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Exam 38: Client Safety

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Question 21

Multiple Choice

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A nurse finds that an electrical cord has shorted out in a client's room,causing a fire.The nurse should do which of the following actions first?

A) Activate the alarm.
B) Confine the fire by closing the client's door.
C) Remove the client from the room.
D) Extinguish the fire.

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Question 22

Multiple Choice

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A 79-year-old resident in a long-term care facility is known to "wander at night" and has fallen in the past.Which of the following is the most appropriate nursing intervention?

A) An abdominal restraint should be placed on the client during sleeping hours.
B) The client should be checked frequently during the night.
C) A radio should be left playing at the bedside to assist in reality orientation.
D) The client should be placed in a room that is away from the activity of the nurses' station.

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Question 23

Multiple Choice

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When preparing a safety workshop for early teens (13 to 15 years old) ,the nurse recognizes that which of the following active strategy topics has the greatest potential for decreasing injuries in this population by affecting lifestyle changes?

The nurse is conducting an admission interview and assessment on a cognitively impaired,uncooperative client for the risk for injury.Which of the following options will most likely provide the information to confirm the diagnosis?

In a nursing home an elderly client drops his burning cigarette in a trash can and starts a fire.The most appropriate type of fire extinguisher for the nurse to use is the:

A confused client needs to have restraints to prevent him from pulling out his Foley catheter.Which of the following can the nurse delegate to the nursing assistive personnel?

Which one of the following statements by the parent of a child indicates that further teaching by the nurse is required?

Which of the following nursing assessment data are most reflective of hypothermia?

When discussing the prevention of fire-related injuries and deaths,the nurse should place the greatest emphasis on the:

A visiting nurse completes an assessment of the ambulatory client in the home and determines the nursing diagnosis of risk for injury related to decreased vision.Based on this assessment,the client will benefit the most from:

A confused client on a ventilator was restrained to prevent him from pulling out his endotracheal tube.Which of the following could be a possible alternative measure that the nurse could use to avoid the use of the restraints?

The workmen cause an electrical fire when installing a new piece of equipment in the intensive care unit.A client is on a ventilator in the next room.The first action the nurse should take is to:

A 1-year-old child is scheduled to receive an IV line.The most appropriate type of restraint to use for this client to prevent removal of the IV line would be a(n) :

An ambulatory client is admitted to the extended care facility with a diagnosis of Alzheimer's disease.In using a falls assessment tool,the nurse knows that the greatest indicator of risk is:

The nurse is discussing a newly ordered diuretic with an older adult client who is home-bound.Which of the following suggestions has the greatest potential for minimizing the client's risk for injury related to urinary urgency or incontinence?

The nurse should recognize which of the following clients as being at greatest risk for an unintentional death?

The nurse caring for an elderly client in the hospital notes on assessment that the client has a scald burn on her foot.On questioning the client,the nurse learns that the client scalded her foot when adding hot water from the tap to her bath while she was in the tub.The nurse should do which of the following?

A mother of a young child enters the kitchen and finds the child on the floor.There is a bottle of cleanser next to the child and particles of the substance around the child's mouth.The parent's first action should be to:

The nurse is discussing measures to minimize the risk of injury from an automobile accident with an 83-year-old adult client who lives alone and claims to drive only to church,the doctor's office,and for groceries.Which of the following suggestions has the greatest potential for affecting this client's safety?

An inservice program is being offered in the hospital on bioterrorism and the response of the health care agency.During the program,the mitigation phase is described.The nurse is informed that this phase includes: