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Exam 51: Safety

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Question 1

Multiple Choice

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The nurse is caring for a client who is prone to falls.Which nursing diagnosis would be most appropriate for this client?

A) Risk for Injury
B) Risk for Suffocation
C) Deficient Knowledge
D) Risk for Disuse Syndrome

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Question 2

Multiple Choice

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The nurse is preparing to assess the client's blood pressure using an electronic monitoring unit and notices that the end of the cord is frayed.Which action by the nurse is most appropriate to prevent harm?

A) Plug the machine in to make sure it works appropriately.
B) Get another machine from the equipment room.
C) Label the machine as broken and notify engineering.
D) Complete an incident report.

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Question 3

Multiple Choice

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The nurse is planning care for a client who is experiencing confusion.Which action by the nurse ensures safety for this client?

The nurse is conducting a home risk assessment for a family with toddler and preschool-age children.Which finding is considered a safety hazard for this family?

The nurse manager is evaluating a staff nurse's knowledge,skills,and attitudes when addressing safety issues with client care.What observations indicate the nurse is skilled when addressing safety concerns? Select all that apply.

A client in the intensive care unit is combative and pulling at the endotracheal tube,which must remain in place.After applying soft hand restraints to protect the client's airway,which action should the nurse take next?

After completing an assessment,the nurse determines a client is at risk for safety issues.Which data supports the nurse's conclusion? Select all that apply.

A client asks the nurse if the staff members make many mistakes because there are so many posters and signs about safety on the walls.Which response by the nurse is most appropriate?

The nurse is developing a plan of care for a client who is at risk for falls.Which interventions would be appropriate for the nurse to include in the plan of care? Select all that apply.

The nursing instructor is educating a group of nursing students on sports-related injuries.Which comment made by a student nurse would indicate to the nursing instructor the need for further instruction?

The nurse manager is assessing safe medication administration in preparation for the Joint Commission's (TJC) visit to the hospital.Which observed action is not recommended according to the TJC's National Patient Safety Goals?

A nurse educator is teaching nursing students about the application of personal protective equipment (PPE) and emphasizes the importance of appropriate technique when removing the face mask.Which student response indicates appropriate understanding?

A nurse is teaching a group in the community ways to decrease the spread of infection.Which measure is the most appropriate for the nurse to include when teaching this group?

A novice nurse has accepted a position on a medical-surgical unit at a local university hospital.In order to provide safe care to clients,the nurse should plan to develop which competency?

While reviewing safety precautions with the staff in a long-term care facility,which step should the nurse emphasize that helps to promote a safe environment for the clients?

Several nurses are discussing the Joint Commission's 2013 National Patient Safety Goals during a staff meeting.Which goal improves the effectiveness of communication among caregivers?

A home health nurse is teaching an older adult client who has returned home after discharge from the hospital about injury prevention.Which goal would be appropriate to include in this client's plan of care?

The nurse is conducting a home safety class for a group of parents in the community.Which should the nurse teach families that would contribute to maintaining safety in the home?

A nurse manager is assessing the hospital environment in order to decrease the risk for client falls.Which is the best intervention to decrease the risk of client falls?

The nurse is caring for a client who will be discharged on a new blood pressure medication which increases the risk of orthostatic hypotension.Which should the nurse include in the discharge teaching to decrease the risk of injury at home?