Question 1

A home health nurse is performing a home assessment for safety.Which of the following comments by the patient would indicate a need for further education?

Accepted Answer

A)  "I will schedule an appointment with a chimney inspector next week." 
B)  "Daylight savings is the time to change batteries on the carbon monoxide detector." 
C)  "If I feel dizzy when using the heater, I need to have it inspected." 
D)  "When it is cold outside in the winter, I can warm my car up in the garage." 
A)  "I will schedule an appointment with a chimney inspector next week." 
B)  "Daylight savings is the time to change batteries on the carbon monoxide detector." 
C)  "If I feel dizzy when using the heater, I need to have it inspected." 
D)  "When it is cold outside in the winter, I can warm my car up in the garage."

Question 2

The nurse is presenting an educational session on safety for parents of adolescents.The nurse should include which of the following teaching points?

Accepted Answer

A)  Adolescents need unsupervised time with friends two to three times a week. 
B)  Parents and friends should teach adolescents how to drive. 
C)  Adolescents need information about the effects of beer on the liver. 
D)  Adolescents need to be reminded to use seatbelts on long trips. 
A)  Adolescents need unsupervised time with friends two to three times a week. 
B)  Parents and friends should teach adolescents how to drive. 
C)  Adolescents need information about the effects of beer on the liver. 
D)  Adolescents need to be reminded to use seatbelts on long trips.

Question 3

The nurse is caring for a patient in restraints.Which of the following pieces of information about restraints requires nursing documentation in the medical record?

Accepted Answer

A)  The patient states that her gown is soiled and needs changing. 
B)  Attempts to distract the patient with television are unsuccessful. 
C)  The patient has been placed in bilateral wrist restraints at 0815. 
D)  One family member has gone to lunch. 
E)  Bilateral radial pulses present, 2+, hands warm to touch
F) Released from restraints, active range-of-motion exercises complete 
A)  The patient states that her gown is soiled and needs changing. 
B)  Attempts to distract the patient with television are unsuccessful. 
C)  The patient has been placed in bilateral wrist restraints at 0815. 
D)  One family member has gone to lunch. 
E)  Bilateral radial pulses present, 2+, hands warm to touch
F) Released from restraints, active range-of-motion exercises complete

Question 4

The nurse is caring for a hospitalized patient.Which of the following behaviors alerts the nurse to consider the need for restraint?

Accepted Answer

A)  The patient refuses to call for help to go to the bathroom. 
B)  The patient continues to remove the nasogastric tube. 
C)  The patient gets confused regarding the time at night. 
D)  The patient does not sleep and continues to ask for items. 
A)  The patient refuses to call for help to go to the bathroom. 
B)  The patient continues to remove the nasogastric tube. 
C)  The patient gets confused regarding the time at night. 
D)  The patient does not sleep and continues to ask for items.

Exam 27: Patient Safety

A home health nurse is performing a home assessment for safety.Which of the following comments by the patient would indicate a need for further education?

The nurse is presenting an educational session on safety for parents of adolescents.The nurse should include which of the following teaching points?

The nurse is caring for a patient in restraints.Which of the following pieces of information about restraints requires nursing documentation in the medical record?

The nurse is caring for a hospitalized patient.Which of the following behaviors alerts the nurse to consider the need for restraint?

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