Quiz 32: Safety

Nursing

Moore is a 72-year-old widower who is recovering from a fall in which he fractured his hip and underwent surgical repair 1 week ago. He will be staying with his son for 2 weeks after he is discharged from the hospital, but he is eager to return to his own home. Once he is home, his son will visit nightly after work, he will receive Meals- on-Wheels once a day, and a home health care attendant will visit weekly to assist him with hygienic care until he is more independent. Mr. Moore's wife died 3 years ago, but he has remained independent and continued his social functions. He lives in a small single-level house with hts dog and cat, and he enjoys gardening. Prior to fracturing his hip he walked his dog daily. You will be his home health care nurse. While hospitalized, Mr. Moore experienced some mild confusion during the night, but his nurses decided not to restrain him. What are the best reasons for avoiding the use of restraints for clients such as Mr. Moore?

Free

Essay

Mr. Moore is very fond of his pets and loves gardening. Restraints are helpful in preventing any other injury or complication to the speedy recovery of the client, but it is the right of every client to become free from any restraint, of any kind, imposed on the client without the will of the client. Therefore, restraint should be imposed only for temporary and immediate results. Healthcare systems have changed their attitude from imposing the restraints to changing the behavior of the client. The clients are encouraged to restrict their harmful movements and habits rather than dictating them the instructions. Such restraint-free environment is very friendly to the client and it makes client stress-free. Such restraint-free environment has been found out to be associated with speedy recovery. Therefore, restraints might not be suited for Mr. Moore and restraint could make him stressed. Mr. Moore experienced confusion probably because of analgesics he used to relieve the pain. Therefore, this must have been treated as the controllable side effect of the medication by the nurse. Mild confusion should not be overcome by restraints. The psychological aspect of healing is very important. Mild confusion should be treated with encouragement, possible medications and restraint-free environment. Another reason for avoiding the restraints is the possibility of other injury or harm because of physical restraint used on the client. Inability to move body parts can also lead to injury if restraint is not imposed properly on the client.

Q 2

A nurse sees smoke emerging from the suction equipment being used. Which is the greatest priority in the event of a fire? 1) Report the fire. 2) Extinguish the fire. 3) Protect the clients. 4) Contain the fire.

Free

Multiple Choice

The most important duty of a nurse is to save the client's life. In emergencies a nurses' first priority action should be to save the patient's life. Motor vehicles, fire, and burns are the major causes of injuries. Nurses should always be aware as to what constitutes a safe surrounding. People who are old and disabled have the problem in protecting themselves, so a nurse should take-charge in these cases to assess what kind of patients require more help than others. In case of a fire the most important nursing action is not reporting the fire. Extinguishing the fire will take time, and cause loss of life. Containing the fire is not the job of a nurse, and will lead to more casualties. Hence, the options 1, 2 and 4 are incorrect. Protecting the life of a client or patient is the utmost responsibility of the nurse. A nurses' main duty is to serve a patient, and she has to put it before everything, even her own life. Patient's life is the most important. Hence, the correct answer is option .

Q 3

Moore is a 72-year-old widower who is recovering from a fall in which he fractured his hip and underwent surgical repair 1 week ago. He will be staying with his son for 2 weeks after he is discharged from the hospital, but he is eager to return to his own home. Once he is home, his son will visit nightly after work, he will receive Meals- on-Wheels once a day, and a home health care attendant will visit weekly to assist him with hygienic care until he is more independent. Mr. Moore's wife died 3 years ago, but he has remained independent and continued his social functions. He lives in a small single-level house with hts dog and cat, and he enjoys gardening. Prior to fracturing his hip he walked his dog daily. You will be his home health care nurse. What are some of the more obvious factors that may affect Mr. Moore's safety as he returns home?

Free

Essay

Homes have certain added benefits for the speedy recovery. Patients do not feel stressed and presence of the family can boost his will to recover fast, but homes are not designed according to the needs of the patients and old adults. Their design and environment might not be conducive for the proper recovery of the client. Safe home needs well-maintained flooring as well as carpets, a non-skid bathroom, handrails, functioning smoke fire alarms and knowledge of escape routes. All these setting prevent injuries and provide safety to the clients. The carpets are common cause of fall in the house. Wet floors and frictionless flooring material are added to the safety concerns. Handrails attached to the staircase prevent injuries by giving a support to any person during a potential fall. Smoke fire alarms are necessary in case of any fire ignition. The client should also know the escape route to avoid the fire. Unavailability of necessary medicines during an emergency can also be considered as a demerit of homecare recovery. Family members need to restraint their behavior towards the client and they should avoid activities, which can lead to the injuries. Steepness of the stair steps and safety around the swimming pool is also vital for escaping any harm during the recovery. Lighting system of the home should be able to prevent any injury from happening. The dark zones should be avoided in the houses or temporary arrangements should be made during the recovery. Location of the home might also affect the recovery and chances of injuries. Municipal facilities, noise and traffic congestion around the home are also a safety hazard.

Q 4

A nurse who is teaching a group of adults ages 20 to 40 years old about safety is going to ensure that which topic is a priority? 1) Automobile crashes 2) Drowning and firearms 3) Falls 4) Suicide and homicide

Multiple Choice

Q 5

Moore is a 72-year-old widower who is recovering from a fall in which he fractured his hip and underwent surgical repair 1 week ago. He will be staying with his son for 2 weeks after he is discharged from the hospital, but he is eager to return to his own home. Once he is home, his son will visit nightly after work, he will receive Meals- on-Wheels once a day, and a home health care attendant will visit weekly to assist him with hygienic care until he is more independent. Mr. Moore's wife died 3 years ago, but he has remained independent and continued his social functions. He lives in a small single-level house with hts dog and cat, and he enjoys gardening. Prior to fracturing his hip he walked his dog daily. You will be his home health care nurse. What do you need to assess with regard to Mr. Moore's safety and what suggestions can you make for enhancing his safety?

Essay

Q 6

An 87-year-old man is admitted to the hospital for cellulitis of the left arm. He ambulates with a walker and takes a diuretic medication to control symptoms of fluid retention. Which intervention is most important to protect him from injury? 1) Leave the bathroom light on. 2) Withhold the client's diuretic medication. 3) Provide a bedside commode. 4) Keep the side rails up.

Multiple Choice

Q 7

Moore is a 72-year-old widower who is recovering from a fall in which he fractured his hip and underwent surgical repair 1 week ago. He will be staying with his son for 2 weeks after he is discharged from the hospital, but he is eager to return to his own home. Once he is home, his son will visit nightly after work, he will receive Meals- on-Wheels once a day, and a home health care attendant will visit weekly to assist him with hygienic care until he is more independent. Mr. Moore's wife died 3 years ago, but he has remained independent and continued his social functions. He lives in a small single-level house with hts dog and cat, and he enjoys gardening. Prior to fracturing his hip he walked his dog daily. You will be his home health care nurse. What strengths do you note about Mr. Moore that may protect him from injury when he returns home?

Essay

Q 8

A mother and her 3-year-old live in a home built in 1932. Which NANDA nursing diagnosis is most applicable for this child? 1) Risk for Suffocation 2) Risk for Injury 3) Risk for Poisoning 4) Risk for Disuse Syndrome

Multiple Choice

Q 9

A 75-year-old client, hospitalized with a cerebrovascular accident (stroke), becomes disoriented at times and tries to get out of bed, but is unable to ambulate without help. What is the most appropriate safety measure? 1) Restrain the client in bed. 2) Ask a family member to stay with the client. 3) Check the client every 15 minutes. 4) Use a bed exit safety monitoring device.

Multiple Choice

Q 10

A client is being admitted to the hospital because of a seizure that occurred at his home. The client has no previous history of seizures. In planning the client's nursing care, which of the following measures is most essential at this time of admission? Select all that apply. Place a padded tongue depressor at the head of the bed. 1) Pad the bed with blankets. 2) Inform the client about the importance of wearing a medical identification tag. 3) Teach the client about epilepsy. 4) Test oral suction equipment.

Multiple Choice

Q 11

Which nursing intervention is the highest in priority for a client at risk for falls in a hospital setting? 1) Keep all of the side rails up. 2) Review prescribed medications. 3) Complete the "get up and go" test. 4) Place the bed in the lowest position.

Multiple Choice

Q 12

Medication errors can place the client at significant risk. Which practice(s) will help decrease the possibility of errors? Select all that apply. 1) Hire only competent nurses. 2) Improve the nurse's ability to multitask. 3) Establish a reporting system for "near misses." 4) Communicate effectively. 5) Create a culture of trust.

Multiple Choice

Q 13

When planning to teach health care topics to a group of male adolescents, which topic should the nurse consider a priority? 1) Sports contribute to an adolescent's self-esteem. 2) Sunbathing and tanning beds can be dangerous. 3) Guns are the most frequently used weapon for adolescent suicide. 4) A driver's education course is mandatory for safety.

Multiple Choice

Q 14

The nurse, at change-of-shift report, learns that one of the clients in his care has bilateral soft wrist restraints. The client is confused, is trying to get out of bed, and had pulled out the IV line, which was subsequently reinserted. Which action(s) by the nurse is appropriate? Select all that apply. 1) Document the behavior(s) that require continued use of the restraints. 2) Ensure that the restraints are tied to the side rails. 3) Provide range-of-motion exercises when the restraints are removed. 4) Orient the client. Assess the tightness of the restraints.

Multiple Choice

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