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Flashcards in Unit 3 - Safety Deck (32)
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1

Factors affecting safety?

1. Psychosocial considerations (smoking)
2. Basic needs (Maslow)
3. Physical Hazards (exposure to infection, pollution, terrorism)

2

Developmental considerations
Infants/toddlers/preschoolers

injuries, poisoning, incorrect vehicle restraints,
* Must educate parents

3

Developmental considerations
Adolescents

identity, peers, act impulsively, risk-taking, behaviours (smoking), ingestion of drugs increase drowning, vehicle accidents

4

Developmental considerations
School-Aged children

bullying, increased activity --> helmets

5

Developmental considerations
Young Adults

Lifestyle habits, stress

6

Developmental considerations
Middle-aged adults

responsibilities; accidents

7

Developmental considerations
Older adults

physiological changes (e.g., decreased vision, hearing, reaction time), chronic conditions, risk of falls,

8

Health care enviro risks

Chemicals – disinfectants, meds, Stronger in hospitals
Microorganisms – nosocomial infections
Equipment – check regularly (Suction/ 02 working)
Perception of safety
Risk for medical/procedural errors – incident reports

9

Falls can be caused by

Medications
Delirium
Limited mobility

10

4 individual risk factors

1. Lifestyle (dangerous job, drug withdrawal)
2. Impaired mobility (poor coordination, weakness)
3. Sensory/ Communication impairment (visual, hearing, language barrier)
4. Lack of safety awareness (expiration dates, poisonous substances storage)

11

9 Life-saving Pt safety sol'n

1. Be aware of look-alike & sound-alike medications
2. Use pt identification
3. Communicate during pt handover
4. Perform correct procedure @ correct body site
5. Control concentrated electrolyte sol'n
6. Ensure meds accuracy @ transition in care
7. Avoid catheter & tubing misconnections
8 Don't reuse single-use injection devices
9. Improve hand hygiene to prevent HAI

12

Ways to prevent falls

Check pts frequently.
Use brakes on beds, commodes, wheel chairs, ect.
Use shoes or rubberized slippers.
Keep necessary items w/in reach.

13

Types of restraints

Physical (impeding pt movement) --> Side rails
Chemical (meds)
Environmental (locking doors)

14

Risks of using physical restraints

Humiliation; fear; impaired circulation; pressure ulcers; incontinence; decreased muscle mass; death; entrapment

15

Objectives that must be met in order to use restraints

1. Reduce risk of pt injury
2. Prevent interruption of therapy (nasogastric tube feeding)
3. Prevent pt from removing life-support equipment
4. Reduce risk of injury to others

16

In which of the following situations is a physical restraint appropriate?
A. To restrain a patient on a very busy shift when the unit is short staffed.
B. In situations where bed exit alarms (e.g., Bed-check or Ambularm) have been unsuccessful.
C. To restrain a patient who has just struck a nursing colleague.
D. On a newly admitted patient who has just crawled out of bed.

B. In situations where bed exit alarms (e.g., Bed-check or Ambularm) have been unsuccessful.

17

After the nurse assists a patient with a history of seizures to a recliner chair, the patient begins to have a seizure. What should the nurse do immediately?
A. Turn the patient onto his or her stomach.
B. Recline the patient’s chair all the way back.
C. Return the patient to the bed and place the patient on his or her side.
D. Slide the patient to the floor and cradle the patient’s head.

D. Slide the patient to the floor and cradle the patient’s head.

18

Which of the following statements are true?
Select all that apply.
A. An example of an environmental restraint is a locked nursing unit.
B. Mechanical restraints should be applied when the nurse is busy.
C. Chemical restraints are psychoactive medications.
D. Restraints must not be considered punitive.

A. An example of an environmental restraint is a locked nursing unit.
C. Chemical restraints are psychoactive medications.
D. Restraints must not be considered punitive.

19

A couple has brought in their adolescent daughter for a school physical examination. The parents tell the nurse that they are worried about all the safety risks for this age group. As the nurse plans to teach the parents about these risks, the nurse remembers that adolescents are at a greater risk for injury from which of the following?
A. Home accidents
B. Poisoning and child abduction
C. Physiological changes of aging
D.Automobile accidents, suicide, and substance abuse

D.Automobile accidents, suicide, and substance abuse

20

As a member of the hospital’s bioterrorism team, the nurse understands the importance of knowing how an organism is transmitted. Smallpox has the potential to spread quickly because it is transmitted via which route?
A. Airborne
B. Ingestion
C. Absorption
D. Bloodborne

A. Airborne

21

The nurse discovers an electrical fire in a patient’s room. What would the nurse’s first action be?
A. Activate the fire alarm.
B. Confine the fire by closing all doors and windows.
C. Evacuate any patients or visitors in immediate danger.
D. Extinguish the fire by using the nearest fire extinguisher.

C. Evacuate any patients or visitors in immediate danger.

22

When providing health maintenance teaching to new employees in the food-handling department, the nurse emphasizes the need to perform hand hygiene after using the bathroom to prevent which of the following?
A. Food poisoning
B. Spread of hepatitis A
C. Bacterial food infections
D. Salmonella contamination

B. Spread of hepatitis A

23

Helen Chow, an 89-year-old patient, has a history significant for confusion, impaired judgement, and incontinence. Helen’s cousin remarks that Helen is “cheerful” and “kind.” Living alone, Helen may be at risk for which of the following?
A. Falls
B. Substance abuse
C. Vision loss
D. Depression

A. Falls

24

The family of your confused ambulatory patient insists that all four side rails be up when the patient is alone. Which is the best way to handle this situation?
A. Ask them to stay with the patient at all times.
B. Inform them of the risks associated with side rail use.
C. Thank them for being conscientious, and raise all four rails.
D. Provide the patient with a one-to-one sitter while the side rails are up.

B. Inform them of the risks associated with side rail use.

25

A student nurse is designing a health fair project aimed at reducing motor vehicle accidents. For which group of patients would this subject be most appropriate?
A. Adolescents
B. Older adults
C. Middle-aged adults
D. Adults with dementia

A. Adolescents

26

Which action by the nurse is most effective in limiting the transfer of microorganisms?
A. Use of hand lotions
B. Use of sterile gloves
C. Handwashing
D. Immunization

C. Handwashing

27

A child for whom the nurse is caring in the hospital starts to have a grand mal seizure while playing in the playroom. What is the most important nursing intervention during this situation?
A. Suction the child’s airway.
B. Restrain the child to prevent injury.
C. Place a tongue blade over the tongue to prevent aspiration.
D. Clear the area around the child to protect the child from injury.

D. Clear the area around the child to protect the child from injury.

28

A parent calls the pediatrician’s office frantic because her 2-year-old son drank a bottle of cleaner. Which of the following is the most important instruction the nurse can give to this parent?
A. Give the child milk.
B. Call the poison control centre.
C. Try to make the child vomit.
D. Take the child to the emergency department.

B. Call the poison control centre.

29

During the night shift, a patient is found wandering the hospital halls looking for a bathroom. What would your initial intervention be?
A. Insert a urinary catheter.
B. Ask the physician to order a restraint.
C. Assign a staff member to stay with the patient.
D. Provide scheduled toileting during the night shift.

D. Provide scheduled toileting during the night shift.

30

During the nurse’s assessment of a 56-year-old man, he reports increased alcohol consumption because of stress at work. Which of the following is one of the expected outcomes for this patient?
A. Decrease stress in his life.
B. Teach him ways to promote sleep.
C. Decrease his alcohol intake during times of stress.
D. Provide the patient with information about stress management classes.

D. Provide the patient with information about stress management classes.