The nurse caring for patients in a long term care facility knows that there are factors that place
certain patients at a higher risk for falls. Which patients would the nurse consider to be in this
category? - ANS A patient who has already fallen twice
A patient who experiences postural hypotension
A 70 year old patient who is transferred to a long term care
A school nurse is teaching parents about home safety and fires. What information would be
accurate to include in the teaching plan? - ANS Most people who die in fires die from smoke
inhalation
Fire related injury and death have declined due to smoke alarms
Fires are more likely to occur in homes without electricity or gas
A nurse is assessing children. Which child would the nurse identify as having the greatest risk
for choking and suffocating? - ANS A toddler playing with a 9 year old brothers construction set
What nursing diagnosis would be appropriate for a patient that states they smoke cigarettes in
bed before falling asleep at night? - ANS Risk for suffocation related to unfamiliarity with fire
prevention guidelines
What would the best response be for a nurse working in a pediatricians office who receives a
call from a parent whose child has ingested toxins be? - ANS Call the PCC immediately before
attempting any home remedies
What information should be included when teaching parents in a parenting class about the use
of car seats and restraints for infants and children? - ANS Booster seats should be used for
children until they are 4'9 tall and weigh between 80-100 lbs.
What would be the nurses priority intervention to prevent trauma when caring for older adults in
a nursing home? - ANS Make sure patients room is de cluttered
What consideration should the nurse keep in mind regarding the use of side rails for a patient
who is confused? - ANS A person of small stature is at increased risk for injury from entrapment.
When a fire occurs in a patient's room, what would be the nurse's priority?
a. Rescue the patient.
b. Extinguish the fire.
c. Sound the alarm.
d. Run for help. - ANS a. Rescue the patient