NURS 2700 MyNursingLab Test 2 Safety – Flashcards
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While reviewing the health histories for a group of clients, the case manager becomes concerned that several clients are at risk for falls. Which clients would benefit from fall prevention interventions? (Select all that apply.) 84-year-old male with chronic renal failure and macular degeneration 55-year-old female who lives alone and walks with two canes 70-year-old female prescribed three blood pressure medications 47-year-old male recovering from a fractured arm 55-year-old female recovering from breast cancer surgery
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1,2,3
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A client is prescribed a chemical restraint for aggressive behavior. When reviewing the client's medication administration record, which medication should the nurse use to prevent the client from causing harm to self or other staff members? digoxin (Lanoxin) amoxicillin (Amoxil) diazepam (Valium) warfarin (Coumadin)
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3
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The nurse team leader for a medical-surgical unit is reviewing client assignments made for the staff nurses. Based on the National Patient Safety Goals, which clients will the team leader identify as being at risk for safety issues? (Select all that apply.) Client scheduled for discharge after abdominal wound stitches are removed Client who is depressed and refused antidepressant medication the previous evening Client recovering from a stroke who is scheduled for physical therapy in the afternoon Client who is scheduled for an amputation of the right foot Client with burning and pain when urinating
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2,4,5
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The nurse manager determines that a staff nurse is demonstrating the knowledge, skills, and attitudes for the competency of safety. Which skills did the manager observe the nurse perform? (Select all that apply.) Applying gloves before emptying a client's wound drainage device Following the identified rights of medication administration before giving a client a pain medication Notifying the environmental services team about a leaking sink in a client's bathroom Entering log-in and password information before documenting in a client's medical record Washing hands before and after providing care to a client with an infection
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1,2,3,5
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The nurse is planning interventions to address the National Patient Safety Goal of correct client identification. Which nursing action supports this goal? Matching the name on the client's wrist band with the medical administration record Writing the client's first name next to the assigned staff on the assignment sheet Placing the client's name on the room door Asking the client to state their middle name
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1
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The nurse is adhering to the competency of evidence-based practice while providing client care. Which nursing intervention is an appropriate demonstration of this competency? Asking a nursing assistant to help turn and reposition a client in bed Ensuring a dressing change is completed according to established protocols Reviewing the results of a root cause analysis of wound infections Explaining the pathophysiology of a client's disease process
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2
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Which QSEN competency is exemplified when nurses work with individuals from other departments and disciplines to address conflict situations? Evidence-based practice Safety Quality improvement Teamwork and collaboration
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4
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For which QSEN competency should the nurse demonstrate the ability to use electronic client records? Patient-centered care Informatics Quality improvement Teamwork and collaboration
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2
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Which goals are included in the National Patient Safety Goals (NPSGs) for an acute care facility? (Select all that apply.) Document client care correctly. Use evidence-based guidelines. Prevent surgical site errors. Prevent medication errors. Identify clients correctly.
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1,3,4,5
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What is the purpose of community-based safety programs? Establish community gardens. Improve employment opportunities. Reduce healthcare costs. Create healthier individuals.
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4
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What can be done to prevent client falls during hospitalization? (Select all that apply.) Remove items from walking paths. Assist with putting on non-skid footwear. Keep eyeglasses within easy reach. Apply restraints as needed to restrict mobility. Ensure floors are well lit during the night.
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1,2,3,5
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Which nursing behavior can help reduce a client's risk of developing a healthcare-associated infection (HAI)? Review common side effects of medications. Ensure walkways are clear. Perform thorough hand washing. Discuss drug interactions with food.
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3
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Which type of restraint should the nurse identify as being the most appropriate for an older confused client who is attempting to pull out an indwelling urinary catheter? Belt Elbow Limb Mummy
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3
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Molly Cantrell is a nurse who is planning to incorporate skills that support the competency of evidence-based practice when providing client care. Which action supports this competency? Include a new process for changing a wound dressing into a client's care plan. Document care immediately after providing it. Complete a root cause analysis after a medication error occurs. Meet with physical therapist to discuss a client's mobility needs.
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1
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Sam Woods is a registered nurse working with city council members to create a program that supports community safety. What would be a goal of this program? Advocate for the opening of a community sports facility for children. Reduce the number of bicycle and pedestrian injuries caused by motor vehicles. Reduce the number of high-calorie snacks in school vending machines. Increase the number of after-school organized activities for community children.
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2
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Karen Sanders is a registered nurse who is planning to provide pre-operative teaching to a home care client who is scheduled for joint replacement surgery in a few days. What information should the nurse emphasize to reduce the risk of a healthcare-associated infection (HAI)? Follow the healthcare providers' discharge instructions. Avoid eating fresh fruits and vegetables. Prevent skin drying by limiting hand washing. Expect to take antibiotics for several weeks.
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1
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During a staff meeting the nurse manager provides information about the client care studies conducted on the medical-surgical unit. Which competency is the manager helping the staff achieve? Informatics Quality improvement Teamwork and collaboration Safety
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2
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The home care nurse is visiting an older client with heart failure. Which interventions are appropriate for the nurse to implement in order to prevent medication errors at home? (Select all that apply.) Study the name and purpose of each prescribed medication. Teach how prescribed medications are to be taken. Review the client's list of prescribed medications. Explain when to skip medication doses. Review potential drug interactions with food.
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1,2,3,5
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The infection control nurse is reviewing a monthly status report of all clients who were treated for infectious diseases in the organization. Which clients require further investigation to determine whether they have a healthcare-associated infection? (Select all that apply.) Male client with sepsis after receiving hyperalimentation infusions Male client with a leg wound from motor vehicle accident that became infected Female client with an indwelling urinary catheter being treated for a urinary tract infection Male client being treated for diarrhea after receiving antibiotics for pneumonia Female client receiving antibiotics after having total knee replacement surgery
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1,3,4
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Before planning care, the nurse asks the client to identify goals and any cultural aspects that should be taken into consideration when providing nursing care. Which competency is this nurse demonstrating? Evidence-based practice Quality improvement Teamwork and collaboration Patient-centered care
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4
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The community nurse receives a report from the Department of Public Health about an outbreak of influenza in neighboring counties. Which nursing intervention is appropriate to reduce the risk of a similar outbreak in the community? Organize an influenza vaccination clinic at the local community center. Notify the school to expect a high number of student absences due to influenza. Distribute over-the-counter cold and flu medication during the next community meeting. Discuss implementing a community curfew to curtail spread of influenza.
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1
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The school nurse is preparing a program on child safety for community members. Which topics are the most appropriate for the nurse to include in this program? (Select all that apply.) Reporting burned out street lights to the municipal building Reminding to pack fresh fruit and vegetables in school lunches Importance of crossing the street at traffic signals How to avoid and report strangers in the community Protective equipment to use when playing
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1,3,4,5
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While conducting a home visit, the nurse observes a new mother place the infant in a sink full of water for a morning bath, and then walk away to collect towels and soap. Which topic should the nurse use to guide teaching for this mother? Knowledge Deficit Thermoregulation issue Risk for coping issues Risk for developmental delays
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1
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The school nurse provides a health seminar for high school students on actions to prevent injury. Which student comments indicate that the teaching has been effective? (Select all that apply.) "I should not get into a car when the driver has been drinking." "If I feel really down, I need to talk to my parents about it." "I hate it, but I will wear a helmet when riding my bike." "I can talk to a teacher if I am faced with peer pressure to use drugs." "I do not need to wear a seatbelt as a passenger in a car."
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1,2,3,4
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During a city planning meeting, the nurse learns that a new swimming pool is being built in the community. Which recommendations should the nurse make to the planning committee to ensure water safety for community residents? (Select all that apply.) Recommend cardiopulmonary resuscitation classes be provided for community members. Discuss having children prove evidence of ability to swim before being permitted access to the pool. Insist community residents attend lifeguard classes at the community college. Suggest swimming lessons be provided for community members when the pool opens. Make a list of water safety devices and vendors of the devices to be kept at the pool.
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1,3,4
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While completing a health history for a pregnant client, the nurse becomes concerned that the fetus is at risk for miscarriage. What information in the client's history is causing the nurse to have this concern? (Select all that apply.) Client's husband uses marijuana in the home. Client ingests fresh fruits and whole grain products. Client consumes black coffee and cola drinks. Client has two children and is over 40 years of age. Client smokes one pack of cigarettes per day.
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1,3,4,5
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A 55-year-old client is diagnosed with a chronic illness and asks the nurse how this could have occurred. What is the most appropriate response by the nurse? "Exposure to the elements at an early age leads to these illnesses." "Too many childhood injuries can affect you as an adult." "Illnesses are more likely related to lifestyle choices in adults." "Failing to finish prescription antibiotics can affect your health as an adult."
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3
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While analyzing data collected during a client assessment, the nurse sees a need to include interventions to reduce the risk of injury. Which assessment findings support the nurse's decision? (Select all that apply.) Sustained a fractured arm and leg during a motor vehicle accident 2 years ago Occasionally smokes marijuana Immigrated to the United States 5 years ago Drives a motorcycle as recreation on the weekends Plays tennis with friends after work several evenings a week
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1,2,3,4
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What is the best time the nurse should instruct high school students about the dangers of under-reporting head injuries? Before the school summer break Daily during home room period in school During routine sports physicals While providing the annual influenza vaccination
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3
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Which subject is not appropriate for the nurse to include when teaching children, family members, and caregivers about water-related injuries among children? Encouraging all eligible family members to learn cardiopulmonary resuscitation Ensuring all pool barriers have handholds Ensuring use of life-jackets or devices designed to promote water safety Recommending that all children learn how to swim through formal training
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2
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What should the nurse keep in mind when conducting a client assessment on safety hazards? (Select all that apply.) Lifestyle choices Impact of culture Past injuries and illnesses Gender of worker Developmental age
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1,2,3,5
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A nurse is educating a group of adults regarding strategies to improve safety for adults of all ages. When discussing safety risk factors, the nurse will include which statement? "The risk for injury and death related to unintentional injuries increases as a person ages." "The influence of lifestyle choices has a greater impact on the health of middle adults than risk of unintentional injury." "The primary cause of death among older adults is malignant cancers." "The major cause of death among middle adults is unintentional injuries."
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2
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Bill Jolent is a nurse who provides a program on summer safety for families of a residential community. Which participant statement indicates that teaching has been effective? "Head gear while playing touch football is not necessary." "Children should learn how to swim." "A bump on the head is nothing to be concerned about." "Air-filled floats should be kept around the pool."
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2
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Mr. Gonzales, age 79, has been in a rehabilitation hospital for a week recovering from cardiac surgery. He has received teaching about environmental safety hazards in the hospital and has applied most of what he learned. Which observation indicates that Mr. Gonzales needs additional teaching? He keeps his eyeglasses on bedside table. He applies non-skid footwear to ambulate in the hall. He sits in the lounge talking with other clients. He uses hand grips when getting into the shower.
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1
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During a home visit, the nurse teaches a family with a preschool-aged child about accidental injury prevention. Which observations indicate that teaching has been effective? (Select all that apply.) Four-gallon drum to accumulate rain water removed Box of small buttons available for play Age-appropriate car seat installed in the family car Safety latches secured over gas range controls Plastic trash bags replaced with paper
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1345
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A school nurse is creating a task force to identify ways to reduce the risk of head injuries when students participate in school-sponsored activities. Which school employees are most appropriate for the nurse to recommend as members of this task force because of the high risk for head injuries for the students they supervise? (Select all that apply.) Football coach Wrestling coach Soccer coach Gymnastics coach Marching band instructor
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1,2,3
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A local hospital is planning a health fair for community members. Which topic should the nurse suggest be included to address a potential health problem that can affect the greatest number of community members? Exposure to toxins Polypharmacy Risk for head injuries Car safety seats
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1
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While planning care to promote safety for an older client, the nurse includes specific interventions to prevent unintentional injury. Which assessment findings support the necessity of these interventions? (Select all that apply.) Fatigue when bathing Buttons shirt with left hand Short of breath when walking 15 feet Use of a cane to ambulate Unable to lift legs onto the bed
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1,3,4,5
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The nurse notes that an older resident of a long-term care facility is not eating in the dining room with other residents and does not participate in group activities. Which nursing interventions can minimize this resident's risk for unintentional injuries? (Select all that apply.) Suggest the resident have a consultation with a psychologist. Encourage the resident to spend time in bed after meals. Transport the resident in a wheelchair to the dining hall for meals. Introduce the resident to other residents. Find out what activities the resident enjoys and ensure the resident attends.
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3,4,5
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During a recent community survey on local swimming pools, the public health nurse becomes concerned about the risk of water-related injuries for community members. Which survey result led the public health nurse to have this concern? Home swimming pools lacking four-sided barriers Life guard classes occurring at the community pool Life preservers available at each pool side School-age children swimming with several adults in attendance
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1
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A healthcare organization implemented the STOP STICKS program on all client care areas. Which observations by the nurse manager indicate the need for additional education about the program? (Select all that apply.) Finding used syringes and needles on top of medication carts Changing sharps containers when 3/4 full Finding sharps containers at the head of every client's bed space Witnessing a nurse recapping used needles Supplying nursing staff with blunt edged scissors
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1,4
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The manager is evaluating the impact of an educational program on the frequency of work-related injuries experienced by the nursing staff. Which observation indicates that additional training is necessary? Nursing assistant using a cart to distribute newly filled water pitchers to clients Staff nurse releasing the breaks on a stretcher before transporting a client to the elevator Staff nurse placing intravenous fluids on the medical cart to use while passing medications Nursing assistant independently repositioning and pulling a client up in a hospital bed
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4
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The nurse notes skin excoriation on the client's abdomen at previous injection sites. Which nursing action is a priority when administering the next dose of medication? Use a latex-free syringe for the next injection Cleanse the skin with soap and water before the injection Wear gloves when performing injection Apply topical antibiotic at the site after the injection
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1
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The employee health nurse is preparing a presentation for new hires at a local hospital and wants to provide education on injuries that must be reported to OSHA. Which reportable injury would the nurse include in the presentation? A client who received the correct medication at the wrong time A nurse who experienced a needlestick requiring first aid A client who developed a healthcare-associated urinary tract infection A nurse who lost three days of work because of tripping over a cord in the hallway
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4
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A client's chemotherapy medication becomes disconnected and fluid is running down the hospital bed onto the floor. What action should the nurse take regarding the spilled substance? Ask environmental services team to clean the floor Identify the medication to obtain a safety data sheet Apply gloves and wipe the medication with clear water Cover the spilled medication with a towel
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2
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A staff nurse is assigned to provide client care on a different care area for one shift. While providing care, the nurse notes the inappropriate disposal of used needles and syringes. When asking a staff member about this practice the response was open double quote"this is how it is done here.close double quote" What is the most appropriate action by the nurse in this situation? Collect data on the number of needlestick injuries that occurred during the shift Anonymously report the practice to NIOSH Anonymously report the practice to OSHA Wear gloves while providing all care
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3
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Which action can the nurse take to prevent a needlestick injury? Place the used needle on the medication cart Place the used needle in the client's trash Take the used needle to the medication room Dispose of the used needle in the appropriate container
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4
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The nurse is caring for a client with the flu. What can the nurse do to prevent the spread of this infection to others? Cover the mouth when coughing Change clothing at the end of the scheduled shift Wash hands frequently when caring for this client Avoid sneezing in the client's room
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3
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Which actions should the nurse perform when implementing standard precautions? (Select all that apply.) Cleanse blood spills with cold water Wear a mask and gown upon entering the care area Apply gloves before emptying urinary catheter drainage bags Wash hands before and after providing client care Place used syringes and needles in the sharps container
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3,4,5
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What actions should the nurse take to reduce the risk of an injury when handling sharps? (Select all that apply.) Recap used needles by guiding the needle into the cap Place used needles in sharps containers Recap all needles before disposing Ensure sharps containers are puncture resistant Pick up broken glass with a damp paper towel
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2,4
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What action should the nurse take to transfer a bed-bound client from the bed to a chair? Ask for assistance by other staff members Pivot to the chair from the side of the bed Attach a mechanical device Use a slide board
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3
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Ellen Watson, the nurse manager, is evaluating the success of actions taken to reduce the incidence of staff illnesses on the care area. Which information suggests that the manager's actions have been successful? Soap dispensers are refilled during the night shift Every staff nurse has received the annual flu vaccination Towels are hung to dry by the nurse in the client bathrooms Paper towels are delivered daily on the supply cart
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2
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While performing client care, Amanda Graham, the nurse, notes an area of skin breakdown and excoriation along the area where the indwelling urinary catheter is affixed to the client's inner thigh. What should the nurse do to help the client? Check the acidity level of the client's urine Cleanse the skin with soap and water Change the catheter using one without latex Dust the skin with cornstarch
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3
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A NIOSH representative is scheduled to tour a care area as part of a study on workplace stress. What should the manager prepare to share with the representative who visits the care area? (Select all that apply) New policies about calling off and use of paid time off Number of employee cuts, sprains, and fractures Number of employees hospitalized with work-related injuries Previous three months of work schedules Number of reports of verbal abuse
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1,4,5
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The family of a client in a skilled care facility is concerned that the client's condition is deteriorating because a mechanical lift is being used to transport the client to the bathroom. Which explanation by the nurse is most appropriate? "The lift is used because there isn't enough staff to help move the client." "The client is weaker and the lift helps improve circulation." "The client cannot walk as fast as necessary to make it to the bathroom without having an accident." "The lift protects both the client and the staff during transfers."
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4
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The nurse is completing an initial home visit for a client who was recently discharged from the hospital. Which home condition would the nurse report due to client safety concerns? Using well water for cleaning dishes and for cooking Finding prescription drugs in several locations of the home Heating the environment with a kerosene heater Disposing of needles in a plastic container labeled "sharps"
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3
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While removing a trash bag from the room of a client in protective isolation, the nurse sustains a needlestick to the leg. Which educational topic is a priority for the nurse manager to discuss during the next staff meeting? Technique to remove biohazard trash from isolation rooms Appropriate disposal of used sharps Personal protective equipment to wear when disposing of trash Actions to take when exposed to contaminated sharps
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2
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The nurse manager is preparing the care area in anticipation of a scheduled OSHA inspection. Which particular areas should the nurse manager focus on in order to prepare for this visit? (Select all that apply.) Schedule for staff to view the DVD on safety issues is posted. Water, soap and hand hygiene disinfectant is available at all client bedsides. Glove boxes are filled and placed at each point of client access. Safety information is posted in the staff lounge. Puncture-resistant containers for used sharps are appropriately mounted.
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2,3,5
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The nurse is caring for a client recently admitted with a stomach virus. Which actions should the nurse take to limit the spread of this infection to other clients and nursing staff? (Select all that apply.) Wash hands before and after providing care to the client Double bag reusable client care equipment before sending out for sterilizing Remove unneeded care items from the client's room to decrease clutter Cover the client's bedpan with a sterile towel and place in the bathroom Cleanse bedside tables and counter tops with rubbing alcohol
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1,2
