Chapter 13 Home Safety

Question 0

What are some factors that can contribute to the clients risk for injury?

Answer 0

Age and development status
Mobility and balance 
Knowledge about safety hazards
Cognitive awareness 
Communication skills
Home and work environment

Question 1

Nurses often can collaborate with client, family, and members of the inter professional team to promote safety, name some of the members of the inter professional team.

Answer 1

Social workers
Occupational therapist
Physical therapist

Question 2

In order to initiate a plan of care, the nurse must identify risk factors using which tools?

Answer 2

Risk assessment tool
Complete a nursing history
Physical examination
Home hazard appraisal.

Question 3

In the plan of care for safety preparedness. Which emergency nursing principals should be included?

Answer 3

Basic first aid

CPR

Question 4

What types of at home risks exist for infants and toddlers?

Answer 4

Aspiration (chocking)
Suffocation "back to sleep"
Poisoning 
Falls
Motor vehicle injury 
Burns

Question 5

What types of at home risks exist for infants and preschoolers and school-age children?

Answer 5

Drowning
Motor Vehicle injury
Firearms 
Play injury
Burns 
Poison

Question 6

What types of at home risks exist for adolescents?

Answer 6

Motor vehicle injury

Burns

Question 7

In young to middle age adults what are the highest leading causes of death?

Answer 7

Motor vehicle
Occupational injuries
High consumption of alcohol and suicide.

Question 8

How can a nurse promote client safety for young to middle age adults?

Answer 8

Reminding clients to drive defensively
Educate about long term effects of drinking
Discuss dangers of social networking

Question 9

Within the home and community there are additional risks. Name a few.

Answer 9

Passive smoking
Carbon monoxide
Poisoning
bioterrorism

Question 10

What is passive smoking?

Answer 10

The unintentional inhalation of tobacco smoke.

Question 11

Why is carbon monoxide dangerous?

Answer 11

dangerous gas because it binds with hemoglobin and ultimately reduces the oxygen supply to the tissues in the body

Question 12

What are the symptoms to carbon monoxide poisoning?

Answer 12

Nausea
vomiting
headache
weakness and unconsciousness

Question 13

What is a primary survey?

Answer 13

Very rapid assessment of life threatening condition. It should take no longer than 60 seconds to perform.

Question 14

What principle guides the primary survey?

Answer 14

ABCDE principal

Question 15

Emergency care is guided by the principle of ABCDE. What does ABCDE stand for?

Answer 15

Airway cervical spine 
breathing 
circulation 
disability 
exposure

Question 16

Which step is most important in the ABCDE principal guide?

Answer 16

Airway/cervical spine. Airway needs to be established as clear.

Question 17

Should you complete the primary survey before performing first aid?

Answer 17

Yes

Question 18

What should occur when a patient is bleeding?

Answer 18

If external bleeding apply direct pressure to the wound site.

Internal bleeding may require intravascular volume replacement (fluids/blood)

Question 19

If there is an impaled object should a nurse remove it ?

Answer 19

No

Question 20

When giving first aid for fractures or splints what should the nurse be assessing?

Answer 20

Assess the site for swelling, deformity nsd skin integrity.
Assess temperature, distal pulses and mobility
Apply splint
Reassess neurovascular status after splinting.

Question 21

When giving first aid for sprains what should a nurse do?

Answer 21

Reframe from weight-bearing
Apply ice to decrease inflammation Apply compression
Elevate the affected limb

Question 22

Basic first aid for heatstroke includes:

Answer 22

Must be identified quickly and treated aggressively

Rapid cooling must be achieved (remove clients clothing, ice packs, cold water bath)

Question 23

What are the manifestations heat stroke?

Answer 23

Hot 
dry skin 
hypotension 
tachypnea 
tachycardia 
anxiety 
confusion 
unusual behavior 
seizures and coma

Question 24

What is the difference between frostnip and frostbite?

Answer 24

Frostnip does not lead to tissue injury and may be treated by warming. Frostbite presents as white waxy areas on expose skin and tissue injury does occur.

Question 25

What are the three procedures for frostbite?

Answer 25

Warm the affected area in 104 to 105 water bath
provide pain medication
administer tetanus vaccination

Question 26

CPR is a combination of which basic interventions?

Answer 26

Sustaining oxygen and circulation to vital organs.

Question 27

CPR is a component of what?

Answer 27

Basic life support (BLS)

Question 28

What are the CABs of CPR?

Answer 28

Chest compression, airway and breathing