considered the [blank_start]sixth[blank_end] [blank_start]vital[blank_end] [blank_start]sign[blank_end].

Adults who are [blank_start]developmentally[blank_end] [blank_start]disabled[blank_end] or who are experiencing [blank_start]dementia[blank_end] or [blank_start]delirium[blank_end] frequently need the same safety measures as those for [blank_start]children[blank_end].

[blank_start]Alcohol[blank_end] use among teenagers is more common than that of [blank_start]tobacco[blank_end] or [blank_start]illicit[blank_end] [blank_start]drugs[blank_end].

In 90% of the reported cases, a [blank_start]family[blank_end] [blank_start]member[blank_end] is the one who abused the older adult.

The Centers for Medicare and Medicaid services have identified [blank_start]falls[blank_end] as a "[blank_start]never[blank_end] [blank_start]event[blank_end]" because they are preventable and should never occur.

[blank_start]Physical[blank_end] [blank_start]restraints[blank_end] 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 [blank_start]least[blank_end] restrictive restraint should be the first option.

The [blank_start]patient's[blank_end] [blank_start]family[blank_end] must be consulted and involved in the plan of care before applying restraints in a long-term care setting.

Restraints require an [blank_start]order[blank_end] from a [blank_start]physician[blank_end] or a licensed independent practitioner. It should include the [blank_start]type[blank_end] [blank_start]of[blank_end] [blank_start]restraint[blank_end], [blank_start]justification[blank_end], and [blank_start]criteria[blank_end] [blank_start]for[blank_end] [blank_start]removal[blank_end]. The order must never be written for [blank_start]PRN[blank_end] use.

In an [blank_start]emergency[blank_end], the physical restraint can be applied, but an order from a physician or LIP must be obtained [blank_start]immediately[blank_end] 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 [blank_start]home[blank_end] [blank_start]remedy[blank_end].

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 school nurse is teaching parents about home safety and fires. What information would be accurate to include in the teaching plan?

A nurse is assessing the following children. Which child would the nurse identify as having the greatest risk for choking and suffocating?

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?

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?

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?

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?

What consideration should the nurse keep in mind regarding the use of side rails for a confused patient?

When a fire occurs in a patient's room, what would be the nurse's priority?

When completing a safety event report, the nurse should

When discussing emergency preparedness with a group of first responders, what information would be important to include about preparation for a terrorist attack?

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?

The Joint Commission issues guidelines regarding the use of restraints. In which case is a restraint properly used?

A nurse orients an older patient to the safety features in her hospital room. What is a priority component of this admission routine?

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?

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?

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?

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?

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?

The nurse caring for a client with small pox would anticipate this client being on which type of precautions?

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?