safety and comfort Flashcards Preview

Nursing fundamentals > safety and comfort > Flashcards

Flashcards in safety and comfort Deck (33):
1

what does OSHA do?

identifies risks and develops standards to prevent serious injuries and illnesses caused by work related musculoskeletal disorders resulted from repetitious motions

2

when assessing a pts risk for injury, what should be the viewpoint?

to maintain independence and fostering self esteem while providing a safe and predictable environment

3

what are some psycho social risk factors that may affect safety?

stress, depression, social isolation,

4

when looking at the nursing history during a safety assessment, what are some things to look for?

look for history of falls

note assistive devices

history of drug or alcohol abuse

family support systems and home environment (if applicable)

medications ( some can alter LOC or balance)

assess the pts reaction to the environment

5

During the initial physical examination, what should you be looking for in a risk assessment?

mobility status

ability to communicate

LOC

sensory perception

potential safety hazards

recognize manifestations of domestic violence or neglect

6

how do home fires start and how do you assess the risk?

smoking in the bed or couch
stoves, candles, electric heaters

assess the knowledge of family members and the presence of functioning smoke detectors

7

for risk of poisoning, which substances are we most concerned about ?

what are some common agents?

alcohol, tricyclic antidepressants, theophylline

acetominophen
hydrocarbons (gas, furniture polish)
caustics ( cleaning agents)
Iron (vitamins)
lead
insecticides

8

what are the most common causes of poisoning in older adults

accidental overdose because of confusion or forgetfullness

poor vision

9

What are safety risks for fetus'

abnormal growth and development

10

What are safety risks for neonate

infection, falls, SIDS

11

What are safety risks for Infants

falls
injuries from toys
burns
suffocation or drowning
inhalation or ingestion of foreign objects

12

What are safety risks for toddlers

falls
cuts from sharp objects
burns
suffocation or drowning
inhalation or ingestion of foreign bodies or poisons

13

What are safety risks for preschooler

falls
cuts
burns
drowning
inhalation or ingestions
Guns and weapons

14

What are safety risks for school aged children

burns
drowning
broken bones
concussions
inhalation or ingestion
guns and weapons
substance abuse

15

What are safety risks for adolescents

drowning
motor vehicle accidents
guns and weapons
inhalation and ingestion

16

What are safety risks for adults

stress
domestic violence
motor vechicle accidents
industrial accidents
drug and alcohol abuse

17

What are safety risks for older adults

falls
motor vehicle accidents
elder abuse
sensorimotor changes
fires

18

How often should a pt in restraints be assessed?

every 4 hours for adults

every 2 hours for pts 9-17

every hour for children under 9

19

what documentation is needed for restraints?

date and time
type of restraint
alternatives attempted
notification of family and physician

frequency of assessment, your findings, intervals, and interventions

20

what are the most common causes of hospital fires?

careless, smoking, faulty electrical equipment, and combustion of anesthetic agents

21

What is RACE?

Rescue patients

activate the firecode system and notify appropriate person

confine fire

evacuate patients and others to safe area

22

what is the focus of emergency treatment of poisoning

stabilize body functions
prevent absorption of poison
and encourage excretion of the substance

23

what are the symptoms presented in chemical choking agents?

dyspnea
couch
pulmonary edema

24

what are the symptoms presented by blood agents

loss of conciousness
convulsions
respiratory arrest

25

what are the symptoms of vesicants/blister agents

skin erythema and blisters
eye irritation
progressively severe respiratory symptoms
damage to bone marrow

26

what are the symptoms of nerve agents

constricted pupils
reddened eyes
loss of conciousness
convulsions
respiratory arrest

27

What are the symptoms of incapacitating agents?

hyperthermia
bizarre behavior
delirium

28

what are the symptoms of anthrax?

treatments and precautions?

Cutaneous : lesions turning to ulcers with local edema

Gastric: nausea, vomiting, fever, hematemesis

Inhalation: meningitis, septicemia, shock and death

antimicrobials, vaccine

29

what are the symptoms of plague

severe respiratory infection progressing to pnumonia , sepsis, and death

droplet precautions
streptomycin

30

What are the symptoms of smallpox

droplet and contact

flue like symptoms with a rash that crusts in 5 days

vaccine available

31

What are the symptoms of botulism

blurred vision
skeletal muscle paralysis
abrupt respiratory failure

standard precautions
supportive care

32

What are the symptoms of Tularemia

fever, cough, respiratory failure

streptomycin or gentamicin sulfate
fluid and respiratory support

33

Viral hemorrhagic fevers symptoms

standard, droplet, and contact, airborn

fever, petechial hemorrhages
conjunctival symptoms
mild hypotension
myalgias