Question 1

The nursing instructor is educating a group of nursing students on sports-related injuries.Which comment made by a student nurse would indicate to the nursing instructor the need for further instruction?

Accepted Answer

A) Clients who participate in sports, strenuous exercise, or athletics of any kind should be educated about the dangers of unreported head injuries. Adolescents are at the greatest risk for not reporting sports-related injuries, but adults should be educated about the dangers as well. Clients who have been injured playing a sport, or even those receiving a sports physical, could be counseled by nurses about the risks of unreported concussions.
B) Clients who participate in sports, strenuous exercise, or athletics of any kind should be educated about the dangers of unreported head injuries. Adolescents are at the greatest risk for not reporting sports-related injuries, but adults should be educated about the dangers as well. Clients who have been injured playing a sport, or even those receiving a sports physical, could be counseled by nurses about the risks of unreported concussions.
C) Clients who participate in sports, strenuous exercise, or athletics of any kind should be educated about the dangers of unreported head injuries. Adolescents are at the greatest risk for not reporting sports-related injuries, but adults should be educated about the dangers as well. Clients who have been injured playing a sport, or even those receiving a sports physical, could be counseled by nurses about the risks of unreported concussions.
D) Clients who participate in sports, strenuous exercise, or athletics of any kind should be educated about the dangers of unreported head injuries. Adolescents are at the greatest risk for not reporting sports-related injuries, but adults should be educated about the dangers as well. Clients who have been injured playing a sport, or even those receiving a sports physical, could be counseled by nurses about the risks of unreported concussions.

Question 2

The nurse is caring for a client who will be discharged on a new blood pressure medication which increases the risk of orthostatic hypotension.Which should the nurse include in the discharge teaching to decrease the risk of injury at home?

Accepted Answer

A) Orthostatic hypotension can cause dizziness upon rising that can lead to falls. The nurse instructs the client to rise slowly and stand in place for a few seconds until balance is assured. Providing a bedside commode would be appropriate for the client with urinary urgency. Clients with respiratory difficulties or heart ailments would want to monitor their activity tolerance levels. Appropriate lighting would help the client experiencing impaired vision.
B) Orthostatic hypotension can cause dizziness upon rising that can lead to falls. The nurse instructs the client to rise slowly and stand in place for a few seconds until balance is assured. Providing a bedside commode would be appropriate for the client with urinary urgency. Clients with respiratory difficulties or heart ailments would want to monitor their activity tolerance levels. Appropriate lighting would help the client experiencing impaired vision.
C) Orthostatic hypotension can cause dizziness upon rising that can lead to falls. The nurse instructs the client to rise slowly and stand in place for a few seconds until balance is assured. Providing a bedside commode would be appropriate for the client with urinary urgency. Clients with respiratory difficulties or heart ailments would want to monitor their activity tolerance levels. Appropriate lighting would help the client experiencing impaired vision.
D) Orthostatic hypotension can cause dizziness upon rising that can lead to falls. The nurse instructs the client to rise slowly and stand in place for a few seconds until balance is assured. Providing a bedside commode would be appropriate for the client with urinary urgency. Clients with respiratory difficulties or heart ailments would want to monitor their activity tolerance levels. Appropriate lighting would help the client experiencing impaired vision.

Question 3

The nurse manager is evaluating a staff nurse's knowledge,skills,and attitudes when addressing safety issues with client care.What observations indicate the nurse is skilled when addressing safety concerns? Select all that apply.

Accepted Answer

A) Skills associated with safety include establishing ways to decrease dependence on memory such as documenting care immediately after providing it and undertaking root cause analysis instead of assigning blame. Devising methods that enhance teamwork and participating in conflict resolution are skills associated with teamwork and collaboration. Recognizing deficiencies between current and best practice is a skill associated with quality improvement.
B) Skills associated with safety include establishing ways to decrease dependence on memory such as documenting care immediately after providing it and undertaking root cause analysis instead of assigning blame. Devising methods that enhance teamwork and participating in conflict resolution are skills associated with teamwork and collaboration. Recognizing deficiencies between current and best practice is a skill associated with quality improvement.
C) Skills associated with safety include establishing ways to decrease dependence on memory such as documenting care immediately after providing it and undertaking root cause analysis instead of assigning blame. Devising methods that enhance teamwork and participating in conflict resolution are skills associated with teamwork and collaboration. Recognizing deficiencies between current and best practice is a skill associated with quality improvement.
D) Skills associated with safety include establishing ways to decrease dependence on memory such as documenting care immediately after providing it and undertaking root cause analysis instead of assigning blame. Devising methods that enhance teamwork and participating in conflict resolution are skills associated with teamwork and collaboration. Recognizing deficiencies between current and best practice is a skill associated with quality improvement.
E) Skills associated with safety include establishing ways to decrease dependence on memory such as documenting care immediately after providing it and undertaking root cause analysis instead of assigning blame. Devising methods that enhance teamwork and participating in conflict resolution are skills associated with teamwork and collaboration. Recognizing deficiencies between current and best practice is a skill associated with quality improvement.

Question 4

A nurse educator is teaching nursing students about the application of personal protective equipment (PPE)and emphasizes the importance of appropriate technique when removing the face mask.Which student response indicates appropriate understanding?

Accepted Answer

A) Hand hygiene is always the first and best way to stop the spread of microorganisms, which cause infections. Assessing vital signs is important but should be done more frequently than once daily. Raising the temperature in a client's room would contribute to the growth of microorganisms. Wearing a mask for all clients is not practical and is unnecessary unless a microorganism is airborne and the client is in isolation.
B) Hand hygiene is always the first and best way to stop the spread of microorganisms, which cause infections. Assessing vital signs is important but should be done more frequently than once daily. Raising the temperature in a client's room would contribute to the growth of microorganisms. Wearing a mask for all clients is not practical and is unnecessary unless a microorganism is airborne and the client is in isolation.
C) Hand hygiene is always the first and best way to stop the spread of microorganisms, which cause infections. Assessing vital signs is important but should be done more frequently than once daily. Raising the temperature in a client's room would contribute to the growth of microorganisms. Wearing a mask for all clients is not practical and is unnecessary unless a microorganism is airborne and the client is in isolation.
D) Hand hygiene is always the first and best way to stop the spread of microorganisms, which cause infections. Assessing vital signs is important but should be done more frequently than once daily. Raising the temperature in a client's room would contribute to the growth of microorganisms. Wearing a mask for all clients is not practical and is unnecessary unless a microorganism is airborne and the client is in isolation.

Question 5

The nurse is developing a plan of care for a client who is at risk for falls.Which interventions would be appropriate for the nurse to include in the plan of care? Select all that apply.

Accepted Answer

A) Assessing the client's vision and making sure he is utilizing any prescribed eyewear is an appropriate action. Poor and blurry vision increases the client's risk of falling. Utilizing side rails on the client bed to prevent falls while the client is sleeping is an appropriate intervention. Furthermore, it is appropriate to keep frequently used items within easy reach in an effort to prevent falls. It is not appropriate for the nurse to apply physical restraints if client gets out of bed. The nurse could include in the plan of care to apply physical restraints only when absolutely necessary for the client's safety and only by physician's order.
B) Assessing the client's vision and making sure he is utilizing any prescribed eyewear is an appropriate action. Poor and blurry vision increases the client's risk of falling. Utilizing side rails on the client bed to prevent falls while the client is sleeping is an appropriate intervention. Furthermore, it is appropriate to keep frequently used items within easy reach in an effort to prevent falls. It is not appropriate for the nurse to apply physical restraints if client gets out of bed. The nurse could include in the plan of care to apply physical restraints only when absolutely necessary for the client's safety and only by physician's order.
C) Assessing the client's vision and making sure he is utilizing any prescribed eyewear is an appropriate action. Poor and blurry vision increases the client's risk of falling. Utilizing side rails on the client bed to prevent falls while the client is sleeping is an appropriate intervention. Furthermore, it is appropriate to keep frequently used items within easy reach in an effort to prevent falls. It is not appropriate for the nurse to apply physical restraints if client gets out of bed. The nurse could include in the plan of care to apply physical restraints only when absolutely necessary for the client's safety and only by physician's order.
D) Assessing the client's vision and making sure he is utilizing any prescribed eyewear is an appropriate action. Poor and blurry vision increases the client's risk of falling. Utilizing side rails on the client bed to prevent falls while the client is sleeping is an appropriate intervention. Furthermore, it is appropriate to keep frequently used items within easy reach in an effort to prevent falls. It is not appropriate for the nurse to apply physical restraints if client gets out of bed. The nurse could include in the plan of care to apply physical restraints only when absolutely necessary for the client's safety and only by physician's order.

Question 6

A client in the intensive care unit is combative and pulling at the endotracheal tube,which must remain in place.After applying soft hand restraints to protect the client's airway,which action should the nurse take next?

Accepted Answer

A) According to the law, the primary healthcare provider must see the client and write a prescription for restraints within 1 hour of application. The nurse would apply the restraints to protect the airway and then immediately notify the primary healthcare provider. The nurse would notify the family if present, but that is not the legal priority. The nurse would document the use of restraints as soon as possible after notifying the primary healthcare provider. Most agencies require reassessment of need every 1-2 hours.
B) According to the law, the primary healthcare provider must see the client and write a prescription for restraints within 1 hour of application. The nurse would apply the restraints to protect the airway and then immediately notify the primary healthcare provider. The nurse would notify the family if present, but that is not the legal priority. The nurse would document the use of restraints as soon as possible after notifying the primary healthcare provider. Most agencies require reassessment of need every 1-2 hours.
C) According to the law, the primary healthcare provider must see the client and write a prescription for restraints within 1 hour of application. The nurse would apply the restraints to protect the airway and then immediately notify the primary healthcare provider. The nurse would notify the family if present, but that is not the legal priority. The nurse would document the use of restraints as soon as possible after notifying the primary healthcare provider. Most agencies require reassessment of need every 1-2 hours.
D) According to the law, the primary healthcare provider must see the client and write a prescription for restraints within 1 hour of application. The nurse would apply the restraints to protect the airway and then immediately notify the primary healthcare provider. The nurse would notify the family if present, but that is not the legal priority. The nurse would document the use of restraints as soon as possible after notifying the primary healthcare provider. Most agencies require reassessment of need every 1-2 hours.

Question 7

A home health nurse is teaching an older adult client who has returned home after discharge from the hospital about injury prevention.Which goal would be appropriate to include in this client's plan of care?

Accepted Answer

A) Establishing a buddy system provides social contact, safeguards against abuse, and offers respite for caregivers. It also provides a way for elders to be checked up on daily. The client may resent imposed limitations and act out in such a way as to cause injury. Making uninformed choices about one's health could be unsafe instead of safe to the client. A routine should be established for medication administration with correct dosage to prevent the possibility of overdose toxicity.
B) Establishing a buddy system provides social contact, safeguards against abuse, and offers respite for caregivers. It also provides a way for elders to be checked up on daily. The client may resent imposed limitations and act out in such a way as to cause injury. Making uninformed choices about one's health could be unsafe instead of safe to the client. A routine should be established for medication administration with correct dosage to prevent the possibility of overdose toxicity.
C) Establishing a buddy system provides social contact, safeguards against abuse, and offers respite for caregivers. It also provides a way for elders to be checked up on daily. The client may resent imposed limitations and act out in such a way as to cause injury. Making uninformed choices about one's health could be unsafe instead of safe to the client. A routine should be established for medication administration with correct dosage to prevent the possibility of overdose toxicity.
D) Establishing a buddy system provides social contact, safeguards against abuse, and offers respite for caregivers. It also provides a way for elders to be checked up on daily. The client may resent imposed limitations and act out in such a way as to cause injury. Making uninformed choices about one's health could be unsafe instead of safe to the client. A routine should be established for medication administration with correct dosage to prevent the possibility of overdose toxicity.

Question 8

A nurse manager is assessing the hospital environment in order to decrease the risk for client falls.Which is the best intervention to decrease the risk of client falls?

Accepted Answer

A) Keeping the environment tidy and free of clutter will go a long way in preventing falls. The call button should always be within reach of the client, but is not the best way to prevent falls. Electrical cords should be used only if necessary, and the maintenance department can help if any of them present a hazard. Reading label directions will prevent the wrong use of substances given to the client but would not directly prevent falls.
B) Keeping the environment tidy and free of clutter will go a long way in preventing falls. The call button should always be within reach of the client, but is not the best way to prevent falls. Electrical cords should be used only if necessary, and the maintenance department can help if any of them present a hazard. Reading label directions will prevent the wrong use of substances given to the client but would not directly prevent falls.
C) Keeping the environment tidy and free of clutter will go a long way in preventing falls. The call button should always be within reach of the client, but is not the best way to prevent falls. Electrical cords should be used only if necessary, and the maintenance department can help if any of them present a hazard. Reading label directions will prevent the wrong use of substances given to the client but would not directly prevent falls.
D) Keeping the environment tidy and free of clutter will go a long way in preventing falls. The call button should always be within reach of the client, but is not the best way to prevent falls. Electrical cords should be used only if necessary, and the maintenance department can help if any of them present a hazard. Reading label directions will prevent the wrong use of substances given to the client but would not directly prevent falls.

Question 9

The nurse is conducting a home risk assessment for a family with toddler and preschool-age children.Which finding is considered a safety hazard for this family?

Accepted Answer

A) The nurse would instruct the parents to keep medications out of the children's reach. Medication poisoning happens easily with young toddlers and preschool-age children who think the medication is candy. Safety plugs are appropriate for this age group. Deadbolt locks are appropriate to keep toddlers from wandering out to the street. A lack of a helmet next to a bike does not mean there are no helmets in the house. This finding would cause the nurse to ask more questions but is not considered a definite safety risk.
B) The nurse would instruct the parents to keep medications out of the children's reach. Medication poisoning happens easily with young toddlers and preschool-age children who think the medication is candy. Safety plugs are appropriate for this age group. Deadbolt locks are appropriate to keep toddlers from wandering out to the street. A lack of a helmet next to a bike does not mean there are no helmets in the house. This finding would cause the nurse to ask more questions but is not considered a definite safety risk.
C) The nurse would instruct the parents to keep medications out of the children's reach. Medication poisoning happens easily with young toddlers and preschool-age children who think the medication is candy. Safety plugs are appropriate for this age group. Deadbolt locks are appropriate to keep toddlers from wandering out to the street. A lack of a helmet next to a bike does not mean there are no helmets in the house. This finding would cause the nurse to ask more questions but is not considered a definite safety risk.
D) The nurse would instruct the parents to keep medications out of the children's reach. Medication poisoning happens easily with young toddlers and preschool-age children who think the medication is candy. Safety plugs are appropriate for this age group. Deadbolt locks are appropriate to keep toddlers from wandering out to the street. A lack of a helmet next to a bike does not mean there are no helmets in the house. This finding would cause the nurse to ask more questions but is not considered a definite safety risk.

Question 10

A client asks the nurse if the staff members make many mistakes because there are so many posters and signs about safety on the walls.Which response by the nurse is most appropriate?

Accepted Answer

A) National Patient Safety Goals are focused on solutions to safety issues and prevention of further injuries. Instead of focusing on the individual who made the error, the goals focus on finding ways to prevent that error from happening again. The staff members should not need to be reminded about safety, as safety should be the culture of health care. Healthcare agencies want the public to know about their safety promotions, but that is not the goal of the program.
B) National Patient Safety Goals are focused on solutions to safety issues and prevention of further injuries. Instead of focusing on the individual who made the error, the goals focus on finding ways to prevent that error from happening again. The staff members should not need to be reminded about safety, as safety should be the culture of health care. Healthcare agencies want the public to know about their safety promotions, but that is not the goal of the program.
C) National Patient Safety Goals are focused on solutions to safety issues and prevention of further injuries. Instead of focusing on the individual who made the error, the goals focus on finding ways to prevent that error from happening again. The staff members should not need to be reminded about safety, as safety should be the culture of health care. Healthcare agencies want the public to know about their safety promotions, but that is not the goal of the program.
D) National Patient Safety Goals are focused on solutions to safety issues and prevention of further injuries. Instead of focusing on the individual who made the error, the goals focus on finding ways to prevent that error from happening again. The staff members should not need to be reminded about safety, as safety should be the culture of health care. Healthcare agencies want the public to know about their safety promotions, but that is not the goal of the program.

Question 11

While reviewing safety precautions with the staff in a long-term care facility,which step should the nurse emphasize that helps to promote a safe environment for the clients?

Accepted Answer

A) Having the client wear rubber skid-resistant slippers is the most appropriate intervention to decrease the risk of client falls, which will promote a safe environment. Dim lighting will increase the risk of client falls. The environment should be clutter-free, because any clutter can cause the client to fall. Noise should be kept to a minimum, but turning off alarms would endanger a client.
B) Having the client wear rubber skid-resistant slippers is the most appropriate intervention to decrease the risk of client falls, which will promote a safe environment. Dim lighting will increase the risk of client falls. The environment should be clutter-free, because any clutter can cause the client to fall. Noise should be kept to a minimum, but turning off alarms would endanger a client.
C) Having the client wear rubber skid-resistant slippers is the most appropriate intervention to decrease the risk of client falls, which will promote a safe environment. Dim lighting will increase the risk of client falls. The environment should be clutter-free, because any clutter can cause the client to fall. Noise should be kept to a minimum, but turning off alarms would endanger a client.
D) Having the client wear rubber skid-resistant slippers is the most appropriate intervention to decrease the risk of client falls, which will promote a safe environment. Dim lighting will increase the risk of client falls. The environment should be clutter-free, because any clutter can cause the client to fall. Noise should be kept to a minimum, but turning off alarms would endanger a client.

Question 12

A nurse is teaching a group in the community ways to decrease the spread of infection.Which measure is the most appropriate for the nurse to include when teaching this group?

Accepted Answer

A) The most appropriate area of client education is to cover the mouth and nose when sneezing to prevent airborne droplets from escaping into the air for others to contract in the chain of infection. Placing linens in a paper bag would allow germs to come out through the bag, and the linen would act as a fomite, thus allowing the chain to continue. PPE is not necessary in the community setting. Gloves are not necessary for clients to wear in the home or community.
B) The most appropriate area of client education is to cover the mouth and nose when sneezing to prevent airborne droplets from escaping into the air for others to contract in the chain of infection. Placing linens in a paper bag would allow germs to come out through the bag, and the linen would act as a fomite, thus allowing the chain to continue. PPE is not necessary in the community setting. Gloves are not necessary for clients to wear in the home or community.
C) The most appropriate area of client education is to cover the mouth and nose when sneezing to prevent airborne droplets from escaping into the air for others to contract in the chain of infection. Placing linens in a paper bag would allow germs to come out through the bag, and the linen would act as a fomite, thus allowing the chain to continue. PPE is not necessary in the community setting. Gloves are not necessary for clients to wear in the home or community.
D) The most appropriate area of client education is to cover the mouth and nose when sneezing to prevent airborne droplets from escaping into the air for others to contract in the chain of infection. Placing linens in a paper bag would allow germs to come out through the bag, and the linen would act as a fomite, thus allowing the chain to continue. PPE is not necessary in the community setting. Gloves are not necessary for clients to wear in the home or community.

Question 13

The nurse is conducting a home safety class for a group of parents in the community.Which should the nurse teach families that would contribute to maintaining safety in the home?

Accepted Answer

A) Always pull a plug at the plug-in from the wall outlet. Pulling a plug by its cord can damage the cord and plug unit, creating a dangerous situation. Not knowing which plants are poisonous and which are not may pose a serious problem for children in the home. Always avoid overloading outlets at any time because it may damage the cord and cause a fire. Do not remove container labels or reuse empty containers to store different substances; laws mandate that the labels of all substances specify an antidote.
B) Always pull a plug at the plug-in from the wall outlet. Pulling a plug by its cord can damage the cord and plug unit, creating a dangerous situation. Not knowing which plants are poisonous and which are not may pose a serious problem for children in the home. Always avoid overloading outlets at any time because it may damage the cord and cause a fire. Do not remove container labels or reuse empty containers to store different substances; laws mandate that the labels of all substances specify an antidote.
C) Always pull a plug at the plug-in from the wall outlet. Pulling a plug by its cord can damage the cord and plug unit, creating a dangerous situation. Not knowing which plants are poisonous and which are not may pose a serious problem for children in the home. Always avoid overloading outlets at any time because it may damage the cord and cause a fire. Do not remove container labels or reuse empty containers to store different substances; laws mandate that the labels of all substances specify an antidote.
D) Always pull a plug at the plug-in from the wall outlet. Pulling a plug by its cord can damage the cord and plug unit, creating a dangerous situation. Not knowing which plants are poisonous and which are not may pose a serious problem for children in the home. Always avoid overloading outlets at any time because it may damage the cord and cause a fire. Do not remove container labels or reuse empty containers to store different substances; laws mandate that the labels of all substances specify an antidote.

Question 14

The nurse is conducting a class for a group of pregnant clients.Which topics should the nurse include when teaching this group about safety of the fetus?

Accepted Answer

A) Alcohol consumption is a safety hazard for the fetus, and pregnant women should be educated about the importance of not drinking alcoholic beverages while pregnant. Suffocation in the crib is a safety hazard for both newborns and infants. Drowning is seen in toddlers and preschoolers, and pedestrian accidents are seen in the older adult.
B) Alcohol consumption is a safety hazard for the fetus, and pregnant women should be educated about the importance of not drinking alcoholic beverages while pregnant. Suffocation in the crib is a safety hazard for both newborns and infants. Drowning is seen in toddlers and preschoolers, and pedestrian accidents are seen in the older adult.
C) Alcohol consumption is a safety hazard for the fetus, and pregnant women should be educated about the importance of not drinking alcoholic beverages while pregnant. Suffocation in the crib is a safety hazard for both newborns and infants. Drowning is seen in toddlers and preschoolers, and pedestrian accidents are seen in the older adult.
D) Alcohol consumption is a safety hazard for the fetus, and pregnant women should be educated about the importance of not drinking alcoholic beverages while pregnant. Suffocation in the crib is a safety hazard for both newborns and infants. Drowning is seen in toddlers and preschoolers, and pedestrian accidents are seen in the older adult.

Question 15

A clinic nurse is preparing a class for new parents on the effects of poor prenatal nutrition.Which is inappropriate to include as an outcome of poor prenatal nutrition?

Accepted Answer

A) During the prenatal period, poor nutrition can have the following effects: altered brain function in the fetus, low birth weight, premature birth, jaundice, and a risk for learning disorders. High birth weight is not associated with poor prenatal nutrition.
B) During the prenatal period, poor nutrition can have the following effects: altered brain function in the fetus, low birth weight, premature birth, jaundice, and a risk for learning disorders. High birth weight is not associated with poor prenatal nutrition.
C) During the prenatal period, poor nutrition can have the following effects: altered brain function in the fetus, low birth weight, premature birth, jaundice, and a risk for learning disorders. High birth weight is not associated with poor prenatal nutrition.
D) During the prenatal period, poor nutrition can have the following effects: altered brain function in the fetus, low birth weight, premature birth, jaundice, and a risk for learning disorders. High birth weight is not associated with poor prenatal nutrition.

Question 16

After completing an assessment,the nurse determines a client is at risk for safety issues.Which data supports the nurse's conclusion? Select all that apply.

Accepted Answer

A) Nurses consider safety at all points during the nursing process, and while working to prioritize client needs. Risks to safety include medications that could cause adverse effects such as antihypertensives and pain medication and factors that can impact falls such as mobility issues or balance. Living with family, eating a balanced diet, and having annual eye examinations do not increase the client's risk for safety issues.
B) Nurses consider safety at all points during the nursing process, and while working to prioritize client needs. Risks to safety include medications that could cause adverse effects such as antihypertensives and pain medication and factors that can impact falls such as mobility issues or balance. Living with family, eating a balanced diet, and having annual eye examinations do not increase the client's risk for safety issues.
C) Nurses consider safety at all points during the nursing process, and while working to prioritize client needs. Risks to safety include medications that could cause adverse effects such as antihypertensives and pain medication and factors that can impact falls such as mobility issues or balance. Living with family, eating a balanced diet, and having annual eye examinations do not increase the client's risk for safety issues.
D) Nurses consider safety at all points during the nursing process, and while working to prioritize client needs. Risks to safety include medications that could cause adverse effects such as antihypertensives and pain medication and factors that can impact falls such as mobility issues or balance. Living with family, eating a balanced diet, and having annual eye examinations do not increase the client's risk for safety issues.
E) Nurses consider safety at all points during the nursing process, and while working to prioritize client needs. Risks to safety include medications that could cause adverse effects such as antihypertensives and pain medication and factors that can impact falls such as mobility issues or balance. Living with family, eating a balanced diet, and having annual eye examinations do not increase the client's risk for safety issues.

Question 17

Several nurses are discussing the Joint Commission's 2013 National Patient Safety Goals during a staff meeting.Which goal improves the effectiveness of communication among caregivers?

Accepted Answer

A) Transmitting test results in a timely manner to the appropriate staff member improves the effectiveness of communication among caregivers. Using the client's room number as an identifier is a passive technique that would not improve the accuracy of client identification. Conducting a verification process to confirm that the correct procedure for the correct client is to be performed is a way of improving the accuracy of client identification. Annually reviewing a list of look-alike/sound-alike drugs is done to improve the safety of use of medication in an organization, not to improve effective communication.
B) Transmitting test results in a timely manner to the appropriate staff member improves the effectiveness of communication among caregivers. Using the client's room number as an identifier is a passive technique that would not improve the accuracy of client identification. Conducting a verification process to confirm that the correct procedure for the correct client is to be performed is a way of improving the accuracy of client identification. Annually reviewing a list of look-alike/sound-alike drugs is done to improve the safety of use of medication in an organization, not to improve effective communication.
C) Transmitting test results in a timely manner to the appropriate staff member improves the effectiveness of communication among caregivers. Using the client's room number as an identifier is a passive technique that would not improve the accuracy of client identification. Conducting a verification process to confirm that the correct procedure for the correct client is to be performed is a way of improving the accuracy of client identification. Annually reviewing a list of look-alike/sound-alike drugs is done to improve the safety of use of medication in an organization, not to improve effective communication.
D) Transmitting test results in a timely manner to the appropriate staff member improves the effectiveness of communication among caregivers. Using the client's room number as an identifier is a passive technique that would not improve the accuracy of client identification. Conducting a verification process to confirm that the correct procedure for the correct client is to be performed is a way of improving the accuracy of client identification. Annually reviewing a list of look-alike/sound-alike drugs is done to improve the safety of use of medication in an organization, not to improve effective communication.

Question 18

The nurse is planning care for a client who is experiencing confusion.Which action by the nurse ensures safety for this client?

Accepted Answer

A) To prevent falls in the confused client, the nurse should place the call bell next to the client so that the client does not fall trying to reach for it. The bed rails do not need to be up when the client is with a staff member but should be up if the client is alone. Most agency windows are kept closed or are the type that cannot open wide enough to cause injury. Administering ordered medication will not prevent injury to the client.
B) To prevent falls in the confused client, the nurse should place the call bell next to the client so that the client does not fall trying to reach for it. The bed rails do not need to be up when the client is with a staff member but should be up if the client is alone. Most agency windows are kept closed or are the type that cannot open wide enough to cause injury. Administering ordered medication will not prevent injury to the client.
C) To prevent falls in the confused client, the nurse should place the call bell next to the client so that the client does not fall trying to reach for it. The bed rails do not need to be up when the client is with a staff member but should be up if the client is alone. Most agency windows are kept closed or are the type that cannot open wide enough to cause injury. Administering ordered medication will not prevent injury to the client.
D) To prevent falls in the confused client, the nurse should place the call bell next to the client so that the client does not fall trying to reach for it. The bed rails do not need to be up when the client is with a staff member but should be up if the client is alone. Most agency windows are kept closed or are the type that cannot open wide enough to cause injury. Administering ordered medication will not prevent injury to the client.

Question 19

The nurse manager is assessing safe medication administration in preparation for the Joint Commission's (TJC)visit to the hospital.Which observed action is not recommended according to the TJC's National Patient Safety Goals?

Accepted Answer

A) Safe medicine use is identified as one of the National Patient Safety Goals for hospitals. Solutions to better reach the goal of safe medicine include labeling all medicines, using extra caution with blood thinners, and taking care when recording and communicating client medicine information. It is not appropriate to allow the client to keep home medication at the bedside for use in the hospital.
B) Safe medicine use is identified as one of the National Patient Safety Goals for hospitals. Solutions to better reach the goal of safe medicine include labeling all medicines, using extra caution with blood thinners, and taking care when recording and communicating client medicine information. It is not appropriate to allow the client to keep home medication at the bedside for use in the hospital.
C) Safe medicine use is identified as one of the National Patient Safety Goals for hospitals. Solutions to better reach the goal of safe medicine include labeling all medicines, using extra caution with blood thinners, and taking care when recording and communicating client medicine information. It is not appropriate to allow the client to keep home medication at the bedside for use in the hospital.
D) Safe medicine use is identified as one of the National Patient Safety Goals for hospitals. Solutions to better reach the goal of safe medicine include labeling all medicines, using extra caution with blood thinners, and taking care when recording and communicating client medicine information. It is not appropriate to allow the client to keep home medication at the bedside for use in the hospital.

Question 20

The nurse is caring for a client who is prone to falls.Which nursing diagnosis would be most appropriate for this client?

Accepted Answer

A) Risk for Injury is a state in which the individual is at risk as a result of environmental conditions such as a fall. Deficient Knowledge deals with injury prevention. Risk for Disuse Syndrome is a deterioration of a body system as the result of prescribed or unavoidable musculoskeletal inactivity. Risk for Suffocation occurs when inadequate air is available for inhalation.
B) Risk for Injury is a state in which the individual is at risk as a result of environmental conditions such as a fall. Deficient Knowledge deals with injury prevention. Risk for Disuse Syndrome is a deterioration of a body system as the result of prescribed or unavoidable musculoskeletal inactivity. Risk for Suffocation occurs when inadequate air is available for inhalation.
C) Risk for Injury is a state in which the individual is at risk as a result of environmental conditions such as a fall. Deficient Knowledge deals with injury prevention. Risk for Disuse Syndrome is a deterioration of a body system as the result of prescribed or unavoidable musculoskeletal inactivity. Risk for Suffocation occurs when inadequate air is available for inhalation.
D) Risk for Injury is a state in which the individual is at risk as a result of environmental conditions such as a fall. Deficient Knowledge deals with injury prevention. Risk for Disuse Syndrome is a deterioration of a body system as the result of prescribed or unavoidable musculoskeletal inactivity. Risk for Suffocation occurs when inadequate air is available for inhalation.

Quiz 51: Safety