NUR 303 Ch. 27 Patient Safety & Quality Questions With
Complete Solutions
A couple who is caring for their aging parents are concerned
about factors that put them at risk for falls. Which factors are
most likely to contribute to an increase in falls in the elderly?
(Select all that apply)
1. Inadequate lighting
2. throw rugs
3. multiple medications
4. doorway thresholds
5. cords covered by carpets
6. staircases with handrails correct answers 1. Inadequate
lighting
2. throw rugs
3. multiple medications
4. doorway thresholds
5. cords covered by carpets
A hospitalized elderly patient is disoriented to time and place,
and the NAP reports the patient has been pulling at the
indwelling catheter. The nurse just replaced the Foley catheter
an hour ago after the patient pulled it out. After a focused
assessment of the patient, the nurse determines the use of
restraints is appropriate. What action should the nurse take next?
A. Apply the restraints immediately.
B. Have the NAP stay with the patient and call the health care
provider.
C. Call the patient's family and obtain consent.
,D. Have the NAP apply restraints and assess application 1 hour
later. correct answers B. Have the NAP stay with the patient
and call the health care provider.
A nurse is educating parents to look for clues in teenagers for
possible substance abuse. Which environmental and psycho
social clues should the nurse include? (Select all that apply)
1. blood spots on clothing
2. long-sleeved t shirts in warm weather
3. changes in relationships
4. wearing dark glasses in doors
5. increased computer use correct answers 1. blood spots on
clothing
2. long-sleeved t shirts in warm weather
3. changes in relationships
4. wearing dark glasses in doors
A nurse is evaluating a patient who is in soft wrist restraints.
Which of the following activities does the nurse perform?
(Select all that apply)
1. Check the patient's peripheral pulse in the restrained
extremity
2. evaluate the patient's need for toileting
3. offer the patient fluids if appropriate
4. release both limbs at the same time to perform range of
motion
5. inspect the skin under each restraint correct answers 1. Check
the patient's peripheral pulse in the restrained extremity
2. evaluate the patient's need for toileting
3. offer the patient fluids if appropriate
5. inspect the skin under each restraint
, A nurse knows that the people most at risk for accidental
hypothermia are: (Select all that apply)
1. People who are homeless
2. People with respiratory conditions
3. People with cardiovascular conditions
4. The very old
5. People with kidney disorders correct answers 1. People who
are homeless
3. People with cardiovascular conditions
4. The very old
A parent calls the pediatrician's office to ask about directions for
using a car seat. Which of the following is the most correct set
of instructions the nurse gives to this parent?
1. Only infants and toddlers need to ride in the back seat.
2. All toddlers can move to a forward facing car seat when they
reach age two
3. Toddlers must reach age 2 and the height/weight requirement
before they ride forward facing
4. Toddlers must reach age 2 or the height/weight requirements
before they ride forward facing correct answers 4. Toddlers
must reach age 2 or the height/weight requirements before they
ride forward facing
A patient has been newly admitted to a medicine unit with a
history of diabetes and advanced heart failure. The nurse is
assessing the patient's fall risks. Place the following steps for
measuring the "Timed Get-up and Go Test" in the correct order:
1. Have the patient rise from straight-back chair without using
arms for support
Complete Solutions
A couple who is caring for their aging parents are concerned
about factors that put them at risk for falls. Which factors are
most likely to contribute to an increase in falls in the elderly?
(Select all that apply)
1. Inadequate lighting
2. throw rugs
3. multiple medications
4. doorway thresholds
5. cords covered by carpets
6. staircases with handrails correct answers 1. Inadequate
lighting
2. throw rugs
3. multiple medications
4. doorway thresholds
5. cords covered by carpets
A hospitalized elderly patient is disoriented to time and place,
and the NAP reports the patient has been pulling at the
indwelling catheter. The nurse just replaced the Foley catheter
an hour ago after the patient pulled it out. After a focused
assessment of the patient, the nurse determines the use of
restraints is appropriate. What action should the nurse take next?
A. Apply the restraints immediately.
B. Have the NAP stay with the patient and call the health care
provider.
C. Call the patient's family and obtain consent.
,D. Have the NAP apply restraints and assess application 1 hour
later. correct answers B. Have the NAP stay with the patient
and call the health care provider.
A nurse is educating parents to look for clues in teenagers for
possible substance abuse. Which environmental and psycho
social clues should the nurse include? (Select all that apply)
1. blood spots on clothing
2. long-sleeved t shirts in warm weather
3. changes in relationships
4. wearing dark glasses in doors
5. increased computer use correct answers 1. blood spots on
clothing
2. long-sleeved t shirts in warm weather
3. changes in relationships
4. wearing dark glasses in doors
A nurse is evaluating a patient who is in soft wrist restraints.
Which of the following activities does the nurse perform?
(Select all that apply)
1. Check the patient's peripheral pulse in the restrained
extremity
2. evaluate the patient's need for toileting
3. offer the patient fluids if appropriate
4. release both limbs at the same time to perform range of
motion
5. inspect the skin under each restraint correct answers 1. Check
the patient's peripheral pulse in the restrained extremity
2. evaluate the patient's need for toileting
3. offer the patient fluids if appropriate
5. inspect the skin under each restraint
, A nurse knows that the people most at risk for accidental
hypothermia are: (Select all that apply)
1. People who are homeless
2. People with respiratory conditions
3. People with cardiovascular conditions
4. The very old
5. People with kidney disorders correct answers 1. People who
are homeless
3. People with cardiovascular conditions
4. The very old
A parent calls the pediatrician's office to ask about directions for
using a car seat. Which of the following is the most correct set
of instructions the nurse gives to this parent?
1. Only infants and toddlers need to ride in the back seat.
2. All toddlers can move to a forward facing car seat when they
reach age two
3. Toddlers must reach age 2 and the height/weight requirement
before they ride forward facing
4. Toddlers must reach age 2 or the height/weight requirements
before they ride forward facing correct answers 4. Toddlers
must reach age 2 or the height/weight requirements before they
ride forward facing
A patient has been newly admitted to a medicine unit with a
history of diabetes and advanced heart failure. The nurse is
assessing the patient's fall risks. Place the following steps for
measuring the "Timed Get-up and Go Test" in the correct order:
1. Have the patient rise from straight-back chair without using
arms for support
