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Basics Unit 2 2of2
| Question | Answer |
|---|---|
| Prevention of burns includes protecting pts from: | thermal energy |
| Burns can be caused from: | hot or cold materials |
| Pts at risk for burns: | diabetic pts, paralyzed pts, pts with altered mental awareness |
| The nurse should check the temperature of liquids before: | giving them to the pt. |
| The nurse should caution the pt about sleeping on: | a heating pad or a cold pack |
| Inspect ___________ for frayed or broken areas that may cause sparks or fires. | electrical cords |
| Banned in most health care facilities; pts should be carefully supervised when doing this; never allowed when oxygen is in use because a spark could cause a fire | smoking |
| Any equipment that might cause a spark is prohibited near: | oxygen |
| Nursing actions to promote pt safety in the hospital: | orient pt to the unit on admission; assess pt's gait and risk for falling; evaluate pt's drug regimen for side effects that increase risk for falling; keep bed in low position when not giving direct care; toilet pt on a regular schedule |
| Nursing actions to promote pt safety in the hospital: | lock wheels on bed; provide night-light for going to the bathroom; encourage use of non-skid slippers; answer call lights promptly; tell pt when you will next check in; encourage use of grab bars; place high-risk pts near nurse's station |
| Nursing actions to promote pt safety in the hospital: | place call bell within reach; stay with confused or unsteady pts when they are up; provide diversionay activities for confused pts; make sure wheelchir brakes are locked |
| Nursing actions to promote pt safety at home: | nonskid bath mat in tub or shower; night-lights to help pt find bathroom; installation of grab bars; door buzzers or bed alarms; maintain same furniture arrangement; remove extension cords; caution about toys and animals; provide community resources |
| Know and be familiar with your institution's: | fire regulations |
| Know the location of: | fire extinguishers, fire alarms, and escape routes |
| Know how to: | notify the operator of a fire in your area |
| In case of fire, you must: | RACE (Rescue any pt in immediate danger - remove them from the area); Activate fire alarm system; Contain the fire by closing doors and windows; Extinguish flames with appropriate extinguisher |
| A biologic agent, chemical, or condition that can be harmful to a person's health | biohazard |
| _______ publishes specific guidelines for labeling, handling, cleaning spills, and disposing of biohazardous material. | OSHA (Occupational Safety and Health Administration) |
| consulted for recommended methods of storage, labeling, handling spills, and disposal | MSDS (Material Safety Data Sheets) |
| release of pathogenic microorganisms into a community to achieve political and/or military goals | bioterrorism |
| use of certain compounds to cause destruction to achieve political and/or military goals | chemical terrorism (pulmonary agents, cyanide agents, nerve agents, vesicants, and incapacitating agents |
| Common diseases spread through bioterrorism: | anthrax, botulism, ebola virus, lassa fever, plague, smallpox, tularemia |
| Be familiar with your institution's policies for: | decontamination, treatment and triage in the event of a terrorist attack |
| For decontamination, staff must wear: | masks and protective clothing that are impervious to chemicals and cover all skin surfaces |
| ________ suits may be used during decontamination. | MOPP (military mission-oriented protective posture |
| A __________ must be worn with a MOPP suite. | chemical mask |
| When pts are assessed and labeled according to the priority of care as "immediate", "delayed", "minimal", or "expectant". | Triage |
| Triage treatment is based on type of agent to which the pt was exposed and degree of exposure. ___________ are used for some biologic agents. ___________ are used for some of the chemicals and poisonous gases. | antibiotics; antidotes |
| Triage treatment is directed at: | supporting organ function while the body tries to recover |
| a substance that when ingested, inhaled, absorbed, applied, injected, or developed within the body, may cause functional or structural disturbances | poisons |
| treatments and antidotes can be obtained from ____________ or listed on some containers. | poison control centers |
| In the event of a suspected poisoning: | contact the poison control center; have label in front of you; report - name of product, patient's age, amount you believe is involved, any symptoms involved |
| Protective devices can be used: | in psychiatric setting; when there is a sudden change in mental status/behavior |
| Nonbehavioral indications: | continuation of medical treatments |
| It is __________________ to be aware of and follow the regulations in your facility and area. | your responsibility |
| Federal and local laws mandate: Protect the patient from ________________ and from physial and chemical restraints. | physical and mental abuse |
| physical restraints can be used when: | authorized by a physicial in writing, for a specified and limited period of time, or when needed in an emergency situation |
| _______ bed rails are considered a restraint. | Four |
| The goal when using protective devices is: | to move to a less restrictive environment |
| Health care workers are encouraged to: | find an alternative to the use of protective devices. |
| Family and friends of a pt who is confused can be encouraged to: | sit with a pt to promote safety. |
| Protective devices must: | help the pt or be needed to continue medical therapy; use the least amount of immobilization needed;have a written order (physician must be notified as soon as restraint is not needed) |
| Protective devices must be: | applied snugly but no too tight (to interfere with circulation or nerve function); removed and pt's positin changed every 2 hours. Active or passive exercised for immobilized joints and muscles should be done. |
Created by:
akgalyean
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