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Fund. Test #2 Mod. A
Fundamentals Safety Ch. 31 & 32
| Question | Answer |
|---|---|
| Age & development, lifestyle, mobility & health status, sensory-perceptual alterations, emotional state, ability to communicate, safety awareness, environmental factors, &cognitive awareness are all____. | factors affecting safety |
| Factors Affecting Safety: | 1.age & development 2.lifestyle 3.mobility & health status 4.sensory-perceptual alterations 5.emotional state 6.ability to communicate 7.safety awareness 8.environmental factors 9.cognitive awareness |
| Children learn what is potentially harmful through____&____. | 1.knowledge 2.experience |
| Environmental Factors: | 1.home 2.workplace 3.community 4.health care setting 5.bioterrorism 6.disaster planning |
| The Centers for Disease Control and Prevention defines____. | bioterrorism |
| The____defines bioterrorism. | (CDC) Center for Disease Control and Prevention |
| How often should restraints be checked? | every 30 minutes |
| How often should restraints be released? | every 2 hours |
| Depending on policies, nurse may need___from___for restraining client. | 1.informed consent 2.family |
| May need informed consent from family for___patient. | restraining |
| What we should do if a storm hits is an ex. of the___. | Mitigation Phase |
| Determine vulnerability in worst-case scenario is ex. of the____. | Mitigation Phase |
| Provide extra supplies such as extra flashlights is an ex. of the____. | Preparedness Phase |
| Restoring essential services such as electricity is an ex. of the___. | Recovery Phase |
| What does RACE stand for? | 1.Rescue 2.Activate 3.Confine 4.Extinguish |
| 3 categories of fire: | 1.Class A-paper, wood, upholstery, rags, ordinary rubbish 2.Class B-flammable liquids and gases 3.Class C-Electrical |
| Fire extinguisher that puts out paper, wood, upholstery, rags, & ordinary rubbish. | Class A |
| Fire extinguisher that puts out flammable liquids and gases. | Class B |
| Fire extinguisher that puts out electrical. | Class C |
| Class A puts out___,___,___,___,&___. | 1.paper 2.wood 3.upholstery 4.rags 5.ordinary rubbish |
| Class B puts out___&___. | 1.flammable liquids 2.gases |
| Class C puts out___. | electrical |
| PASS stands for: | 1.Pull out the extinguisher's safety pin. 2.Aim the hose at the base of the fire. 3.Squeeze the handle to discharge the material onto the fire. 4.Sweep the hose from side to side across the base of the fire until extinguished. |
| ___are availbale to detect when clients are attempting to move or get out of bed. | Electronic safety monitoring device |
| A single temporary event that consists of an uncontrolled electrical neuronal discharge of the brain resulting in an interruption of normal brain functioning. | seizure |
| Safety measure taken by the nurse to protect clients from injury should they have a seizure. | Seizure precautions |
| Development of seizures in adults is most commonly related to___in the brain such as tumors, strokes, and trauma. | structural abnormalities |
| The development of___in adults is most commonly related to structural abnormalities of the brain such as___,___,&____. | 1.tumors 2.strokes 3.trauma |
| Genetic abnormalities account for approximately___of seizure disorders in children and___in adults. | 1.) 60% 2.) 30% |
| ___account for approx. 60% of__in__& 30% in___. | 1.Genetic abnormalities 2.seizure disorders 3.children 4.adults |
| Seizures are classified into 2 categories: | 1.partial 2.generalized |
| Involve electrical discharges from one area of the brain. | Partial seizures also called focal |
| Partial seizures also called focal involve___from__of the___. | 1.electrical discharges 2.one area 3.brain |
| ___affect the whole brain. | generalized seizures |
| Generalized seizures affect the___. | whole brain |
| What is the difference between partial seizures and generalized seizures? | 1.Partial seizures involve electrical discharge from one area of the brain. 2.generalized seizures affect the whole brain. |
| Seizures that involve the entire body. | grand mal (tonic-clonic) seizures or any seizure that involves loss of consciousness |
| Any seizure that involves loss of consciousness. | grand mal (tonic-clonic) seizures |
| Occurs when a current travels through the body to the ground rather than through electric wiring. | electric shock |
| Static electricity that builds up on the body is___. | electric shock |
| Electric shock occurs when: | 1.electricity travels through body to ground rather than through electric wiring. 2.static electricity that builds up on the body. |
| Lack of oxygen due to interrupted breathing. | Suffocation or asphyxiation |
| Suffocation or asphyxiation is__of__due to___. | 1.lack 2.oxygen 3.interrupted breathing |
| An odorless, colorless, tasteless gas that is very toxic. | Carbon Monoxide (CO) |
| Carbon monoxide is an___,___,___that is very___. | 1.odorless 2.colorless 3.tasteless gas 4.toxic |
| Exposure to (CO) or carbon monoxide can cause symptoms that inlcude: | 1.headaches 2.dizziness 3.weakness 4.nausea 5.vomiting 6.loss of muscle control |
| Prolonged exposure to CO can lead to: | 1.unconsciousness 2.brain damage 3.death |
| Exposure to___can cause symptoms such as headaches, dizziness, nausea, vomiting, weakness, or loss of muscle control. | (CO) carbon monoxide |
| Unconsciousness, brain damage, and death are ex. of___. | prolonged exposure to CO or carbon monoxide |
| Protective devices used to limit the physical activity of the client or a part of the body. | Restraints |
| Restraints can be classified as: | 1.physical 2.chemical |
| The Joint Commission and the Center for Medicare and Medicaid Services (CMS) state that only 2 reasons for restraint use are acceptable: | 1.to avoid &/or prevent purposeful or accidental harm to the resident/client. 2.to do what is required to provide medically necessary treatment that could not be provided through any other means. |
| Medications such as anxiolytics, sedatives, neuroleptic, and psychotropic agents used to control socially disruptive behavior. | Chemical restraints |
| Chemical restraints are medications such as___,___,____,&____used to control socially disruptive behavior. | 1.anxiolytics 2.sedatives 3.neuroleptic 4.psychotropic agents |
| ___&___are ex. of anxiolytics. | 1.Ativan 2.Xanax |
| Ativan & Xanax are ex. of____. | anxiolytics |
| ___&___are ex. of sedatives. | 1.Amytal 2.Seconal |
| Amytal & Seconal are ex. of___. | sedatives |
| Thorazine & Haldol are ex. of___. | neuroleptic and psychotropic agents |
| ___&___are ex. of neuroleptic and psychotropic agents. | 1.Thorazine 2.Haldol |
| Chemical restraints are used to control___. | socially disruptive behavior |
| ____are used to control socially disruptive behavior. | Chemical restraints |
| Most common restraints for adults: | 1.jacket restraints 2.belt restraints 3.mitt or hand restraints 4.limb restraints |
| Jacket restraints, belt restraints, mitt or hand restraints, and limb restraints are all most common restraints for___. | adults |
| ___,___,&____can also be considered restraints. | 1.gerichairs 2.wheelchairs with lap trays 3.bed rails |
| Restraints for infants & children include: | 1.mummy restraints 2.elbow restraints 3.crib nets |
| Mummy restraints, elbow restraints, & crib nets are for___&___. | 1.infants 2.children |
| __can occur when foreign objects become lodged in throat, cutting off air supply. | suffocation or asphyxiation |
| Invasion of body tissue by microorganisms & their growth there. | infection |
| The collective vegetation in a given area in one part of the body yet produce infection in another. | resident flora |
| The name of the microorganism that invades body tissue. | infectious agent |
| If the microorganism in the body tissue produces no clinical evidence of disease it is called___. | asymptomatic or subclinical |
| Some___can cause considerable damage. | subclinical infections |
| ___is an ex. of a subclinical infection that is harmful because it can lead to significant___in___. | 1.(CMV) cytomegalovirus infection in pregnant women 2.disease 3.unborn child |
| The ability to produce disease. | pathogenecity |
| Ability to produce disease. | virulence |
| The freedom from disease-causing microorganisms. | asepsis |
| To decrease possibility of transferring microorganisms from one place to another. | aseptic technique |
| There are 2 types of asepsis: | 1.medical asepsis 2.surgical asepsis |
| Includes all practices intended to confine a specific microorganism to a specific area, limiting the number, growth, & transmission of microorganisms. | medical asepsis |
| In___, objects are referred to as clean which means the absence of almost all microorganisms or dirty (soiled or contaminated). | Medical Asepsis |
| Refers to those practices that keep an area or object free of all microorganisms & spores. | Surgical asepsis or sterile technique |
| 4 major categories of microorganims cause infection in humans: | 1.bacteria 2.viruses 3.fungi 4.parasites |
| Infections that originate in the hospital. | Nosocomial infections |
| ___causes disease only in a susceptible individual. | opportunistic pathogen |
| 6 links that make up chain of infection: | 1.etiologic agent 2.reservoir 3.portal of exit from reservoir 4.method (mode) of transmission 5.portal of entry to the susceptible host 6.susceptible host |
| 3 mechanisms for method of transmission: | 1.direct transmission 2.indirect transmission 3.airborne transmission |
| ___are a subgroup of health care-associated infections (HAIs). | Nosocomial infections |
| Nosocomial infections are a__of____. | 1.subgroup 2.(HAIs) health care-associated infections |
| A person or animal reservoir of a specific infectious agent that usually does not manifest any clinical signs of disease. | carrier |
| Indirect transmission may be either___or____. | 1.vehicle-borne 2.vector-borne |
| ___may be either vehicle-borne or vector-borne. | Indirect transmission |
| ___involves immediate transfer of microorganisms from person to person through touching, biting, kissing, or sexual intercourse. | Direct transmission |
| Direct transmission involves immediate transfer of___from person to person through___,___,___,or____. | 1.microorganisms 2.touching 3.kissing 4.biting 5.sexual intercourse |
| ___involves immediate transfer of microorganims from person to person through touching, kissing, biting, or sexual intercourse. | Direct transmission |
| Airborne transmission may involve___or____. | 1.droplets 2.dust |
| ____ may involve droplets & dust. | Airborne transmission |
| Sources of microorganisms. | reservoirs |
| Reservoirs are___of___. | 1.sources 2.microorganisms |
| The Anopheles mosquito carries the malaria parasite but is unaffected by it is an ex. of___. | carrier |
| Most microorganisms are___& some are___. | 1.harmless 2.beneficial |
| Most___are harmless & some are beneficial. | microorganisms |
| A microorganism-free area. | sterile field |
| The process by which strains of microorganisms become resident flora. | Colonization |
| Infections can be: | 1.local 2.systemic |
| Limited to specific part of the body where the microorganisms remain. | local infection |
| If the microorganisms spread & damage different parts of the body it is a___. | systemic infection |
| When a culture of the person's blood reveals microorganisms, the condition is called___. | bacteremia |
| When bacteremia results in systemic infection, it is referred to as___. | septicemia |
| There are also__& ___infections. | 1.acute 2.chronic |
| __generally appear suddenly or last a short time. | Acute infections |
| Acute infections generally appear__or last a___. | 1.suddenly 2.short time |
| A___may occur slowly, over a long period of time, & may last months or years. | Chronic infections |
| Chronic infections may occur___,over a___, & may last___. | 1.slowly 2.long period 3.months or yrs. |
| The microorganisms that cause nosocomial infections can originate from which 2 sources? | 1.endogenous sources 2.exogenous sources |
| ___can originate from endogenous & exogenous sources. | Nosocomial infections |
| ___come from the clients themselves. | Endogenous sources |
| Endogenous sources come from the___. | clients themselves |
| Exogenous sources come from the___&___. | 1.hospital environment 2.hospital personnel |
| ___come from the hospital environment & hospital personnel. | Exogenous sources |
| ___are the direct result of diagnostic or therapeutic procedures. | latrogenic infections |
| Latrogenic infections are the__result of ___or___. | 1.direct 2.diagnostic 3.therapeutic procedures |
| Most nosocomial infections appear to have___. | endogenous sources (from the clients themselves) |
| Most___appear to have endogenous sources (from the clients themselves). | Nosocomial infections |
| An animal or flying or crawling insect that serves as an intermediate means of transporting the infectious agent. | vector |
| If patient has a bruised area on site of restraint, it must be___. If so,___to come___. | 1.removed 2.contact family 3.sit/watch patient |
| Risk Factors for Using Physical Restraints: | 1.assess need for restraints 2.assess behavior 3.review agency policies 4.inspect area where restraint is to be placed 5.approach client in calm manner 6.provide privacy 7.apply appropriate size restraints |
| If nurse gives another person an order, & they do it incorrectly, it's the__. | nurse's fault |
| The__is responsible for assessment of client's safety needs. | nurse |
| The nurse is responsible for___for restraints. | assessment of client's safety needs |
| Nurse must know___&__for restraints. | 1.agency's specific policy 2.procedure |
| The__must know the agency's specific policy & procedure for restraints. | nurse |
| Restraints must be__& part of__&___. | 1.clinically justified 2.medical treatment 3.plan of care |
| ___is required for restraints. Unless there is a major emergency. | Physician's Order |
| A physician's order is required unless there is a major emergency. In such an event, the nurse can restrain patient but must__it & get___. | 1.document 2.physician's order asap |
| A physician's order must state: | 1.type of restraint 2.location 3.specific behaviors for which restraints are to be used 4.must have limited time frame 5.ongoing assessment by nurse (every 30 min.) |
| A___must state type of restraint, location, & specific behaviors for which restraints are to be used & must have a limited time frame & ongoing assessment by nurse. | physician's order |
| Proper nurse documentation should include: | 1.behaviors that necessitated use of restraints 2.procedure used in restraining 3.condition of body part being restrained 4.evaluation of clien't response 5.remove prn for ROM etc. |
| ___by the nurse should include behaviors that necessitated use of restraints, procedure used in restraining, condition of body part restrained, evaluation of client's response, & remove prn from ROM etc. | Proper documentation |
| Soft music, pet therapy, & back massages are ex. of___. | restraint alternatives |
| Central government federal agency for emergency planning. | (FEMA) Federal Emergency Management Agency |
| Follow facility's policy & procedure on management of large scale disasters. | Health Care Facility |
| Doing greatest good for greatest number of people. | Disaster management |
| Person with pulse but gunshot vs. victim who is nearly decapitated is an ex. of___. | Disaster management |
| Type of management used in ER. | Disaster Management |
| Push nail, it turns white, when released it turns pink again is an ex. of___. | capillary refill |
| When pressing finger & it turns white, it is called___. | blanching |
| If patient complains of numbness, but all sign seems healthy & 2 finger rule is being applied, what should nurse do? | keep the restraint on but chart complaints & procedures checked |
| Identifies the kinds of emergency situations that may occur. | Mitigation Phase |
| Steps taken to manage situations. | Preparedness Phase |
| Steps taken by staff in event of emergency. | Response Phase |
| Steps taken to restore essential services. | Recovery Phase |
| Nurses play important roles in___&___. | 1.planning 2.implementing disaster relief efforts |
| During external disaster, nurses collaborate with___, focus on___,___, &___. | 1.community agencies 2.ANA 3.primary prevention 4.bio-terrorism |
| During___,nurses collaborate with community agencies, ANA, focus on primary prevention, & bioterrorism. | external disaster |
| Primary prevention of external disaster: | 1.rescue 2.recovery |
| Rescue & recovery are___of___. | 1.primary prevention 2.external disaster |
| The___along with other agencies enhance nurses' role. | ANA |
| Community agencies that nurses collaborate with during external disaster includes___. | health department |
| Examples of external disasters: | 1.hurricanes 2.tornadoes 3.earthquake 4.tsunami etc. |
| During__nurses play important roles in planning & implementing disaster relief efforts. | external disaster |
| During disaster management, follow___on management of large scale disasters. | Health Care Facility |
| Follow Health Care Facility policy & procedure on__of___. | 1.large scale disasters 2.large scale disasters -FEMA |
| A system of ensuring appropriate nursing care that attempts to identify potential hazards and eliminate them before harm occurs. | Risk Management |
| Risk management attempts to___&___. | 1.identify potential hazards 2.eliminate them before they occur |
| A Risk Management Nurse acts to: | 1.identify possible risks 2.analyze risk 3.evaluate steps taken 4.document assessments/findings 5.report significant changes in client's condition (facts only; no incident reports) |
| Identify possible risks, analyze risks, act to reduce risk, evaluate steps taken, document assessments & findings, & report significant changes in client condition (facts only) is the job of___. | Risk Management Nurse |
| One tool used in risk management. | Incident report or occurrence report |
| Incident report or occurrence report is one tool used in___. | risk management |
| Any event that is not consistent with the routine operation of a health care unit or routine care of client. | Incident -follow policies & procedures of agency |
| The absence of pathogenic microorganisms. | Asepsis |
| Asepsis is the___of____. | 1.absence 2.pathogenic microorganisms |
| Includes procedures to reduce & prevent the spread of microorganims. | Medical (clean) technique |
| Medical (clean) technique includes procedures to___or___the___of___. | 1.reduce 2.prevent 3.spread 4.microorganisms |
| Eliminates all microorganisms. | Surgical (sterile) |
| The surgical (sterile) technique eliminates___. | all microorganisms |
| Medical aseptic procedures: | 1.hand hygiene 2.alcohol-based waterless antiseptic 3.clean dressing procedures |
| Hand hygiene, alcohol-based waterless antiseptic, & clean dressing procedures are all part of the___. | medical aseptic procedures |
| Used during procedures that intentionally break the skin (IV's). | Surgical Asespsis |
| Surgical asepsis is used during procedures that___. | intentionally break the skin such as IV's |
| Surgical asepsis is used in: | 1.during procedures that intentionally break the skin (IV's) 2.Surgical trauma or burns 3.Procedures that involve insertion of catheters into sterile body cavities |
| Surgical asepsis is used during procedures that intentionally break the skin (IV's),___or__,& procedures that involve___of___into____. | 1.surgical trauma 2.burns 3.insertion 4.catheters 5.sterile body cavities |
| Principles of Surgical Asepsis: | 1.) sterile object is sterile only when touched by another sterile object. 2.) Only sterile objects placed on sterile field. 3.) Sterile field contaminated by prolonged exposure to air. 4.) 1 inch or 2.5cm around border is considered contaminated. |
| Sterile object is sterile only when touched by another sterile object, only sterile objects placed on sterile field, sterile field contaminated by prolonged exposure to air, & 1 inch or 2.5cm around border is considered contaminated are the___. | Principles of Surgical Asepsis |
| Sterile field is contaminated by prolonged exposure to___. | air |
| ___or___around___of sterile field is considered contaminated during surgical asepsis. | 1.) 1 inch 2.) 2.5 cm |
| Chain of Infection in order: | 1.infectious agent or pathogen 2.reservoir 3.portal of exit 4.mode of tranmission 5.portal of entry 6.susceptible host |
| An infectious agent or pathogen, reservoir, portal of enxit, mode of transmission, portal of entry, & susceptible host are all parts of the___. | chain of infection |
| Pain & tenderness at the wound site is an ex. of___. | localized infectious process |
| 2 types of infectious process: | 1.localized 2.systemic |
| Localized & systemic are 2 types of___. | infectious process |
| What is an ex. of a localized infection? | pain & tenderness at wound site |
| Affects entire body instead of single organ. | systemic infection |
| Systemic infection can be___. | fatal |
| A___can be fatal. | systemic infection |
| A systemic infection affects the___instead of___. | 1.entire body 2.single organ |
| 4 Stages of Infection in order: | 1.Incubation Period 2.Prodromal Stage 3.Illness Stage 4.Convalescence |
| The incubation period, prodromal stage, illness stage, & convalescence are all stages of___. | Infection |
| Interval between entrance of pathogen into body and appearance of first symptoms is the___. | Incubation Period |
| The incubation period is the interval between___of___into body and appearance of first symptoms. | 1.entrance 2.pathogen |
| The incubation period is the interval between entrance of pathogen into body &___of____. | 1.appearance 2.first symptoms |
| Interval from onset of nonspecific signs & symptoms. | Prodromal Stage |
| Signs & symptoms of being tired is an ex. of____. | Prodromal Stage |
| The prodromal stage signs/symptoms ex. is___. It is the interval from___of___. | 1.being tired 2.onset 3.nonspecific signs/symptoms |
| Client shows signs & symptoms such as sore throat. | Illness Stage |
| During the illness stage, client shows signs/symptoms of___. | sore throat |
| During this time, acute symptoms disappear. | Convalescence |
| During the Convalescence stage,___. | acute symptoms disappear |
| A protective reaction that neutralizes pathogens & repairs body cells. | inflammatory process |
| The inflammatory process is a___that___&___. | 1.protective reaction 2.neutralizes pathogens 3.repairs body cells |
| The Inflammatory Process in order: | 1.normal flora 2.body systems defenses 3.inflammation 4.vascular & cellular response 5.inflammatory exudates 6.tissue repair 7.general adaptation syndrome (GAS) |
| Normal flora, body systems defenses, inflammation, vascular & cellular response, inflammatory exudates, tissue repair, & general adaptation syndrome (GAS)are the___. | inflammatory process |
| Stages of GAS or General Adaptation Syndrome: | 1.Alarm reaction 2.Resistance Stage 3.Exhaustion |
| The alarm reaction, resistance stage, & exhaustion stage are all parts of the___. | Stages of GAS or General Adaptation Syndrome |
| In this stage, rising hormone levels result in increase blood volume, blood glucose levels, etc. | Alarm reaction stage |
| During the alarm reaction stage,___result in____&____. | 1.rising hormone levels 2.increased blood volume 3.blood glucose levels,etc. |
| During the___, the body stabilizes. | Resistance Stage |
| During the resistance stage, the___. | body stabilizes |
| During the___, the body can no longer resist the effects of the stressor. | Exhaustion Stage |
| During the exhaustion stage, the body can no longer___the___of the___. | 1.resist 2.effects 3.stressor |
| Prevents soiling of clothes. | Gowning |
| Gowning prevents___of____. | 1.soiling 2.clothes |
| OSHA Guidelines for health care providers: | 1.universal precautions shall be observed to prevent contact with blood or other infectious material. 2.work practic control to eliminate employee exposure. 3.accessible hand-washing facilities. 4.hand-hygiene pract. 5.no food where blood prod. pres. |
| Universal precautions should be observed to prevent contact w/ blood or infectious material, work practice control to eliminate employee exposure, accessible hand-washing, hand-hygiene practices, & no food kept where blood products are present are all__. | OSHA Guidelines for Health Care Providers |
| Tier One Standard Precautions: | 1.hands washed 2.gloves worn when touching body fluids. 3.masks worn for splash occurrences. 4.gowns are worn if soiling of clothing is likely. 5.equpment cleaned properly 6.discard sharp instruments properly |
| Washing hands, wearing gloves w/ body fluids, masks for splashing, gowns for soiling, cleaning equipment, & discarding sharp instruments are all___. | Standard Precautions: Tier One |
| Tier Two Standard Precautions: | 1.Airborne precautions 2.Droplet precautions 3.contact precautions |
| With airborne & droplet precautions, a___is worn. | mask |
| With___&____, a mask is worn. | 1.Airborne 2.Droplet Precautions |
| Airborn precautions would be practiced with___& a___would be worn. | 1.measles 2.mask |
| ____would be practiced with measles & a mask would be worn. | Airborne precautions |
| Droplet precautions would be practiced with___& a__would be worn. | 1.mumps 2.mask |
| ____would be practiced with mumps & a mask would be worn. | Droplet precautions |
| Contact precautions would be practiced with___&___. | 1.(RSV) respiratory synctial virus 2.scabies |
| (RSV) respiratory synctial virus & scabies woule be practiced with___. | Contact precautions |
| ___&___would be used in contact precautions. | 1.gloves 2.gown |
| Gloves & gown would be used in___. | contact precautions |
| (PPE) Personal Protective Equipment includes: | 1.gowning 2.full face protection 3.gloves |
| ___is used when splashing may occur. | full face protection |
| Full face protection is used when___may occur. | splashing |
| Prevents transmission of pathogens by direct or indirect contact. | gloves |
| gloves prevent___of___by direct or indirect contact. | 1.transmissions 2.pathogens |
| Gloves prevent transmissions of pathogens by___or___. | 1.direct 2.indirect contact |
| Types of Measures to Ensure Safe Environment: | 1.Fire 2.Electrical 3.Chemical |
| Fire, electrical, & chemical are all__to___. | 1.measures 2.ensure safe environment |
| Fire safety measure include___& a___. | 1.smoke/fire alarms 2.plan of action (in case) |
| Electrical safety measures include making sure___is in___. | 1.electrical equipment 2.good working order |
| Chemical safety measures include keeping them___&___. | 1.out of reach 2.stored properly |
| Documentation should be___,____,____,___,&____. | 1.complete 2.current 3.factual 4.current 5.organized |
| ___should be accurate, complete, current, factual, & organized. | Documentation |
| Provide workers & ER personnel with the proper procedures for handling or working with a particular substance. | Material Safety Data Sheet (MSDS) |
| The Material Safety Data Sheet (MSDS) provides___&___with the proper procedures for handling/working with___. | 1.workers 2.ER personnel 3.particular substance |
| Documentation policies & procedures conform to__&___. | state & federal laws |
| (MSDS) or Material Safety Data Sheet conforms to__&__as well. | 1.state 2.federal laws |
| ____conforms do state & federal laws. | (MSDS) or Material Safety Data Sheet |
| What is a risk management tool? | Incident Reports |
| Process for Reporting: | 1.breaches in safety & security 2.ethics committee 3.chain of command 4.incident reports-risk management tool 5.(HIPPA) Health Insurance Portability & Accountability Act |
| The process of reporting___in___&___. | 1.breaches 2.safety 3.security |
| The__for___breaches in safety & security. | 1.process 2.reporting |
| Incident reports are a tool for___. | risk management |
| The__of__&___are parts of process for reporting. | 1.chain 2.command 3.ethics comittee |
| Burns are the leading cause of injury among older adults. True or False. | False |
| Nurs. interventions to reduce client's risk for falls includes___. | encourage wearing non-skid shoes |
| When nurse implements seizure precautions, what should be done in order? | 1.pad the bed 2.Turn client's head to side 3.Use suction equipment to suction oral airway 4.assist client to comfortable position |
| What statement, made by the nurse orienting a newly hired nurse to the unit, is correct regarding seizure precautions? | "Do not force a tounge depressor between teeth" |
| After applying restraints to a client, the nurse notifies the provider & recognizes the provider must see the client within: | 1 hour |
| The provider must re-evaluate the client for a new order every___. | 24 hours |
| The client must be seen by the provider every___. | 1 hour -sooner than 24 hours |
| During a change of shift report, the nurse learns that an assigned client required application of soft wrist restraints secondary to confusion & attempting to remove indwelling urinary & IV catheters. The nurse's priority actions upon completing report: | 1.provide range of motion exercises when restraints are removed. 2.orient the client. 3.assess tightness of restraints |
| The nurse is preparing a presentation at a senior citizens center on the leading cause of accidents in older adults. What topic should the nurse concentrate on presenting | falls |
| The nurse has restrained the wrist of a client who keeps trying to pull the IV our. The nurse demonstrates goood nursing practice related to care of the client in a restraint by___. | not leaving client unattended when restraint is temporarily removed |
| The nurse assesses a cyanotic appearance and cool temperature in the hand of a client wearing a wrist restraint. The client complains of numbness and tingling in the hand. What should the nurse do first? | Loosen the restraint and exercise the limb |
| Which statement by a father indicates understanding of safety measures for his 3-year-old son? | "I shouldn't give him ice cream bars on a stick." |
| Which adolescent would be at the highest risk for committing suicide or homicide? | An African-American male |
| An elderly client, hospitalized with a cerebral vascular accident, is unable to ambulate without help. This client becomes disoriented and tries to get out of bed. What safety measure is most appropriate for this client? | Use a bed exit safety monitoring device |
| When planning a safety seminar in the workplace for a group of middle-aged adults, what should be a primary focus? | Occupational accidents |
| According to the 2000 Institute of Medicine report, To Err is Human: Building a Safer Health System, more people die from __________than from motor vehicle accidents, breast cancer, or AIDS. | medical errors |
| The CDC (2001) defined three categories of biological pathogens that can be used in terrorism. The pathogens of highest concern are: | 1.anthrax 2.botulism 3.plague |
| A nurse applies restraints to a client who is combative. The nurse informs the physician and knows that the physician must see the client within what time frame for evaluation? | 1 hour |
| A client has a yeast infection. What category of microorganism is yeast? | Fungi |
| An ex. of an expected outcome for the client w/ a nursing dianoses risk for injury is: | the client identifies fall hazards in the home |
| expected outcome for any nursing diagnosis would include___being able to___. | 1.patient 2.communicate knowledge |
| What are some of the most common infecting microorganisms in nosocomial infections? | 1.Escherichia coli 2.Enterococci 3.Staphylcoccus aureus |
| The nurse notes hyperemia when evaluating the incision of a client. The nurse knows that this indicates what stage in the inflammatory response? | Vascular and cellular response |
| What type of immunity is lost when a client develops human immunodeficiency virus (HIV)? | Cellular immunity |
| Cellular immunity is lost when client develops___. | (HIV) Human Immunodeficiency Virus |
| A mother is planning on weaning her 5-month-old infant from breastfeeding. She says that the infant may get my infections, since the baby will not be getting immunity through her breast milk. What response by the nurse would be most appropriate? | "Infants begin to make their own immunity between 1 and 3 months of age." |
| A hospitalized client is in a private room. When outside the room, the client must wear a surgical mask. What type of isolation precaution is in use? | Droplet |
| A home health nurse has just changed a soiled dressing from an infected wound of a client's. After placing the soiled dressing in a paper bag provided by the client, how should the nurse dispose of it? | Place the paper bag inside a plastic bag for disposal |
| A client with tuberculosis is expecting visitors, and asks if they need to wear masks if they are healthy. What response by the nurse would be most accurate? | "Everyone who enters your room must wear a mask to protect themselves from tuberculosis." |
| A client has been diagnosed with a urinary tract infection. What is the most likely cause of this infection? | Escherichia coli enterococci |
| The nurse is a bed exit safety monitoring device & places the sensor under the client's buttocks under the___. | mattress |
| The nurse is to admit a client with a seizure disorder from the emergency dept. & prepares room by: | 1.placing oral suction equip. at bedside & ensuring function. 2.padding headboard, footboard, & side rails. 3.placing oxygen & face mask in room. |
| ___seeks to promote community health & health of our planet while creating healthier relationship between humans & the environment. | (NIEHS) National Institute of Environmental Health Services |
| Protects life and promotes health by offering information on safety in the workplace, home/community, and environment. | National Safety Council |
| When inserting a central venous catheter,__is used. | surgical asespsis |
| When applying a bandage after drawing blood,___is used. | medical asespsis |
| When inserting a urinary catheter,___is used. | surgical asepsis |
| When having the client shower with antibacterial cleanser prior to surgery,___is used. | medical asepsis |
| A client with a high fever has had blood cultures drawn that reveal the presence of pathogens circulating in the bloodstream. The nurse documents this as___. | septicemia |
| Escherichia coli is most likely to cause infection in____. | urinary tract |
| ___is most likely to cause infection in urinary tract. | Escherichia coli |
| Salmonella is most likely to cause infection in___. | gastrointestinal tract |
| ___is most likely to cause infection in gastrointestinal tract. | Salmonella |
| Hepatitis B is most likely to cause infection in___. | bloodstream |
| ___is most likely to cause infection in bloodstream. | Hepatitis B |
| Mycobacterium tuberculosis is most likely to cause infection in___. | lungs/pneumonia |
| ____is most likely to cause infection in lungs/pneumonia. | Mycobacterium tuberculosis |
| What are client's basic needs? | 1.oxygen 2.nutrition 3.optimum 4.temperature/humidity |
| Hypothermia occurs when the core body temperature is ____? | 95? (35?C) or below |
| ___is the primary cause of air pollution in schools, homes, & workplaces. | Smoking |
| The majority of med errors occur during the ___ and ___ stages. | ordering and administering |
| What three types of medical errors accounted for 60% of safety incidents? | 1.infection after surgery 2.bedsores 3.failure to diagnose & treat in time |
| What is the most common factor precipitating a client's fall? | getting up to go to the restroom |
| For restraints to be applied, a ____ assessment and ____ must occur. | face to face assessment and Dr.'s order |
| Your patient required emergency restraints because they were choking themselves with a sheet. To CYA, you need to get ____. | Dr.'s order within one hour. |
| Prior to applying restraints, you should pad ___. | Skin and bony prominences |
| A belt restraint prevents? | a client from rolling off a 1.stretcher 2.falling out of bed 3.sitting up on stretcher. |
| ____ restraints are commonly used on children to keep them from removing IVs. | Elbow restraints |
| A ____ restraint is useful when examining or treating a child's head or neck. | Mummy |
| Restraints should be attached to the ____ part of the bed frame. | that doesn't move? |
| How do you ensure a restraint isn't compromising a patient? | 1.check skin 2.integrity 3.pulses 4.temperature 5.color 6.sensation every two hours and slide two fingers under restraint |
| Immediately post-seizure a client should be placed in the ____ position. | Side-lying |
| Clients exposed to anthrax should? | remove clohtes and store in labeled plastic bags, shower, and IV or oral fluoroquinolones |
| ____ is the post exposure prophylaxis of choice for botulism. | Streptomycin |
| ___is the primary cause of air pollution in schools, homes, & workplaces. | Smoking |
| The majority of med errors occur during the ___ and ___ stages. | ordering and administering |
| What three types of medical errors accounted for 60% of safety incidents? | 1.infection after surgery 2.bedsores 3.failure to diagnose & treat in time |
| What is the most common factor precipitating a client's fall? | getting up to go to the restroom |
| For restraints to be applied, a ____ assessment and ____ must occur. | face to face assessment and Dr.'s order |
| Your patient required emergency restraints because they were choking themselves with a sheet. To CYA, you need to get ____. | Dr.'s order within one hour. |
| Prior to applying restraints, you should pad ___. | Skin and bony prominences |
| A belt restraint prevents? | a client from rolling off a 1.stretcher 2.falling out of bed 3.sitting up on stretcher. |
| ____ restraints are commonly used on children to keep them from removing IVs. | Elbow restraints |
| A ____ restraint is useful when examining or treating a child's head or neck. | Mummy |
| Restraints should be attached to the ____ part of the bed frame. | that doesn't move? |
| How do you ensure a restraint isn't compromising a patient? | 1.check skin 2.integrity 3.pulses 4.temperature 5.color 6.sensation every two hours and slide two fingers under restraint |
| Immediately post-seizure a client should be placed in the ____ position. | Side-lying |
| Clients exposed to anthrax should? | remove clohtes and store in labeled plastic bags, shower, and IV or oral fluoroquinolones |
| ____ is the post exposure prophylaxis of choice for botulism. | Streptomycin |
| What type of pathogen consists primarily of nucleic acid & therefore requires entry into living cells to reproduce? | Viruses |
| The nurse administers a vaccine to a 4 month old infant in order to produce____. | artificial active immunity |
| The nurse explains to the parent of a child recovering from chicken pox that the child has immunity to varicella that is: | 1.specific 2.active |
| The client who is immobilized for the next 4 months is at risk for developing pneumonia & the nurse appropriately assigns the nursing diagnosis: "Risk for infection related to inadequate primary defenses: stasis for secretions" True or False | True |
| Client & family need to know how to keep their surroundings clean in order to prevent spread of infection is ex. of___. | environmental management |
| Instruct client & family to perform hand washing & the use of barrier precautions at the appropriate time is an ex. of___. | infection control |
| Teach the client & family how to avoid infections is an ex. of____. | infection protection |
| Have clients demonstrate skills related to treatment of wounds is an ex. of___. | wound care |
| With Hepatitis B, use____. | standard precautions |
| With Clostridium difficile, use___. | contact precautions |
| With chicken pox, use___. | airborne precautions |
| With mumps, use___. | droplet precautions |
| With___use standard precautions. | Hepatitis B |
| With___use contact precautions. | Clostridium difficile |
| With___use airborne precautions. | chicken pox |
| With___use droplet precautions. | mumps |
| The nurse is leaving the room of the client who is in contact isolation. In what order is the personal protective equipment removed: | 1.gloves 2.eyewear 3.gown 4.mask |
| The nurse determines that a field remains sterile when___. | sterile items are more than 1 inch from the edge of the sterile field |
| The nurse recognizes that it is inappropriate to delegate an infection control skill to (UAP) or unlicensed assistive personnel when the skill requires___. | maintaining a sterile field |
| The nurse is caring for a client who requires insertion of an indwelling urinary catheter. To what staff member might the nurse safely delegate this task? | LPN/LVN |
| The nurse is exposed to a bloodborne pathogen & follows immediate self-care required before notifying supervisor. After notifying supervisor, the nurses next priority action is to___. | sign a release for testing |
| Nurse experiences exposure to blood & requires initiation of treatment immediately based on CDC guidelines if the client tests positive for__. | HIV |
| The CDC does not recommend immediate treatment when nurse is exposed to___. However, all health care should be immunized for it. | Hepatitis B |
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