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1. 1. A home health
ANS: D
nurse is performing a
Using a nonvented heater introduces carbon monoxide into
home as-
the environment and decreases the available oxygen for
sessment for safety.
human con- sumption and the nurse should follow up to
Which comment by the
correct this behavior. Checking the chimney and heater,
patient will cause the
changing the batteries on the detector, and following up on
nurse to fol- low up?
symptoms such as dizziness, nausea, and fatigue are all
a. "Every December is
statements that are safe and appropriate and need no
the time to change
follow-up.
batteries on the
carbon monoxide
detector."
b. "I will schedule an
ap- pointment with a
chimney inspector
next week."
c."If I feel dizzy when
using the heater, I need
to have it inspected."
d. "When it is cold
outside in the winter, I
will use a nonvented
furnace."
2. 2. The nurse is caring for an ANS: A
older-adult patient history.
admit- ted with Which priority concern will require
nausea, vomiting, and collaboration with social services
diarrhea due to food to address the patient's health
poisoning. The nurse care needs?
com- pletes the health
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, Fundamentals: Chapter 27: Patient Safety and Quality Question
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Electricity is needed for refrigeration of
food, and lack of electricity could have
contributed to the nausea, vomiting,
and diarrhea due to food poisoning.
This discussion about the patient's
electrical needs can be referred to social
services. Foods that are inadequately
prepared or stored or subject to
unsanitary conditions increase the
patient's risk for infections and food
poisoning, and an assessment should
include storage practices. The water
supply, the increased number of
individuals in the home, and not
having a microwave may or may not be
concerns but do not pertain to the
current health care needs of this
patient.
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a. The electricity
was turned off 3
days ago.
b. The water comes
from the county
water supply.
c. A son and family
recently moved into
the home.
d. This home is not
fur- nished with a ANS: B
microwave oven. A person's comfort zone is usually between 18.3° and 23.9°
C (65°
3. 3. The patient has
been di- agnosed with
a respirato-
ry illness and reports short- and 75° F). The other ranges are too low or too high
and do not
ness of breath. The reflect the average person's comfort zone.
nurse adjusts the
temperature to
facilitate the comfort
of the patient. At
which temper- ature
range will the nurse
set the thermostat?
a. 60° to 64° F
b. 65° to 75° F
c. 15° to 17° C
d. 25° to 28° C
4. 4. A homeless adult patient ANS: B
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, Fundamentals: Chapter 27: Patient Safety and Quality Question
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presents to the emergency The temperature indicates the patient is experiencing
hypothermia.
department. The nurse ob- Homeless individuals are more at risk for hypothermia.
While all
tains the following the vital signs are low, the most critical vital sign at this time
vital signs: temperature is the temperature.
94.8° F, blood pressure
106/56, api- cal pulse
58, and respirato-
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