ATI Safety questions and answers

b) remove the restraints with each vital sign check
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c) use the square knot to secure the restraints
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d) make sure one finger can fit under the restraints - b) remove the
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restraints with each vital sign check
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A nurse is assisting with conducting a home
mi mi mi mi mi mi mi A nurse discovers a small fire in a client's room. After removing the
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hazard assessment for a client who has
mi mi mi mi mi mi mi client to safety, which of the following actions should the nurse
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dementia. Which of the following findings
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indicates an understanding of home safety?
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a) extinguish the fire mi mi mi




a) an extension cord is secured under a rug
mi mi b) close the windows in the client's room mi mi mi mi mi mi mi mi mi mi mi mi mi




b) the edges of stairs are marked with brightly c) close the client's door
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colored tape
mi d) activate the fire alarm - d) activate the fire alarm
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c) a toaster is plugged in when not in use
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d) the water heater is set to 55 degrees C - b) the A nurse is caring for a client who is at risk for suicide. Which of the
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edges of stairs are marked with brightly colored following actions should the nurse take? Select all that apply
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tape
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a) place the client on round-the-clock surveillance mi mi mi mi mi mi




A nurse is preparing to conduct a fall risk
mi b) remove the objects from the room that the client could use to arm
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screening on a client. Which of the following
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variables will the nurse use to evaluate the
mi c) search items brought into the client's room by visitors
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client? Select all that apply
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e) screen the client for suicide ideation - a) place the client on mi mi mi mi mi mi mi mi mi mi mi mi




a) fall history
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b) medical diagnosis
mi b) remove the objects from the room that the client could use to arm
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c) use of assistive devices
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d) mental status
mi c) search items brought into the client's room by visitors
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e) do-not-resuscitate status - a) fall history
mi e) screen the client for suicide ideation mi mi mi mi mi mi mi mi mi mi mi




b) medical diagnosis
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c) use of assistive devices
mi mi A nurse is planning to use the identify, situation, background,
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d) mental status
mi assessment, recommendation, read-back (ISBARR) tool to
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communicate with a provider about a client. Which of the following mi mi mi mi mi mi mi mi mi mi mi




A nurse is assisting with teaching about
mi information is included in the assessment component of ISBARR?
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warning signs from a co-worker that might
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indicate future workplace violence. Which of a) the client's admitting diagnosis
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the following behaviors should the nurse
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include?
mi c) the client's lab test results mi mi mi mi mi




d) the client's response to treatment - c) the client's lab test results mi mi mi mi mi mi mi mi mi mi mi mi




a) legitimate absenteeism
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b) strict adherence to facility policies
mi A nurse is caring for a client who is experiencing a seizure. Which
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c) consistent adequate work performance
mi of the following actions should the nurse take? mi mi mi mi mi mi mi mi mi mi mi




d) frequent reports of not being treated fairly - d)
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frequent reports of not being treated fairly
mi a) record the time and length of the seizure
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b) restrain the client's extremities mi mi mi mi




A nurse is caring for a client who has a
mi c) place the client in the prone position
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prescription for wrist restraints. Which of the
mi d) monitor the client's hemoglobin level - a) record the time and
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following actions should the nurse take?
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a) tie the restraints to the siderails on the client's a nurse is planning to implement the Transforming Care at the
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bed
mi Bedside plan on a med-surg unit. Which of the following mi mi mi mi mi mi mi mi mi mi




interventions should the nurse include in the plan? mi mi mi mi mi mi mi mi




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