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Exam (elaborations)

MNL EBAUGH SAFETY Questions and Answers

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MNL EBAUGH SAFETY Questions and Answers While reviewing the health histories for a group of​ clients, the case manager becomes concerned that several clients are at risk for falls. Which clients would benefit from fall prevention​ interventions? ​(Select all that​ apply.) ​84-year-old male with chronic renal failure and macular degeneration ​55-year-old female who lives alone and walks with two canes ​70-year-old female prescribed three blood pressure medications ​47-year-old male recovering from a fractured arm ​55-year-old female recovering from breast cancer surgery 1,2,3 A client is prescribed a chemical restraint for aggressive behavior. When reviewing the client​'s medication administration​ record, which medication should the nurse use to prevent the client from causing harm to self or other staff​ members? digoxin​ (Lanoxin) amoxicillin​ (Amoxil) diazepam​ (Valium) warfarin​ (Coumadin) 3 Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:15 Full screen Brainpower Read More The nurse team leader for a​ medical-surgical unit is reviewing client assignments made for the staff nurses. Based on the National Patient Safety​ Goals, which clients will the team leader identify as being at risk for safety​ issues? ​(Select all that​ apply.) Client scheduled for discharge after abdominal wound stitches are removed Client who is depressed and refused antidepressant medication the previous evening Client recovering from a stroke who is scheduled for physical therapy in the afternoon Client who is scheduled for an amputation of the right foot Client with burning and pain when urinating 2,4,5 The nurse manager determines that a staff nurse is demonstrating the​ knowledge, skills, and attitudes for the competency of safety. Which skills did the manager observe the nurse​ perform? ​ (Select all that​ apply.) Applying gloves before emptying a client​'s wound drainage device Following the identified rights of medication administration before giving a client a pain medication Notifying the environmental services team about a leaking sink in a client​'s bathroom Entering​ log-in and password information before documenting in a client​'s medical record Washing hands before and after providing care to a client with an infection 1,2,3,5 The nurse is planning interventions to address the National Patient Safety Goal of correct client identification. Which nursing action supports this​ goal? Matching the name on the client​'s wrist band with the medical administration record Writing the client​'s first name next to the assigned staff on the assignment sheet Placing the client​'s name on the room door Asking the client to state their middle name 1 The nurse is adhering to the competency of​ evidence-based practice while providing client care. Which nursing intervention is an appropriate demonstration of this​ competency? Asking a nursing assistant to help turn and reposition a client in bed Ensuring a dressing change is completed according to established protocols Reviewing the results of a root cause analysis of wound infections Explaining the pathophysiology of a client​'s disease process 2 Which QSEN competency is exemplified when nurses work with individuals from other departments and disciplines to address conflict​ situations? ​Evidence-based practice Safety Quality improvement Teamwork and collaboration 4 For which QSEN competency should the nurse demonstrate the ability to use electronic client​ records? ​Patient-centered care Informatics Quality improvement Teamwork and collaboration 2 Which goals are included in the National Patient Safety Goals​ (NPSGs) for an acute care​ facility? ​(Select all that​ apply.) Document client care correctly. Use​ evidence-based guidelines. Prevent surgical site errors. Prevent medication errors. Identify clients correctly. 1,3,4,5 What is the purpose of​ community-based safety​ programs? Establish community gardens. Improve employment opportunities. Reduce healthcare costs. Create healthier individuals. 4 What can be done to prevent client falls during​ hospitalization? ​(Select all that​ apply.) Remove items from walking paths. Assist with putting on​ non-skid footwear. Keep eyeglasses within easy reach. Apply restraints as needed to restrict mobility. Ensure floors are well lit during the night. 1,2,3,5 Which nursing behavior can help reduce a client​'s risk of developing a​ healthcare-associated infection​ (HAI)? Review common side effects of medications. Ensure walkways are clear. Perform thorough hand washing. Discuss drug interactions with food. 3 Which type of restraint should the nurse identify as being the most appropriate for an older confused client who is attempting to pull out an indwelling urinary​ catheter? Belt Elbow Limb Mummy 3

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MNL EBAUGH SAFETY Questions and
Answers
While reviewing the health histories for a group of clients, the case manager becomes
concerned that several clients are at risk for falls. Which clients would benefit from fall
prevention interventions?
(Select all that apply.)

84-year-old male with chronic renal failure and macular degeneration

55-year-old female who lives alone and walks with two canes

70-year-old female prescribed three blood pressure medications

47-year-old male recovering from a fractured arm

55-year-old female recovering from breast cancer surgery - answer 1,2,3

A client is prescribed a chemical restraint for aggressive behavior. When reviewing the
client's medication administration record, which medication should the nurse use to
prevent the client from causing harm to self or other staff members?


digoxin (Lanoxin)

amoxicillin (Amoxil)

diazepam (Valium)

warfarin (Coumadin) - answer 3

The nurse team leader for a medical-surgical unit is reviewing client assignments made
for the staff nurses. Based on the National Patient Safety Goals, which clients will the
team leader identify as being at risk for safety issues?
(Select all that apply.)

Client scheduled for discharge after abdominal wound stitches are removed

Client who is depressed and refused antidepressant medication the previous evening

Client recovering from a stroke who is scheduled for physical therapy in the afternoon

Client who is scheduled for an amputation of the right foot

,Client with burning and pain when urinating - answer 2,4,5

The nurse manager determines that a staff nurse is demonstrating the knowledge,
skills, and attitudes for the competency of safety. Which skills did the manager observe
the nurse perform?
(Select all that apply.)

Applying gloves before emptying a client's wound drainage device

Following the identified rights of medication administration before giving a client a pain
medication

Notifying the environmental services team about a leaking sink in a client's bathroom

Entering log-in and password information before documenting in a client's medical
record

Washing hands before and after providing care to a client with an infection - answer
1,2,3,5

The nurse is planning interventions to address the National Patient Safety Goal of
correct client identification. Which nursing action supports this goal?


Matching the name on the client's wrist band with the medical administration record

Writing the client's first name next to the assigned staff on the assignment sheet

Placing the client's name on the room door

Asking the client to state their middle name - answer 1

The nurse is adhering to the competency of evidence-based practice while providing
client care. Which nursing intervention is an appropriate demonstration of this
competency?


Asking a nursing assistant to help turn and reposition a client in bed

Ensuring a dressing change is completed according to established protocols

Reviewing the results of a root cause analysis of wound infections

Explaining the pathophysiology of a client's disease process - answer 2

, Which QSEN competency is exemplified when nurses work with individuals from other
departments and disciplines to address conflict situations?


Evidence-based practice

Safety

Quality improvement

Teamwork and collaboration - answer 4

For which QSEN competency should the nurse demonstrate the ability to use electronic
client records?


Patient-centered care

Informatics

Quality improvement

Teamwork and collaboration - answer 2

Which goals are included in the National Patient Safety Goals (NPSGs) for an acute
care facility?
(Select all that apply.)

Document client care correctly.

Use evidence-based guidelines.

Prevent surgical site errors.

Prevent medication errors.

Identify clients correctly. - answer 1,3,4,5

What is the purpose of community-based safety programs?


Establish community gardens.

Improve employment opportunities.

Reduce healthcare costs.
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