The nurse's first action after discovering an electrical fire in a patient's room is to:
Remove all patients in immediate danger
A parent calls
... [Show More] 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?
Call the poison control center.
00:02
01:33
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?
Risk for falls
What is the greatest risk for injury for an adolescent?
Automobile accidents, suicide, and substance abuse
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.)
Leave a night light on in the bathroom.
Provide scheduled toileting during the night shift.
Keep the pathway from the bed to the bathroom clear.
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.)
Ask the family to stay with the patient.
Inform the family of the risks associated with side-rail use.
Discuss alternatives with the family that are appropriate for this patient.
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?
Clear the area around the child to protect the child from injury.
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 safe environment promotes patient activity.
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:
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.)
Smoking is prohibited around oxygen.
Do not use electrical equipment around oxygen.
Special precautions may be required when traveling with oxygen
How does the nurse support a culture of safety? (Select all that apply.)
Completing incident reports when appropriate
Completing incident reports for a near miss
Communicating product concerns to an immediate supervisor
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.)
Takes antihypertensive and diuretics
History of recent fall
Neglect, spatial and perceptual abilities, impulsive
Requires assistance with activity, unsteady gait
IV line, urinary catheter [Show Less]