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Fund. Test #2 Mod. A

Fundamentals Safety Ch. 31 & 32

QuestionAnswer
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
Created by: allicox