Exam 28: Safety

A patient has just undergone an abdominal aortic aneurysm repair.The patient is pulling at the Foley catheter,nasogastric tube,central line,and abdominal dressing and a wrist restraint is applied after an order is received.Later,the patient reports tingling and numbness in the fingers and hand.Which actions should the nurse take? (Select all that apply.)

A nurse working on the medical unit mistakenly administers the wrong medication to a patient.This type of error would be classified as which of the following?

A pediatric nurse is assessing a patient for a routine physical.The nurse identifies that the parents need additional safety teaching when the parents mentions which of the following?

A nurse is giving anticipatory guidance to the mother of a 10-month-old child.The nurse is focusing on providing a safe environment for the child.Which of the following is the best statement regarding childhood safety?

A patient is confused and has been restrained to prevent injury.Which of the following is a priority as the nurse plans care for the shift?

In an outpatient surgery center,the preoperative nurse has the responsibility of starting IVs prior to the patients' surgeries.One of the surgeons who works at the center orders a different type of IV fluid than the rest of the surgeons.Which of the following should the nurse be most concerned about in this situation?

The registered nurse from the home health agency is performing an initial assessment on a 72-year-old patient who was released from a nursing home.The patient had been admitted to the nursing home for therapy after surgery for repair of a fractured left hip.During a survey of the home environment,which finding would cause the nurse to intervene?

The patient has recently moved into a newly renovated home in the inner city.The patient is being seen in the clinic for complaints of ongoing headaches,nausea,dizziness and fatigue.The symptoms started shortly after moving into the new home.As the nurse gathers information,which of the following questions would be most appropriate to ask the patient?

A fire erupts in a hospital waste receptacle in the hallway.What is the nurse's first response?

A patient in the intensive care unit requires mechanical ventilation,a wound VAC system,patient-controlled analgesia,and an intravenous infusion device.Which safety precaution should the nurse implement in the health care setting?

The parent of a 13-year-old boy is concerned because the teenager wants to hang out with friends all the time and has stated that he wants to get his ear pierced because all his friends have piercings.What is the best response from the nurse?

An 85-year-old retired man with arthritis has recently been prescribed a new medication by his health care provider for pain management.The health care provider identifies that the patient is currently taking 13 different medications on a daily basis.The health care provider is concerned about the patient's safety in the home.Which of the following is most important to assess?

The nurse is concerned because a 77-year-old patient is weak after abdominal surgery.Which of the following should be done to ensure that one of the preventable conditions identified by the Centers for Medicare and Medicaid does not occur?

All hospital employees are concerned about the safety of patients in the hospital,especially regarding the transmission of pathogens.What is the most common means of transmission of pathogens in this environment?

A 75-year-old patient in an acute care hospital who underwent surgery for an abdominal aneurysm developed a urinary tract infection 3 days after placement of a Foley catheter.The nurse believes that this is a reportable incident,and which of the following will happen as a result?

A nursing student is volunteering with a local agency to help prepare the community for a potential bioterrorist attack.On which of the following threats would be the nursing student's primary focus?

A confused patient was found wandering in the hallways several times during the shift.What is the most appropriate nursing intervention to prevent a fall by this patient?

A female 36-year-old bank executive was recently promoted to vice president.She and her husband have two school-age children.The patient is being seen at the clinic and reports severe abdominal pain with diarrhea.During the assessment,the patient explains to the health care worker that she and her family will be moving to another state because of her promotion.Her children are upset about leaving their friends.The health care worker recognizes that which of the following information is a priority for patient teaching?

Of the following,who is most at risk for accidental poisoning?

A nurse is working in a health facility that creates a culture of safety.Which behavior will the nurse use in this type of facility?