Ch. 27 Patient Safety and quality (NCLEX questions and answers Graded A)

Ch. 27 Patient Safety and quality (NCLEX questions and answers Graded A) A 4-year-old child is scheduled to receive an IV line. The most appropriate type of restraint to use for this client to prevent removal of the IV line would be a(n): A.Wrist restraint B.Jacket restraint C.Elbow restraint D.Mummy restraint - ANS -C) Elbow restraint A 76-year-old client lives alone at home. Which of the following is the highest priority question for his home health nurse to ask regarding his safety? A."Do you use softglow light bulbs in your front room lamps?" B."At what temperature is your thermostat set?" C."Why don't you consider selling your two-story home and buying a house without stairs?" D."Do any of your medications cause you to be physically unsteady?" - ANS -D) "Do any of your medications cause you to be physically unsteady?" A 79-year-old resident in a long-term care facility is known to "wander at night" and has fallen in the past. Which of the following is the most appropriate nursing intervention? A.A loose abdominal restraint should be placed on the client during sleeping hours. B.The caregivers should check the client frequently during the night. C.A radio should be left playing at the bedside to assist in reality orientation. D.Reassign the client to a room that is close to the nursing station. - ANS -B) The caregivers should check the client frequently during the night. A child in the hospital starts to have a grand mal seizure while playing in the playroom. What is your most important nursing intervention during this situation? A) Begin cardiopulmonary respiration. B) Restrain the child to prevent injury. C) Place a tongue blade over the tongue to prevent aspiration. D) Clear the area around the child to protect the child from injury. - ANS -D) Clear the area around the child to protect the child from injury. A couple is with their adolescent daughter for a school physical and state they are worried about all the safety risks affecting this age. What is the greatest risk for injury for an adolescent? A) Home accidents B) Physiological changes of aging C) Poisoning and child abduction D) Automobile accidents, suicide and substance abuse - ANS -D) Automobile accidents, suicide and substance abuse A frantic grandmother calls the emergency room to report that her grandson took some of her medicine and that she is unable to arouse him. The nurse should instruct her to: A.Induce vomiting with syrup of ipecac B.Provide fluids to dilute the toxin C.Hyperextend his head D.Bring the medicine bottle to the hospital - ANS -D) Bring the medicine bottle to the hospital A parent calls the pediatrician's office frantic about the bottle of cleaner that her 2-year-old son drank. Which of the following is the most important instruction the nurse gives to this parent? A) Give the child milk. B) Give the child syrup of ipecac. C) Call the poison control center. D) Take the child to the emergency department. - ANS -C) Call the poison control center. A physician writes an order to apply a wrist restraint to a patient who has been pulling out a surgical wound drain. Place the following steps for applying the restraint in the correct order. A) Explain what you plan to do. B) Wrap a limb restraining around wrist or ankle with soft part toward skin and secure. C) Determine that restraint alternatives fail to ensure patient's safety. D) Identify the patient using proper identifier. E) Pad the patient's wrist. - ANS -All A substance that impairs health or destroys life when ingested, inhaled or absorbed by the body. A) Carbon Monoxide B) Poison C) Pollution D) Cheerios - ANS -B) Poison Federal Agency responsible for regulating the manufacture, processing, and distribution of foods, drugs and cosmetics. A) Internal Revenue Service B) Congress C) Food & Drug Administration (FDA) D) NANDA - ANS -C) Food & Drug Administration (FDA) For those over 65 years old, falls account for 1.8 million visits to emergency departments each year. What are some causes of these falls? (Select all that apply) A) Poor eyesight B) Weakness C) Slippery Floors D) Pets E) Environmental hazards - ANS -A) Poor eyesight B) Weakness E) Environmental hazards he nurse assesses that the client may need a restraint and recognizes that: A.An order for a restraint may be implemented indefinitely until it is no longer required by the client. B.Restraints may be ordered on a prn basis. C.No order or consent is necessary for restraints in long term care facilities. D.Restraints are to be periodically removed to have the client re-evaluated. - ANS -D) Restraints are to be periodically removed to have the client re-evaluated. Health care agency injuries are the 8th leading cause of death in the USA. Which of the below are not a risk to patients in a health care agency? (Select all that apply) A) Medical errors B) Loneliness & Depression C) Chemical use D) Sexually transmitted diseases E) Falls F) Procedure-related accidents (administration errors, IV therapy, improper use of external devices, or improper performance of procedures G) Patient privacy violations H) Equipment-related accidents - ANS -B) Loneliness & Depression D) Sexually transmitted diseases G) Patient privacy violations In regards to safety, which of the following statements in most accurate? A.Bacterial contamination of foods is uncontrollable. B.Fire is the greatest cause of unintentional death. C.Temperature extremes seldom affect the safety of clients in acute care facilities. D.Carbon dioxide levels should be monitored in home settings. - ANS -D) Carbon dioxide levels should be monitored in home settings Includes all of the physical & psychosocial factors that influence the life and the survival of the patient. A) Environment B) Relationships C) Education D) Finanical stability - ANS -A) Environment Medical errors... A) Only happen to new nurses B) Are the reason malpractice insurance is needed C) Are primarily data entry errors D) Account for 60% of all errors - ANS -D) Account for 60% of all errors