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NUR 162 CH. 26
NUR 162 Chapter 26
| Question | Answer |
|---|---|
| What are some factors that affect safety? | mental development, lifestyle, mobility, occupation, knowledge |
| When performing a safety assessment, the nurse focuses on what three categories? | the individual, the environment, and specific risk factors |
| When performing a physical exam, what are important factors to look for? | mobility status, ability to communicate, level of awareness, domestic violence or abuse |
| What are some factors that contribute to falls? | age greater than 65 yrs, a history of falls, altered gait, orthostatic/ postural hypotension, or an unfamiliar environment |
| what are things important to look for when assessing a history? | falls or accidents, drug or alcohol abuse, and family support system |
| Who is at greatest risk for asphyxiation ? | children |
| What age group is most at risk for drowning? | younger than 5 years (in pools or bathtubs mainly) |
| Between the ages of 15-24 what is the leading cause of mortality and morbidity? | unintentional gunshot wounds (nearly 25%) |
| Who sets up laws or regulations to help modify at-risk behaviors? | OSHA |
| What is a major concern for safety concerning smokers in a home? | Fires, 80% happen because of smokers |
| What are the 4 E's of preventing injury? | Engineering (safety equipment), enforcement (OSHA), education and economics |
| What is the proper procedure for an emergency situation? | Assess the victim, Alert medical assistance, Attend to the victim |
| What can be done to ensure the safety of an infant? | never leave unattended, use crib rails, check for choking hazards, *car seats* |
| What are some safety measures that can be taken for preschoolers/toddlers? | Childproof the home, prevent poisoning, be alert for abuse, maintain proper car seat usage |
| For school aged children what is important to teach them about? | stranger-danger, bicycle safety, seat beats |
| What are some signs of possible child abuse? | history of unexplained injuries, thermal burns, bite marks, nightmares, excessive sexual curiosity, fear of strangers, decreased school attendance |
| What are things important to teach adolescents concerning safety? | driving skills, avoidance of tobacco and alcohol, guns and violence, and sex education |
| What are some safety considerations for adults? | domestic violence, stress related effects, unsafe drug and alcohol use |
| What is intimate partner violence? | domestic violence or battery cause by a boyfriend, spouse, or girlfriend |
| What are some safety considerations for older adults ? | orient to surroundings, maintain vehicle in good working order, use medication trays (pre-fill and hide rest) |
| What is the leading cause of accidental death in older adults? | falls |
| What are restraints? | physical devices used to limit a persons movement |
| What is a sentinel event? | an unexpected death or injury either physical or psychological |
| What is true about people of small stature and the safety of side rail use? | they are more likely to slip between the rails |
| what must a nurse have in order to use restraints? | a written doctors order |
| How often does a restraint order need to be evaluated and rewritten? | every 24 hours |
| What are 4 examples of restraints? | mummy restrains, elbow restraint, vest restraint, wrist/ankle restraint |
| What are some physiological hazards associated with restraints? | suffocation from entrapment, impaired circulation, altered skin integrity, fractures, aspiration or breathing difficulties, incontinence, changes in mental status |
| Who set up the sentinel event advisory group? | the Joint Commission on Accreditation of Healthcare Organization (JCAHO) |
| What organization regulates all hospitals through the government? | JCAHO |
| What does the acronym RACE stand for? | Rescue (ppl. In immediate danger), Activate (emergency response system), Confine (the fire), Evacuate (patients in danger) |
| What is a confidential document that objectively describes the circumstances of an accident called? | an incident report |
| Where/when should an incident report be filled out? | immediately after the accident, effects should be recorded with in the medical record not the incident report itself |
| What are some ways to prevent equipment related injuries? | use only as intended, use with care, only use appropriate plugs, do not twist cords, be alert of faulty equipment and wet surfaces |
| What are a few of JCAHO safety goals? | improve overall safety, improve proper identification, improve medication safety, eliminate wrong site, wrong patient, wrong surgery incidents, reduce risk of healthcare acquired infections |
| What are 2 ways to properly identify patients? | verbally and by verification of wrist bands |
| What is it called when there is deliberate spread of pathogenic organisms into a community? | bioterrorism |
| What is it called when there is a deliberate spread of chemical compound for the purpose of causing mass destruction? | chemical terrorism |
| What are some chemical agents that can be used as a WMD? | pulmonary agents (anthrax), cyanide, vesicants, nerve agents, incapacitating agents |
| what is the intentional dispersion of radioactive materials referred to as? | nuclear terrorism |
| What is an injury from an explosive called? | blast injury |
| Who are at highest risk from a dirty bomb? | people who have small lung capacities |
| What is one way to help older adults stay active in a long term facility rather than having to restrain them? | place a picture of themselves at the doors to their rooms to help them find their rooms |
| What is the first thing that should be done when poisoning is suspected with a child at home? | call the poison control center |
Created by:
cspearsall
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