Fundamentals Safety Ch. 31 & 32
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| Age & development, lifestyle, mobility & health status, sensory-perceptual alterations, emotional state, ability to communicate, safety awareness, environmental factors, &cognitive awareness are all____. | show 🗑
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| show | 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
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| Children learn what is potentially harmful through____&____. | show 🗑
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| show | 1.home 2.workplace 3.community 4.health care setting 5.bioterrorism 6.disaster planning
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| The Centers for Disease Control and Prevention defines____. | show 🗑
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| The____defines bioterrorism. | show 🗑
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| How often should restraints be checked? | show 🗑
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| show | every 2 hours
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| Depending on policies, nurse may need___from___for restraining client. | show 🗑
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| May need informed consent from family for___patient. | show 🗑
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| show | Mitigation Phase
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| Determine vulnerability in worst-case scenario is ex. of the____. | show 🗑
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| Provide extra supplies such as extra flashlights is an ex. of the____. | show 🗑
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| show | Recovery Phase
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| What does RACE stand for? | show 🗑
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| 3 categories of fire: | show 🗑
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| show | Class A
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| show | Class B
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| Fire extinguisher that puts out electrical. | show 🗑
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| show | 1.paper 2.wood 3.upholstery 4.rags 5.ordinary rubbish
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| show | 1.flammable liquids 2.gases
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| show | electrical
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| show | 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.
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| ___are availbale to detect when clients are attempting to move or get out of bed. | show 🗑
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| show | seizure
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| show | Seizure precautions
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| show | structural abnormalities
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| The development of___in adults is most commonly related to structural abnormalities of the brain such as___,___,&____. | show 🗑
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| Genetic abnormalities account for approximately___of seizure disorders in children and___in adults. | show 🗑
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| ___account for approx. 60% of__in__& 30% in___. | show 🗑
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| show | 1.partial 2.generalized
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| show | Partial seizures also called focal
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| Partial seizures also called focal involve___from__of the___. | show 🗑
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| show | generalized seizures
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| Generalized seizures affect the___. | show 🗑
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| show | 1.Partial seizures involve electrical discharge from one area of the brain. 2.generalized seizures affect the whole brain.
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| Seizures that involve the entire body. | show 🗑
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| Any seizure that involves loss of consciousness. | show 🗑
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| Occurs when a current travels through the body to the ground rather than through electric wiring. | show 🗑
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| Static electricity that builds up on the body is___. | show 🗑
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| Electric shock occurs when: | show 🗑
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| Lack of oxygen due to interrupted breathing. | show 🗑
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| show | 1.lack 2.oxygen 3.interrupted breathing
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| show | Carbon Monoxide (CO)
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| show | 1.odorless 2.colorless 3.tasteless gas 4.toxic
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| Exposure to (CO) or carbon monoxide can cause symptoms that inlcude: | show 🗑
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| Prolonged exposure to CO can lead to: | show 🗑
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| Exposure to___can cause symptoms such as headaches, dizziness, nausea, vomiting, weakness, or loss of muscle control. | show 🗑
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| show | prolonged exposure to CO or carbon monoxide
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| Protective devices used to limit the physical activity of the client or a part of the body. | show 🗑
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| Restraints can be classified as: | show 🗑
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| The Joint Commission and the Center for Medicare and Medicaid Services (CMS) state that only 2 reasons for restraint use are acceptable: | show 🗑
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| show | Chemical restraints
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| Chemical restraints are medications such as___,___,____,&____used to control socially disruptive behavior. | show 🗑
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| show | 1.Ativan 2.Xanax
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| Ativan & Xanax are ex. of____. | show 🗑
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| show | 1.Amytal 2.Seconal
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| show | sedatives
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| Thorazine & Haldol are ex. of___. | show 🗑
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| ___&___are ex. of neuroleptic and psychotropic agents. | show 🗑
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| Chemical restraints are used to control___. | show 🗑
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| show | Chemical restraints
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| Most common restraints for adults: | show 🗑
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| show | adults
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| ___,___,&____can also be considered restraints. | show 🗑
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| Restraints for infants & children include: | show 🗑
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| show | 1.infants 2.children
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| __can occur when foreign objects become lodged in throat, cutting off air supply. | show 🗑
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| show | infection
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| The collective vegetation in a given area in one part of the body yet produce infection in another. | show 🗑
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| The name of the microorganism that invades body tissue. | show 🗑
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| If the microorganism in the body tissue produces no clinical evidence of disease it is called___. | show 🗑
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| Some___can cause considerable damage. | show 🗑
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| show | 1.(CMV) cytomegalovirus infection in pregnant women 2.disease 3.unborn child
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| show | pathogenecity
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| Ability to produce disease. | show 🗑
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| show | asepsis
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| To decrease possibility of transferring microorganisms from one place to another. | show 🗑
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| show | 1.medical asepsis 2.surgical asepsis
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| Includes all practices intended to confine a specific microorganism to a specific area, limiting the number, growth, & transmission of microorganisms. | show 🗑
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| In___, objects are referred to as clean which means the absence of almost all microorganisms or dirty (soiled or contaminated). | show 🗑
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| show | Surgical asepsis or sterile technique
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| 4 major categories of microorganims cause infection in humans: | show 🗑
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| show | Nosocomial infections
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| show | opportunistic pathogen
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| 6 links that make up chain of infection: | show 🗑
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| show | 1.direct transmission 2.indirect transmission 3.airborne transmission
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| ___are a subgroup of health care-associated infections (HAIs). | show 🗑
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| Nosocomial infections are a__of____. | show 🗑
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| show | carrier
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| show | 1.vehicle-borne 2.vector-borne
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| ___may be either vehicle-borne or vector-borne. | show 🗑
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| ___involves immediate transfer of microorganisms from person to person through touching, biting, kissing, or sexual intercourse. | show 🗑
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| Direct transmission involves immediate transfer of___from person to person through___,___,___,or____. | show 🗑
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| show | Direct transmission
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| Airborne transmission may involve___or____. | show 🗑
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| ____ may involve droplets & dust. | show 🗑
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| show | reservoirs
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| show | 1.sources 2.microorganisms
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| The Anopheles mosquito carries the malaria parasite but is unaffected by it is an ex. of___. | show 🗑
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| Most microorganisms are___& some are___. | show 🗑
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| show | microorganisms
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| show | sterile field
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| show | Colonization
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| show | 1.local 2.systemic
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| Limited to specific part of the body where the microorganisms remain. | show 🗑
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| show | systemic infection
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| show | bacteremia
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| show | septicemia
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| There are also__& ___infections. | show 🗑
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| __generally appear suddenly or last a short time. | show 🗑
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| show | 1.suddenly 2.short time
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| A___may occur slowly, over a long period of time, & may last months or years. | show 🗑
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| show | 1.slowly 2.long period 3.months or yrs.
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| The microorganisms that cause nosocomial infections can originate from which 2 sources? | show 🗑
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| show | Nosocomial infections
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| ___come from the clients themselves. | show 🗑
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| show | clients themselves
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| Exogenous sources come from the___&___. | show 🗑
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| ___come from the hospital environment & hospital personnel. | show 🗑
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| show | latrogenic infections
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| Latrogenic infections are the__result of ___or___. | show 🗑
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| show | endogenous sources (from the clients themselves)
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| Most___appear to have endogenous sources (from the clients themselves). | show 🗑
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| show | vector
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| show | 1.removed 2.contact family 3.sit/watch patient
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| Risk Factors for Using Physical Restraints: | show 🗑
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| If nurse gives another person an order, & they do it incorrectly, it's the__. | show 🗑
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| The__is responsible for assessment of client's safety needs. | show 🗑
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| show | assessment of client's safety needs
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| show | 1.agency's specific policy 2.procedure
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| The__must know the agency's specific policy & procedure for restraints. | show 🗑
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| show | 1.clinically justified 2.medical treatment 3.plan of care
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| show | Physician's Order
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| 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___. | show 🗑
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| show | 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.)
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| show | physician's order
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| Proper nurse documentation should include: | show 🗑
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| show | Proper documentation
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| show | restraint alternatives
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| show | (FEMA) Federal Emergency Management Agency
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| Follow facility's policy & procedure on management of large scale disasters. | show 🗑
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| show | Disaster management
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| Person with pulse but gunshot vs. victim who is nearly decapitated is an ex. of___. | show 🗑
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| Type of management used in ER. | show 🗑
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| Push nail, it turns white, when released it turns pink again is an ex. of___. | show 🗑
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| When pressing finger & it turns white, it is called___. | show 🗑
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| show | keep the restraint on but chart complaints & procedures checked
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| Identifies the kinds of emergency situations that may occur. | show 🗑
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| Steps taken to manage situations. | show 🗑
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| Steps taken by staff in event of emergency. | show 🗑
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| Steps taken to restore essential services. | show 🗑
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| show | 1.planning 2.implementing disaster relief efforts
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| show | 1.community agencies 2.ANA 3.primary prevention 4.bio-terrorism
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| show | external disaster
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| Primary prevention of external disaster: | show 🗑
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| Rescue & recovery are___of___. | show 🗑
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| The___along with other agencies enhance nurses' role. | show 🗑
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| Community agencies that nurses collaborate with during external disaster includes___. | show 🗑
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| show | 1.hurricanes 2.tornadoes 3.earthquake 4.tsunami etc.
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| show | external disaster
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| During disaster management, follow___on management of large scale disasters. | show 🗑
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| show | 1.large scale disasters 2.large scale disasters -FEMA
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| A system of ensuring appropriate nursing care that attempts to identify potential hazards and eliminate them before harm occurs. | show 🗑
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| Risk management attempts to___&___. | show 🗑
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| A Risk Management Nurse acts to: | show 🗑
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| show | Risk Management Nurse
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| show | Incident report or occurrence report
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| show | risk management
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| show | Incident -follow policies & procedures of agency
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| show | Asepsis
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| Asepsis is the___of____. | show 🗑
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| Includes procedures to reduce & prevent the spread of microorganims. | show 🗑
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| Medical (clean) technique includes procedures to___or___the___of___. | show 🗑
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| Eliminates all microorganisms. | show 🗑
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| show | all microorganisms
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| Medical aseptic procedures: | show 🗑
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| Hand hygiene, alcohol-based waterless antiseptic, & clean dressing procedures are all part of the___. | show 🗑
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| Used during procedures that intentionally break the skin (IV's). | show 🗑
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| show | intentionally break the skin such as IV's
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| show | 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
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| Surgical asepsis is used during procedures that intentionally break the skin (IV's),___or__,& procedures that involve___of___into____. | show 🗑
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| Principles of Surgical Asepsis: | show 🗑
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| show | Principles of Surgical Asepsis
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| show | air
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| show | 1.) 1 inch 2.) 2.5 cm
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| Chain of Infection in order: | show 🗑
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| An infectious agent or pathogen, reservoir, portal of enxit, mode of transmission, portal of entry, & susceptible host are all parts of the___. | show 🗑
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| show | localized infectious process
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| 2 types of infectious process: | show 🗑
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| show | infectious process
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| What is an ex. of a localized infection? | show 🗑
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| show | systemic infection
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| show | fatal
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| A___can be fatal. | show 🗑
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| A systemic infection affects the___instead of___. | show 🗑
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| 4 Stages of Infection in order: | show 🗑
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| The incubation period, prodromal stage, illness stage, & convalescence are all stages of___. | show 🗑
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| Interval between entrance of pathogen into body and appearance of first symptoms is the___. | show 🗑
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| show | 1.entrance 2.pathogen
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| The incubation period is the interval between entrance of pathogen into body &___of____. | show 🗑
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| Interval from onset of nonspecific signs & symptoms. | show 🗑
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| Signs & symptoms of being tired is an ex. of____. | show 🗑
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| show | 1.being tired 2.onset 3.nonspecific signs/symptoms
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| show | Illness Stage
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| During the illness stage, client shows signs/symptoms of___. | show 🗑
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| show | Convalescence
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| During the Convalescence stage,___. | show 🗑
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| A protective reaction that neutralizes pathogens & repairs body cells. | show 🗑
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| show | 1.protective reaction 2.neutralizes pathogens 3.repairs body cells
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| show | 1.normal flora 2.body systems defenses 3.inflammation 4.vascular & cellular response 5.inflammatory exudates 6.tissue repair 7.general adaptation syndrome (GAS)
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| show | inflammatory process
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| show | 1.Alarm reaction 2.Resistance Stage 3.Exhaustion
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| show | Stages of GAS or General Adaptation Syndrome
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| In this stage, rising hormone levels result in increase blood volume, blood glucose levels, etc. | show 🗑
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| show | 1.rising hormone levels 2.increased blood volume 3.blood glucose levels,etc.
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| show | Resistance Stage
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| show | body stabilizes
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| During the___, the body can no longer resist the effects of the stressor. | show 🗑
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| During the exhaustion stage, the body can no longer___the___of the___. | show 🗑
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| show | Gowning
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| show | 1.soiling 2.clothes
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| OSHA Guidelines for health care providers: | show 🗑
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| show | OSHA Guidelines for Health Care Providers
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| show | 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
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| show | Standard Precautions: Tier One
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| show | 1.Airborne precautions 2.Droplet precautions 3.contact precautions
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| With airborne & droplet precautions, a___is worn. | show 🗑
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| With___&____, a mask is worn. | show 🗑
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| show | 1.measles 2.mask
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| show | Airborne precautions
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| show | 1.mumps 2.mask
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| show | Droplet precautions
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| show | 1.(RSV) respiratory synctial virus 2.scabies
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| (RSV) respiratory synctial virus & scabies woule be practiced with___. | show 🗑
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| show | 1.gloves 2.gown
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| Gloves & gown would be used in___. | show 🗑
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| show | 1.gowning 2.full face protection 3.gloves
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| show | full face protection
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| Full face protection is used when___may occur. | show 🗑
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| show | gloves
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| show | 1.transmissions 2.pathogens
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| show | 1.direct 2.indirect contact
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| show | 1.Fire 2.Electrical 3.Chemical
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| show | 1.measures 2.ensure safe environment
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| Fire safety measure include___& a___. | show 🗑
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| show | 1.electrical equipment 2.good working order
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| show | 1.out of reach 2.stored properly
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| Documentation should be___,____,____,___,&____. | show 🗑
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| ___should be accurate, complete, current, factual, & organized. | show 🗑
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| show | Material Safety Data Sheet (MSDS)
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| The Material Safety Data Sheet (MSDS) provides___&___with the proper procedures for handling/working with___. | show 🗑
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| Documentation policies & procedures conform to__&___. | show 🗑
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| (MSDS) or Material Safety Data Sheet conforms to__&__as well. | show 🗑
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| show | (MSDS) or Material Safety Data Sheet
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| show | Incident Reports
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| Process for Reporting: | show 🗑
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| show | 1.breaches 2.safety 3.security
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| show | 1.process 2.reporting
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| show | risk management
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| show | 1.chain 2.command 3.ethics comittee
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| show | False
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| Nurs. interventions to reduce client's risk for falls includes___. | show 🗑
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| show | 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
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| show | "Do not force a tounge depressor between teeth"
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| After applying restraints to a client, the nurse notifies the provider & recognizes the provider must see the client within: | show 🗑
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| show | 24 hours
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| The client must be seen by the provider every___. | show 🗑
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| show | 1.provide range of motion exercises when restraints are removed. 2.orient the client. 3.assess tightness of restraints
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| show | falls
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| 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___. | show 🗑
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| show | Loosen the restraint and exercise the limb
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| Which statement by a father indicates understanding of safety measures for his 3-year-old son? | show 🗑
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| show | An African-American male
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| show | Use a bed exit safety monitoring device
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| When planning a safety seminar in the workplace for a group of middle-aged adults, what should be a primary focus? | show 🗑
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| 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. | show 🗑
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| show | 1.anthrax 2.botulism 3.plague
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| 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? | show 🗑
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| show | Fungi
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| show | the client identifies fall hazards in the home
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| expected outcome for any nursing diagnosis would include___being able to___. | show 🗑
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| What are some of the most common infecting microorganisms in nosocomial infections? | show 🗑
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| show | Vascular and cellular response
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| What type of immunity is lost when a client develops human immunodeficiency virus (HIV)? | show 🗑
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| Cellular immunity is lost when client develops___. | show 🗑
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| show | "Infants begin to make their own immunity between 1 and 3 months of age."
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| 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? | show 🗑
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| 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? | show 🗑
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| show | "Everyone who enters your room must wear a mask to protect themselves from tuberculosis."
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| A client has been diagnosed with a urinary tract infection. What is the most likely cause of this infection? | show 🗑
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| The nurse is a bed exit safety monitoring device & places the sensor under the client's buttocks under the___. | show 🗑
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| show | 1.placing oral suction equip. at bedside & ensuring function. 2.padding headboard, footboard, & side rails. 3.placing oxygen & face mask in room.
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| ___seeks to promote community health & health of our planet while creating healthier relationship between humans & the environment. | show 🗑
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| Protects life and promotes health by offering information on safety in the workplace, home/community, and environment. | show 🗑
|
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| show | surgical asespsis
🗑
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| When applying a bandage after drawing blood,___is used. | show 🗑
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| When inserting a urinary catheter,___is used. | show 🗑
|
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| show | medical asepsis
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| 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___. | show 🗑
|
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| Escherichia coli is most likely to cause infection in____. | show 🗑
|
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| ___is most likely to cause infection in urinary tract. | show 🗑
|
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| show | gastrointestinal tract
🗑
|
||||
| ___is most likely to cause infection in gastrointestinal tract. | show 🗑
|
||||
| show | bloodstream
🗑
|
||||
| ___is most likely to cause infection in bloodstream. | show 🗑
|
||||
| show | lungs/pneumonia
🗑
|
||||
| ____is most likely to cause infection in lungs/pneumonia. | show 🗑
|
||||
| What are client's basic needs? | show 🗑
|
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| Hypothermia occurs when the core body temperature is ____? | show 🗑
|
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| ___is the primary cause of air pollution in schools, homes, & workplaces. | show 🗑
|
||||
| The majority of med errors occur during the ___ and ___ stages. | show 🗑
|
||||
| What three types of medical errors accounted for 60% of safety incidents? | show 🗑
|
||||
| show | getting up to go to the restroom
🗑
|
||||
| For restraints to be applied, a ____ assessment and ____ must occur. | show 🗑
|
||||
| Your patient required emergency restraints because they were choking themselves with a sheet. To CYA, you need to get ____. | show 🗑
|
||||
| show | Skin and bony prominences
🗑
|
||||
| A belt restraint prevents? | show 🗑
|
||||
| ____ restraints are commonly used on children to keep them from removing IVs. | show 🗑
|
||||
| show | Mummy
🗑
|
||||
| Restraints should be attached to the ____ part of the bed frame. | show 🗑
|
||||
| How do you ensure a restraint isn't compromising a patient? | show 🗑
|
||||
| show | Side-lying
🗑
|
||||
| show | remove clohtes and store in labeled plastic bags, shower, and IV or oral fluoroquinolones
🗑
|
||||
| ____ is the post exposure prophylaxis of choice for botulism. | show 🗑
|
||||
| show | Smoking
🗑
|
||||
| The majority of med errors occur during the ___ and ___ stages. | show 🗑
|
||||
| What three types of medical errors accounted for 60% of safety incidents? | show 🗑
|
||||
| What is the most common factor precipitating a client's fall? | show 🗑
|
||||
| show | 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 ____. | show 🗑
|
||||
| show | Skin and bony prominences
🗑
|
||||
| A belt restraint prevents? | show 🗑
|
||||
| show | Elbow restraints
🗑
|
||||
| A ____ restraint is useful when examining or treating a child's head or neck. | show 🗑
|
||||
| show | that doesn't move?
🗑
|
||||
| show | 1.check skin 2.integrity 3.pulses 4.temperature 5.color 6.sensation every two hours and slide two fingers under restraint
🗑
|
||||
| show | Side-lying
🗑
|
||||
| Clients exposed to anthrax should? | show 🗑
|
||||
| show | Streptomycin
🗑
|
||||
| show | Viruses
🗑
|
||||
| The nurse administers a vaccine to a 4 month old infant in order to produce____. | show 🗑
|
||||
| show | 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 | show 🗑
|
||||
| Client & family need to know how to keep their surroundings clean in order to prevent spread of infection is ex. of___. | show 🗑
|
||||
| show | infection control
🗑
|
||||
| Teach the client & family how to avoid infections is an ex. of____. | show 🗑
|
||||
| Have clients demonstrate skills related to treatment of wounds is an ex. of___. | show 🗑
|
||||
| With Hepatitis B, use____. | show 🗑
|
||||
| With Clostridium difficile, use___. | show 🗑
|
||||
| With chicken pox, use___. | show 🗑
|
||||
| With mumps, use___. | show 🗑
|
||||
| show | Hepatitis B
🗑
|
||||
| show | Clostridium difficile
🗑
|
||||
| show | chicken pox
🗑
|
||||
| show | mumps
🗑
|
||||
| show | 1.gloves 2.eyewear 3.gown 4.mask
🗑
|
||||
| The nurse determines that a field remains sterile when___. | show 🗑
|
||||
| show | maintaining a sterile field
🗑
|
||||
| show | 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___. | show 🗑
|
||||
| show | HIV
🗑
|
||||
| The CDC does not recommend immediate treatment when nurse is exposed to___. However, all health care should be immunized for it. | show 🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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