The nurse’s first action after discovering an electrical fire in a patient’s room is to: A) Activate the fire alarm. Show
A parent calls the
pediatrician’s office frantic about the bottle of cleaner that her 2-year-old son drank. Which of the following is the most important instruction the nurse gives to this parent? A) Give the child milk. The nursing assessment on a 78-year-old woman reveals shuffling gait, decreased balance, and instability. On the
basis of the patient’s data, which one of the following nursing diagnoses indicates an understanding of the assessment findings? A) Activity intolerance A couple is with their adolescent daughter for a school physical and state they are worried about all the safety risks affecting this age. What is the greatest risk for injury for an adolescent? A) Home accidents The nurse found a 68-year-old female patient wandering in the hall. The patient says she is looking for the bathroom. Which interventions are appropriate to ensure the safety of the patient? (Select all that apply.) A) Insert a urinary catheter. The family of a patient who is confused and ambulatory insists that all four side rails be up when the patient is alone. What is the best action to take in this situation?
(Select all that apply.) A) Contact the nursing supervisor. A physician writes an order to apply a wrist restraint to a
patient who has been pulling out a surgical wound drain. Place the following steps for applying the restraint in the correct order. A child in
the hospital starts to have a grand mal seizure while playing in the playroom. What is your most important nursing intervention during this situation? A) Begin cardiopulmonary respiration. A 62-year-old woman is being discharged home with her husband after
surgery for a hip fracture from a fall at home. When providing discharge teaching about home safety to this patient and her husband, the nurse knows that: A) A safe environment promotes patient activity. A fragile, 87-year-old nursing home resident is admitted to the hospital with dehydration and increased confusion. The patient has upper limb restraints to prevent her from pulling out her nasogastric tube. What instructions does the nurse give to nursing assistive personnel (NAP)? The use of restraints is associated with serious complications resulting from immobilization such as pressure ulcers, pneumonia, constipation, and incontinence. In some cases death has resulted because of restricted breathing and circulation. The restraint itself could injure the underlying skin. Routine checks are required to prevent or decrease these complications. The NAP needs to notify the nurse if there is a change in skin integrity, circulation, or patient’s breathing and provide range of motion, nutrition and hydration, skin care, toileting, and opportunities for socialization at least every 2 hours. The nursing assessment of an 80-year-old patient who demonstrates some confusion but no anxiety reveals that the patient is a fall risk because she continues to get out of bed without help despite frequent reminders. The initial nursing intervention to prevent falls for this patient is to: A) Place a bed alarm device on the bed. To ensure the safe use of oxygen in the home by a patient, which of the following teaching points does the nurse include? (Select all that apply.) A) Smoking is prohibited around oxygen. How does
the nurse support a culture of safety? (Select all that apply.) A) Completing incident reports when appropriate You are admitting Mr. Jones, a 64-year-old patient who had a right hemisphere stroke and a recent fall. The wife stated that he has a history of high blood
pressure, which is controlled by an antihypertensive and a diuretic. Currently he exhibits left sided neglect and problems with spatial and perceptual abilities and is impulsive. He has moderate left-sided weakness that requires the assistance of two and the use of a gait belt to transfer to a chair. He currently has an intravenous (IV) line and a urinary catheter in place. What factors increase his fall risk at this time? (Select all that apply.) A) Smokes a pack a day At 3 am the emergency department nurse hears that a tornado hit the east side of town. What action does the nurse take first? A) Prepare for an influx of patients Which instruction would the nurse provide to the patient about having a fire extinguisher in the home quizlet?The nurse should instruct the patient to memorize the PASS technique for safely using a fire extinguisher: pulling the pin to unlock the handle, aiming low at the base of the fire, squeezing the handle, and sweeping the unit from side to side.
Which order of steps is correct for safely using a fire extinguisher in the home?The acronym PASS is used to describe these four basic steps.. Pull (Pin) Pull pin at the top of the extinguisher, breaking the seal. ... . Aim. Approach the fire standing at a safe distance. ... . Squeeze. Squeeze the handles together to discharge the extinguishing agent inside. ... . Sweep.. In which order should the nurse perform the actions required to extinguish a fire using a fire extinguisher?It's easy to remember how to use a fire extinguisher if you can remember the acronym PASS, which stands for Pull, Aim, Squeeze, and Sweep. Pull the pin. This will allow you to discharge the extinguisher.
Which action would the nurse take first?Assessment is the first step of the nursing process and takes priority over all other steps.
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