Quiz 64: Patient Safety Perry et al.: Clinical Nursing Skills & Techniques, 9th Edition

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Quiz 64: Patient Safety
Perry et al.: Clinical Nursing Skills & Techniques, 9th Edition

Questions 32
Instructor Verified Answers Included
WarofGrades Guaranteed A+ Graded Tutorial

MULTIPLE CHOICE

1. The patient is admitted to the hospital with orders for activity as tolerated. He is wheelchair-bound at home and has brought his own electric wheelchair and battery charger to help him maintain mobility. The nurse realizes that:
a. patients are not allowed to bring in an electric wheelchair.
b. electrical equipment is banned from all hospitals.
c. the charger needs to be checked by hospital engineers.
d. electrical devices are not a cause for concern.

2. Upon entering the patient’s room, the nurse sees a fire burning in the trash can next to the bed. The nurse removes the patient and reports the fire. What is the nurse’s next action?
a. Extinguish the fire.
b. Remove all other patients from the unit.
c. Close all doors of patient rooms.
d. Move the trash can into the bathroom.

3. In a long-term care facility, an elderly patient drops his burning cigarette into a trash can and starts a fire. A type _____ fire extinguisher is the most appropriate type of fire extinguisher for the nurse to use in this situation.
a. A
b. B
c. C
d. D

4. Given the most common causes of hospital fires, which of the following choices are most appropriate in preventing patient injury?
a. Assure that all electrical devices are checked by engineering.
b. Assist patients who smoke to a safe area to smoke.
c. Prop fire doors open for easier patient access.
d. Educate patients on the importance of smoking cessation.

5. After recognizing that a patient has received an electrical shock and removing the source of the shock, what should the nurse do next?
a. Call for assistance.
b. Immediately start CPR.
c. Obtain emergency equipment.
d. Assess for the presence of a pulse.

6. The patient is an elderly gentleman who is admitted for a medical problem. While doing his admission assessment, the nurse learns that the patient gets up 2 to 3 times a night to use the restroom. The institution has only beds with four side rails. Which of the following is the appropriate rationale for leaving one of the lower side rails down?
a. Falls rarely happen in the inpatient setting.
b. Having all side rails raised increases the occurrence of falling.
c. Side rails have no bearing on whether or not a patient falls.
d. Patient falls rarely result in physical injury.

7. A patient is taking a medication that has the potential to cause orthostatic hypotension. Which of the following nursing interventions is appropriate for this patient?
a. Have the patient sit slowly and dangle.
b. Refer the patient to physical therapy.
c. Keep the side rails up at all times.
d. Obtain a walker or a cane for patient use.

8. What should the nurse do to promote patient understanding and security in the health care setting?
a. Restrain the patient as necessary.
b. Explain all procedures to the patient.
c. Allow the patient more time alone.
d. Restrict activity as much as possible.

9. As part of an attempt to implement a restraint-free environment, the nurse:
a. provides constant activity for the patient.
b. covers or camouflages tubes and drains.
c. changes caregivers as often as possible.
d. reduces visiting hours and times in therapy.

10. A patient is well known to the hospital staff from previous admissions and is prone to wandering at night. For patient safety, the physician writes an order for “belt restraint prn.” What should the nurse do upon reviewing this order?
a. Apply a belt restraint on the patient as needed.
b. Have the patient sign an “informed consent” form.
c. Inform the physician that “prn” restraint orders are unacceptable.
d. Obtain a signed “informed consent” from a family member.

11. To promote patient safety, government standards regarding mechanical and physical restraints state that:
a. alternative measures are to be implemented before restraints are used.
b. the nurse’s judgment is all that is required for restraint use.
c. restraints should be used immediately for all patients who may need them.
d. restraints cannot be used except to prevent others from being harmed.

12. When applying a belt restraint to a patient, it is important for the nurse to:
a. apply the belt under the hospital gown.
b. place the restraint around the abdomen.
c. have the patient in a sitting position.
d. apply the belt as tightly as possible.

13. When caring for a patient who has been restrained, how often will the nurse perform an assessment?
a. Every 15 minutes
b. Every 30 minutes
c. Every hour
d. Every 2 hours

14. When caring for a patient who has an arm or leg restraint in place, how often will the nurse remove the restraint?
a. Every 15 minutes
b. Every 30 minutes
c. Every hour
d. Every 2 hours

15. When assessing a patient, a nurse notes that the skin distal to a restraint is pale and cool to the touch. Which of the following interventions will the nurse perform first?
a. Remove the restraint.
b. Loosen the restraint.
c. Obtain a larger restraint.
d. Reapply the restraint with more padding.

16. A nurse enters the room of a patient who is sitting in a chair and begins to have a seizure. To promote patient safety, which nursing intervention will the nurse initially perform?
a. Immediately call for assistance.
b. Assist the patient to the floor.
c. Put the patient back into the bed.
d. Insert a padded tongue blade into the patient’s mouth.

17. What should the nurse do to prevent a patient from aspirating during a seizure?
a. Insert an oral airway.
b. Restrain the patient securely.
c. Sit the patient upright.
d. Turn the patient onto his/her side.

MULTIPLE RESPONSE

1. A safe health care environment is one in which: (Select all that apply.)
a. the patient’s basic needs are met.
b. physical hazards are reduced.
c. transmission of microorganisms is reduced.
d. sanitary measures are carried out.

2. Effective fall prevention programs include which of the following? (Select all that apply.)
a. Risk assessment
b. Medication reviews
c. Use of assistive devices
d. Exercise and strength training

3. Which of the following fall prevention strategies should the nurse perform on all hospitalized patients? (Select all that apply.)
a. Conduct hourly rounds.
b. Provide the patient regular toileting.
c. Assess the patient’s comfort needs.
d. Evaluate the effectiveness of pain medication.

4. Which of the following alternatives to physical restraints should the nurse use to promote patient safety? (Select all that apply.)
a. Environmental modifications
b. Less frequent patient observation
c. Involvement of family during visitation
d. Frequent reorientation of the patient

5. The use of restraints has been associated with which of the following complications? (Select all that apply.)
a. Pressure ulcers
b. Pneumonia
c. Constipation
d. Death

6. When working with a patient who has a new seizure disorder, the nurse is alerted to the need for further instruction when the patient tells the nurse: (Select all that apply.)
a. “I will avoid over-the-counter medications that contain alcohol.”
b. “I have the medications that I take listed on this card that I carry with me.”
c. “I will be sure to take my medications as prescribed by my provider.”
d. “I will visit my physician right after I return home from my next trucking job.”

COMPLETION

1. It is important for nurses to understand what patients perceive as ___________ so that patients will become partners in programs to prevent them.

2. More than ____________ patients are injured in falls in inpatient settings annually in the United States.

3. Health care facilities must provide employees access to information about the properties of particular chemicals and information for handling substances in a safe manner. Facilities do this by providing ______________.

4. __________ are the most common type of inpatient accident.

5. The use of physical restraints is one safety strategy that has been used to protect patients from injury. However, physical restraints should be used as a ______________ and are used only when reasonable alternatives have failed.

6. An ________________ maintains immobilization of the extremities to protect the patient from accidental removal of a therapeutic device.

7. A thumb-less device used to restrain patients’ hands to prevent them from dislodging invasive equipment, removing dressings, or scratching is known as a _____________.

8. _________________ are sudden, abnormal, and excessive electrical discharges from the brain that change motor or autonomic function, consciousness, or sensation.

9. Continuous seizure activity that lasts longer than 10 minutes is known as _______________.

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