Question 1

A nurse is caring for a child who has frequent seizures.The family does not want the seizures treated and appear to be in awe when they occur.What action by the nurse is best?

Accepted Answer

The nurse should first assess the family's cultural values and norms related to seizures to understand their perspective and provide culturally sensitive care.

Question 2

After noticing a fire in a patient's room, what action by the nurse takes priority?

Accepted Answer

The priority action is to ensure the safety of the patient by removing them from immediate danger.

Question 3

Which of the following are examples of alternatives to restraint use in patient care? (Select all that apply.)

Accepted Answer

The answer of Which of the following are examples of...

Question 4

At a safety workshop nurses are being taught to use the fire extinguishers on common fires.What action by the nurse requires the teacher to review the material?

Accepted Answer

Aiming at the highest point of the flames is incorrect; the base of the fire should be targeted to effectively extinguish it.

Question 5

The nurse is caring for a patient and is exposed to a chemotherapy drug during IV administration.Where can the nurse obtain information about the drug that is necessary for an exposure-related incident?

Accepted Answer

Safety Data Sheets (SDS) provide detailed information about handling, exposure, and safety measures for chemicals, including chemotherapy drugs.

Question 6

A nurse is assessing a patient after a seizure.What precipitating factors does the nurse consider as possibly causing the seizure? (Select all that apply.)

Accepted Answer

The answer of A nurse is assessing a patient after...

Question 7

The Joint Commission restricts the use of restraints to the least restrictive device necessary to prevent disruption of needed care.The order for restraints must include which of the following? (Select all that apply.)

Accepted Answer

The Joint Commission requires that the order for restraints include the type, duration, purpose, and location of the restraint.

Question 8

A student is caring for a patient admitted with acute alcohol withdrawal.The patient is very agitated and flailing about in the bed.What action by the student requires the registered nurse to intervene?

Accepted Answer

Restraints should be used as a last resort and require a physician's order. The nurse should intervene to ensure that less restrictive measures are attempted first.

Question 9

The nurse is reminding the unlicensed assistive personnel about manifestations of a possible impending seizure.What manifestations does the nurse include? (Select all that apply.)

Accepted Answer

Staring, rapid eye blinking, not responding, and head nodding can be manifestations of an impending seizure, as they may indicate changes in neurological activity. Sudden fever is not typically associated with seizures.

Question 10

A patient is having a seizure and has fallen to the floor.After placing a pillow under the patient's head, what action does the nurse take next?

Accepted Answer

After ensuring the patient's head is protected, the nurse should call for help to ensure additional assistance and resources are available.

Question 11

The nurse is caring for a patient who has brought in a personal CPAP device to use at night.What does the nurse need to do in addition to contacting respiratory therapy?

Accepted Answer

The nurse should ensure the device is inspected for safety to prevent any potential hazards or malfunctions while in use within the hospital setting.

Question 12

The nurse is caring for a patient who just received a diagnosis of a seizure disorder.What supplies should the nurse gather to have at the bedside? (Select all that apply.)

Accepted Answer

A suction device is necessary to clear the airway if needed during a seizure. An oxygen source and nasal cannula are important to provide supplemental oxygen if the patient experiences respiratory distress during or after a seizure.

Question 13

The nurse is giving report to the night 1900-0700 shift and describes a confused elderly patient who wanders.What action by the oncoming nurse is most appropriate?

Accepted Answer

Asking the family about how the patient communicates needs is the most appropriate action because it will help the nurse to better understand the patient's needs and how to communicate with them.

Quiz 4: Patient Safety and Quality Improvement