NUR 303 Exam #2 Blueprint: Client Safety and Care
Chapter 12: Client Safety
General Nursing Actions for Client Safety
Assess the environment for hazards to identify potential
risks to patient safety.
Address immediate concerns to ensure patient safety,
prioritizing actions based on urgency.
Implement fall prevention strategies, such as using non-slip
mats and ensuring adequate lighting.
Monitor vital signs and level of consciousness to detect any
changes in the patient's condition.
Educate patients and families about safety measures to
enhance awareness and compliance.
Regularly review and update safety protocols based on
patient needs and environmental changes.
Causes and Prevention of Falls
Medications: Certain drugs can cause dizziness or
weakness, increasing fall risk; regular medication reviews
are essential.
Diseases: Conditions such as neurological disorders,
arthritis, and vision problems contribute to fall risk.
Age: Older adults are at higher risk due to reduced balance
and strength; tailored interventions are necessary.
, Mobility issues: Weakness or instability can hinder safe
movement; physical therapy may be beneficial.
Prevention strategies include exercise programs to improve
strength and balance, and environmental modifications to
reduce hazards.
Regular assessments and adjustments to care plans can
significantly reduce fall incidents.
Seizure Precautions and Nursing Actions
Precautions include padding bed rails and ensuring the bed
is in a low position to prevent injury during seizures.
Clear the environment of sharp objects to minimize risk of
harm.
During a seizure, protect the patient’s head and do not
restrain them or place objects in their mouth.
Ensure an open airway by positioning the patient on their
side to prevent aspiration.
Document seizure events accurately, noting duration and
any postictal symptoms.
Educate patients and families about seizure management
and emergency procedures.
Use of Seclusion and Restraints
Seclusion is used to isolate a patient to prevent harm to
themselves or others; it must be justified and documented.
, Restraints are physical or mechanical devices that limit
movement; their use should be a last resort.
Nursing responsibilities include monitoring skin integrity,
circulation, and respiratory status of restrained patients.
Detailed documentation is required for the use of restraints,
including the rationale and patient response.
Regular reassessment of the need for restraints is crucial to
ensure patient safety and dignity.
Educate staff on ethical considerations and legal
implications of using restraints.
Fire Safety Protocols
RACE protocol: Rescue patients, Activate the alarm,
Contain the fire, Evacuate or Extinguish the fire.
Understand the different classes of fires: Class A (ordinary
combustibles), Class B (flammable liquids), Class C
(electrical), Class D (metal), and Class K (cooking oils).
Staff should be trained in the use of fire extinguishers and
evacuation procedures.
Regular fire drills and safety training enhance preparedness
and response effectiveness.
Ensure that fire safety equipment is accessible and
regularly maintained.
Document fire safety training and drills to comply with
regulatory standards.
Chapter 12: Client Safety
General Nursing Actions for Client Safety
Assess the environment for hazards to identify potential
risks to patient safety.
Address immediate concerns to ensure patient safety,
prioritizing actions based on urgency.
Implement fall prevention strategies, such as using non-slip
mats and ensuring adequate lighting.
Monitor vital signs and level of consciousness to detect any
changes in the patient's condition.
Educate patients and families about safety measures to
enhance awareness and compliance.
Regularly review and update safety protocols based on
patient needs and environmental changes.
Causes and Prevention of Falls
Medications: Certain drugs can cause dizziness or
weakness, increasing fall risk; regular medication reviews
are essential.
Diseases: Conditions such as neurological disorders,
arthritis, and vision problems contribute to fall risk.
Age: Older adults are at higher risk due to reduced balance
and strength; tailored interventions are necessary.
, Mobility issues: Weakness or instability can hinder safe
movement; physical therapy may be beneficial.
Prevention strategies include exercise programs to improve
strength and balance, and environmental modifications to
reduce hazards.
Regular assessments and adjustments to care plans can
significantly reduce fall incidents.
Seizure Precautions and Nursing Actions
Precautions include padding bed rails and ensuring the bed
is in a low position to prevent injury during seizures.
Clear the environment of sharp objects to minimize risk of
harm.
During a seizure, protect the patient’s head and do not
restrain them or place objects in their mouth.
Ensure an open airway by positioning the patient on their
side to prevent aspiration.
Document seizure events accurately, noting duration and
any postictal symptoms.
Educate patients and families about seizure management
and emergency procedures.
Use of Seclusion and Restraints
Seclusion is used to isolate a patient to prevent harm to
themselves or others; it must be justified and documented.
, Restraints are physical or mechanical devices that limit
movement; their use should be a last resort.
Nursing responsibilities include monitoring skin integrity,
circulation, and respiratory status of restrained patients.
Detailed documentation is required for the use of restraints,
including the rationale and patient response.
Regular reassessment of the need for restraints is crucial to
ensure patient safety and dignity.
Educate staff on ethical considerations and legal
implications of using restraints.
Fire Safety Protocols
RACE protocol: Rescue patients, Activate the alarm,
Contain the fire, Evacuate or Extinguish the fire.
Understand the different classes of fires: Class A (ordinary
combustibles), Class B (flammable liquids), Class C
(electrical), Class D (metal), and Class K (cooking oils).
Staff should be trained in the use of fire extinguishers and
evacuation procedures.
Regular fire drills and safety training enhance preparedness
and response effectiveness.
Ensure that fire safety equipment is accessible and
regularly maintained.
Document fire safety training and drills to comply with
regulatory standards.
