Exam 37: Quality and Patient Safety

The nurse determines that the patient may need a restraint and recognizes which one of the following?

The nurse is caring for a patient in restraints.Which of the following pieces of information about restraints must be documented by the nurse in the medical record? (Select all that apply. )

The nurse knows that children in late infancy and toddlerhood are at risk for injury from which of the following?

According to the Hendrich II Fall Risk Model,a patient with a risk score of 6 is considered to be at which risk level?

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 has been called to a hospital room where a patient was using a hair dryer from home.The patient received an electrical shock from the dryer and is now unconscious and not breathing.What is the best next step?

The nurse is discussing measures to minimize the risk of injury from an automobile accident with an 84-year-old independent woman who lives alone and claims to drive only to church,to the doctor's office,and for groceries.What change has the greatest potential for affecting the patient's safety?

A 1-year-old child is scheduled to receive an intravenous (IV)line.The most appropriate type of restraint to use for this patient to prevent removal of the IV line is which of the following?

A nurse is teaching a community group of school-aged parents about safety.The most important item to prioritize and explain is how to check the proper fit of which of the following?

A visiting nurse completes an assessment of the ambulatory patient in the home and determines the nursing diagnosis of Risk for injury related to decreased vision.On the basis of this assessment,the patient will benefit the most from which of the following actions?

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 providing information regarding safety and accidental poisoning to a grandmother who will be taking custody of a 1-year-old grandchild.Which of the following comments would indicate that the grandmother needs further instruction?

The nurse is caring for an elderly patient admitted with nausea,vomiting,and diarrhea.Upon completing the health history,which priority concern would require collaboration with social services to address the patient's health care needs?

An age-related musculoskeletal change that predisposes the older person to accidents is which of the following?

A homeless adult patient presents to the emergency department.The nurse obtains the following vital signs: temperature 34.9°C (94.8°F),blood pressure 100/56,apical pulse 56,respiratory rate 12.Which of the vital signs should be addressed immediately?

A patient with an intravenous infusion requests a new gown after bathing.Which of the following actions is most appropriate?

Which of the following assessment findings is most critical for a patient who is currently being restrained with mechanical wrist restraints?

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

The nurse is caring for a patient who suddenly becomes confused and tries to remove an intravenous infusion.The nurse begins to develop a plan to care for the patient.Which nursing intervention should take priority?

An older patient presents to the emergency department after stepping in front of a car at a crosswalk.After the patient has been examined in triage,the nurse interviews the patient.Which of the following comments would necessitate follow-up by the nurse?