Chapter 27 EAQ Flashcards by Courtney Maynard

The RN is teaching a group of pts from a vulnerable population regarding measures to prevent fires at home. Which statement by a member indicates the need for further teaching?

A. We should avoid smoking at home
B. We should use old model space heaters
C. We should use the cooking equipment effectively
D. We should place carbon monoxide detectors in the house

B. We should use old model space heaters

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The family member of an adult pt complains that the pt is a long term smoker. Which health risk factor does the nurse anticipate?

A. Infectious disease
B. Neurological disorder
C. Cardiovascular disease
D. Gastrointestinal disorder

C. Cardiovascular disease

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According to the American Hospital Association, a red wrist band is given for which category?

A. Allergies
B. Poisoning
C. Risk of falls
D. Immunization

A. Allergies

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The nurse is caring for a pt with muscle weakness. The pat is provided with skid-proof footwear. Which safety measure is implemented in this situation?

A. Enabling to remain alert
B. Promoting cooperation
C. Allowing for safe exit from the bed
D. Preventing falls from slipping on floor

D. Prevent falls from slipping on floor

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A pt with postural hypotension is hospitalized. Which safety measure should the nurse implement during ambulation?

A. Use of gait belt
B. Raise all side rails
C. Use of wheelchair
D. Use of belt restraint

A. Use of gait belt

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A couple is with their adolescent daughter for a school physical and state they are worried about all te safety risks affecting this age. What are the greatest risks for injury for an adolescent?

A. Home accidents
B. Physiological changes of aging
C. Poisoning and child abduction
D. Automobile accidents, suicide, and substance abuse

D. Automobile accidents, suicide, and substance abuse

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Which patient is suspected to have an electrolyte imbalance?

A. Pt with risk of falls
B. Pt exposed to carbon monoxide
C. Pt with lower extremity weakness
D. Pt exposed to heat for an extended period

D. Pt exposed to heat for an extended period

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Which safety precaution performed by a parent lowers the risk of SIDS in a 1 yr old?

A. Immunizing the pt
B. Filling the crib with pillows
C. Having the infant sleep on side or back
D. Attaching pacifier to string and placing it around the child’s neck

C. Having the infant sleep on side or back

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The nurse is teaching a parent about toddler care. Which instruction provided by the nurse indicates effective teaching?

A. Teach your child how to cross the road
B. Vaccinate with all recommended vaccines
C. Encourage enrollment in driver education classes
D. Provide information about the effects of using drugs

B. Vaccinate with all recommended vaccines

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According to the National Quality Forum, which event is included under pt-protection events?

A. Abduction of a pt
B. Infant discharge to the wrong person
C. Disability associated with a med error
D. Surgery performed on the wrong body part

B. Infant discharge to the wrong person

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The nurse is teaching a vulnerable population of patients about pollution. Which instruction should the nurse provide to help pts limit exposure to air pollution?

A. Avoid smoking
B. Keep your home noise free
C. Avoid using bottled water
D. Discard the bio active waste properly

A. Avoid smoking

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Which safety precaution should be taken by the pt with muscle weakness?

A. Using side rails
B. Using crutches
C. Using belt restraint
D. Wearing rubber-soled shoes

D. Wearing rubber soled shoes

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What is the leading cause of injuries involving home medical oxygen?

A. Smoking
B. Lead poisoning
C. Exposure to severe cold for long periods
D. Exposure to high concentrations of carbon monoxide

A. Smoking

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Which pts are at a higher risk of motor vehicle accidents according to the CDC?

A. 2 yr old
B. 30 yr old
C. 55 yr old
D. 16 yr old

D. 16 yr old

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Which group is at highest risk for lead poisoning?

A. Adults
B. Infants
C. Adolescents
D. Older adults

B. Infants

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Which safety precaution should the nurse follow to reduce the risk of falls in a pt with hemiparesis?

A. Standing on the pts unaffected side when using a walker
B. Standing on the pts affected side when using a cane and a gait belt
C. Performing ROM exercises before ambulating
D. Having the pt frequently touch one hand with the other hand

B. Standing on the pts affected side when using a cane and gait belt

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Which age group is at the highest risk of accidental poisoning at home?

A. Adults
B. Toddlers
C. Older adults
D. Adolescents

B. Toddlers

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Which mnemonic should a pt follow if his or her clothing or skin is burning?

A. PASS
B. RACE
C. Back to sleep
D. Stop, drop, and roll

D. Stop, drop, and roll

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Which event is classified as an environmental event on the National Quality Forum list?

A. Pt death due to physical assault in the health care facility
B. Pt death due to contaminated drugs in the health care facility
C. Pt death associated with a fall during care in the health care facility
D. Pt death sue to spinal manipulative therapy in the health care facility

C. Pt death associated with a fall during care in the health care facility

Which is a serious reportable event included in the National Quality Forum List?

A. Immediate postoperative death
B. Hypothermia due to severe cold condition
C. Fall associated with administration of diuretics
D. Injury resulting from physical assault that occurred at a pts home

A. Immediate post operative death

The RN is teaching a nursing student about safety for for equipment-related accidents. Which statement by the nursing student indicates a need for further teaching?

A. I should use the free flow protection devices
B. I should place tag on faulty equipment
C. I will make regular safety checks of equipment
D. I should not operate the equipment without instruction

C. I will make regular safety check of the equipment

A professor is teaching a group of nursing students about pt inherent accidents. Which are examples of pt inherent accidents in the hospital setting? (Select all that apply)

A. Med admin error
B. Improper insertion of a urinary catheter
C. Ingestion of a forgien substance
D. Pinching fingers in drawers
E. Self inflicted cuts

C. Ingestion of a foreign substance
D. Pinching fingers in drawers
E. Self inflicted cuts

Which safety precaution should be followed by a pt with Hep A?

A. Practicing hand hygiene
B. Avoid sharing needles
C. Using a walker or cane
D. Performing ROM exercises

A. Practicing hand hygiene

The incidence of suicidal tendency is highest in which age group?

A. Adolescents
B. Older adults
C. Younger adults
D. Middle age group

A. Adolescents

The National Quality Forum is collecting info from a health care facility about serious reportable events that have occurred. Which event should be listed as a care management event? A. Wrong surgical procedure was performed B. Pt suicide within a health care facility C. Death due to med error D. Sexual assault within the health care facility

C. Death due to med error

Which is a serious reportable event included in the National Quality Forum list? A. Discharging a pt with a cardiac condition B. Severe bleeding while removing a foreign object during surgery C. Disability associated with electric shock care in a health care facility D. Bruising associated with the use of bed rails during care in the health care facility

C. Disability associated with electric shock during care in a health care facility

According to Edelman and Mandels strategies of health promotion, which is classified as a passive strategy? A. Clean water laws B. Exercise program C. Wearing seat belts D. Nutrition programs

A. Clean water laws

The nurse is teaching the parent of a young child about care safety. Which statement by the parent indicates effective learning? A. I should secure my 6 mth old child in a forward facing car seat B. When my child is 1 yr old I can place his car seat in the front seat C. I should place my 3 mth old child in the back seat in a rear facing convertible seat D. I should not place my child in a front facing seat before the age of 1

C. I should place my 3 mth old child in the back seat in a rear facing convertible seat

The nurse is assessing a pt with impaired mobility. The nurse observes poor coordination and muscle weakness. Which risk does the nurse anticipate in the pt? A. Risk of injury B. Risk of anxiety C. Risk of suffocation D. Risk of communication impairment

A. Risk of injury

The RN Is teaching a nursing student about procedure related accidents. Which statements by the nursing students made by the nursing student indicates a need for further teaching? A. Surgical asepsis for dressing can prevent infections B. Proper use of equipment reduces the risk of injuries C. Distractions contribute to procedure related accidents D. Accidents are caused mainly due to misuse of equipment

D. Accidents are caused mainly due to misuse of equipment

A pt who works in a factory visits the primary healthcare provider with a complaint of a frequent cough and discomfort in the chest region. The primary health care provider diagnosis it as a pulmonary disease. What could be the reason for this condition in the pt? A. Air pollution B. Soil pollution C. Noise pollution D. Water pollution

A. Air pollution

A RN is teaching a parent about safety measures for a 5 yr old child. Which statement made by the parent indicates the need for further teaching? A. I should teach the child about bicycle safety B. I should teach the child about safety during specific sports C. I should teach the child how to operate electrical equipment D. I should teach the child about safe use of equipment for play and work

C. I should teach the child how to operate electrical equipment

According to the National Quality Forum, which event is considered a care management event? A. Abduction of a pt at any age B. An immediate postoperative death C. Serious disability associated with patient elopement D. Stage III pressure ulcers acquired after admin to a health care facility

D. Stage III pressure ulcers acquired after admin to a health care facility

A pt has been locked in a poorly ventilates room containing a furnace. Which condition is likely to be observed in the pt after a period of death? A. Psychological injury B. Orientation changes C. Carbon monoxide poisoning D. Decrease in core temp

C. Carbon monoxide poisoning

The nurse is training a health care provider on precautionary measures to avoid equipment related accidents. Which should be included in the training? (Select all that apply) A. Placing a tag on faulty instruments B. Promptly reporting the malfunctions C. Following proper hand hygiene D. Following transmission based isolation E. Assessing potential electrical hazards

A. Placing a tag on faulty instruments B. Promptly reporting the malfunctions E. Assessing potential electrical hazards

Which health conditions are likely to be observed in people working in cold conditions? (Select all that apply) ``` A. Frostbite B. Hypothermia C. Urinary incontinence D. Electrolyte imbalance E. Orthostatic hypotension ```

A. Frostbite | B. Hypothermia

Which patient are at high risk of hypothermia? (Select all that apply) ``` A. Pts who have angina B. Pts who are homeless C. Pts who have taken a drug overdose D. Pt who have taken a drug overdose E. Pt who are exposed to carbon monoxide ```

A. Pt who have angina B. Pts who are homeless D. Pts who has taken a drug overdose

The nurse is teaching a group of parents about accidental poisoning. Which are effects of lead poisoning in a child? (select all that apply) ``` A. Adverse effects on child’s growth B. Learning and behavioral problems C. Brain and kidney damage D. Gastrointestinal infection E. Increased susceptibility to fractures ```

A. Adverse effects on child’s growth B. Learning and behavioral problems C. Brain and kidney damage

The nurse is caring for a pt who has sustained a femur fracture following a fall. Which common physical hazards can increase the risk of falling? (Select all that apply) ``` A. Inadequate lighting B. Barriers in the normal walking path C. Sudden decrease in blood glucose level D. Lack of safety devices in homes E. Sudden rise in blood pressure ```

A. Inadequate lighting B. Barriers in the normal walking path D. Lack of safety devices in home

How does the nurse support a culture of safety? (Select all that apply) A. Completing incident reports when appropriate B. Completing incident reports for near miss C. Communicating product concerns to immediate supervisor D. Identifying the person responsible for an incident E. Experimenting with using the newest equipment

A. Completing incident reports when appropriate B. Completing incident reports for near miss C. Communicating product concerns to immediate supervisor

The RN is teaching a pts family member about environmental assessments for substance abuse. Which statements should the nurse include in the teaching? (Select all that apply) A. You should observe for increased aggressiveness B. You should check for the changes in style of dress C. You should observe for changes in interpersonal relationships D. You should check for the presence of drug-oriented magazines E. You should observe for the presence of blood spots on clothing

D. You should check for the presence of drug-oriented magazines E. You should observe for the presence of blood spots on clothing

What are the changes observed upon exposure to severe heat? (Select all that apply) ``` A. Irregular heartbeat B. Alerted concentration C. Decrease in oxygenation D. Changes in electrolyte balance E. Rise in core body temp ```

D. Changes in electrolyte balance | E. Rise in core body temp

The nurse works in a nursing home. Of which are common causes of death in the elderly population that the nurse should be aware? (Select all that apply) ``` A. Falls B. Poisoning C. Hypothermia D. Heat stroke E. Motor vehicle accident ```

A. Fall C. Hypothermia D. Heat stroke

Which factors contribute to an increase in falls in older pts? (Select all that apply) ``` A. Safety devices B. Anticonvulsants C. High blood pressure D. Moderate lighting E. Secure rugs and carpeting ```

B. Anticonvulsants | C. High bed position

Which precautions should the nurse take to avoid environmental risks at health care facilities? (select all that apply) ``` A. Follow proper hand hygiene B. Follow standard isolation procedures C. Be aware of the location of material safety data sheets D. Use smart IV pumps E. Perform safety checks on equipment ```

A. Follow proper hand hygiene B. Follow standard isolation procedures C. Be aware of the location of material safety data sheets

The senior nurse is discussing with student nurses the serious reportable events included in the list of the NQF. Which environmental events must be discussed? (Select all that apply) ``` A. Physical assault of the pt B. Pt death due to burns from facility equipment C. Pt death associated with falls D. Sexual assault of the pt E. Pt death due to electrocution ```

B. Pt death due to burns from facility equipment C. Pt death associated with falls E. Pt death due to electrocution

An 18 yr old pt is brought to the ED following a motor vehicle accident. Which are possible causes of a motor vehicle accident in this age group? (Select all that apply) ``` A. Reduced vision B. Drunken driving C. Fast driving D. Carelessness regarding road hazards E. Improper drivers training ```

B. Drunken driving C. Fast driving D. Carelessness regarding road hazards