NUR 3130 Exam #2 Questions With
Correct Answers
Nursing Process for Maintaining Safety
| | | |
ADOPIE
Physical Exam for Safety
| | |
- Mobility
|
- Sensory Perception
| |
- Awareness of safety
| | |
- Communicational skills
| |
- Physical/psychosocial health status
| | |
- Level of awareness
| | |
- Identify safety hazards
| | |
- Recognize domestic violence/neglect
| | |
Risk Factors for Safety
| | |
,Falls, Fire, Poisoning, Suffocation/Choking, Firearm Injuries
| | | | |
Factors That Contribute to Falls
| | | |
- Postural Hypotension/Orthostatic Hypotension =low bp from lying to
| | | | | | | | |
sitting
- Weakness/Frailty
|
- Confusion
|
- Unfamiliar Environment
| |
- Problems w/ Feet or Shoes
| | | | |
- Postural Dizziness
| |
- Hazards in Home
| | |
- Older than 65
| | |
- Impaired Vision/Balance
| |
- Medication Regimen
| |
- History of Falls
| | |
Preventing Falls in Home & Healthcare Facility
| | | | | |
- Slippery Surfaces
| |
- Poor Lighting
| |
,- Clutter Free
| |
- Preventative Measures (Hand-Rails)
| | |
RACE
R - Rescue anyone in immediate danger of fire
| | | | | | | |
A - Activate the fire code/Notify person
| | | | | |
C - Confine fire by closing doors/windows
| | | | | |
E - Evacuate pt's/ other people into safe area
| | | | | | | |
Preventing Needle-stick Injuries
| |
- NEVER re-cap needles
| | |
- Use single-use syringe for single-use dose
| | | | | |
- DON'T enter vial w/ used syringe
| | | | | |
- DON'T open glass ampules w/ bare hands
| | | | | | |
Vulnerable Population for Falls/Accidents
| | |
Elderly, Children, Immunocompromised, Homeless, Prisoners, Mentally
| | | | | |
Ill, Non-Verbal
|
, Factors Affecting Safety
| |
- Person --> Smokers, Elder, Mobility, O2 Problems, Development Issues
| | | | | | | | |
- Environment --> Family, Abuse, Finances, Steps/Accessibility
| | | | | |
- Specific Risk Factors --> ADLs, O2 Use @ Home
| | | | | | | | |
- 1 in 5 people DON'T tell healthcare provider that they have fallen
| | | | | | | | | | | | |
Specific Info/History for Safety
| | |
- Past Falls/accidents
| |
- Use of Assistive Devices
| | | |
- Past OR Current Drug/Alcohol Abuse
| | | | |
- Family Support Systems
| | |
Morse Scale |
Correct Answers
Nursing Process for Maintaining Safety
| | | |
ADOPIE
Physical Exam for Safety
| | |
- Mobility
|
- Sensory Perception
| |
- Awareness of safety
| | |
- Communicational skills
| |
- Physical/psychosocial health status
| | |
- Level of awareness
| | |
- Identify safety hazards
| | |
- Recognize domestic violence/neglect
| | |
Risk Factors for Safety
| | |
,Falls, Fire, Poisoning, Suffocation/Choking, Firearm Injuries
| | | | |
Factors That Contribute to Falls
| | | |
- Postural Hypotension/Orthostatic Hypotension =low bp from lying to
| | | | | | | | |
sitting
- Weakness/Frailty
|
- Confusion
|
- Unfamiliar Environment
| |
- Problems w/ Feet or Shoes
| | | | |
- Postural Dizziness
| |
- Hazards in Home
| | |
- Older than 65
| | |
- Impaired Vision/Balance
| |
- Medication Regimen
| |
- History of Falls
| | |
Preventing Falls in Home & Healthcare Facility
| | | | | |
- Slippery Surfaces
| |
- Poor Lighting
| |
,- Clutter Free
| |
- Preventative Measures (Hand-Rails)
| | |
RACE
R - Rescue anyone in immediate danger of fire
| | | | | | | |
A - Activate the fire code/Notify person
| | | | | |
C - Confine fire by closing doors/windows
| | | | | |
E - Evacuate pt's/ other people into safe area
| | | | | | | |
Preventing Needle-stick Injuries
| |
- NEVER re-cap needles
| | |
- Use single-use syringe for single-use dose
| | | | | |
- DON'T enter vial w/ used syringe
| | | | | |
- DON'T open glass ampules w/ bare hands
| | | | | | |
Vulnerable Population for Falls/Accidents
| | |
Elderly, Children, Immunocompromised, Homeless, Prisoners, Mentally
| | | | | |
Ill, Non-Verbal
|
, Factors Affecting Safety
| |
- Person --> Smokers, Elder, Mobility, O2 Problems, Development Issues
| | | | | | | | |
- Environment --> Family, Abuse, Finances, Steps/Accessibility
| | | | | |
- Specific Risk Factors --> ADLs, O2 Use @ Home
| | | | | | | | |
- 1 in 5 people DON'T tell healthcare provider that they have fallen
| | | | | | | | | | | | |
Specific Info/History for Safety
| | |
- Past Falls/accidents
| |
- Use of Assistive Devices
| | | |
- Past OR Current Drug/Alcohol Abuse
| | | | |
- Family Support Systems
| | |
Morse Scale |
