Chapter 28: Safety

Chapter 28: Safety

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The patient has recently moved into a newly renovated home in the inner city. The patient is being seen in the clinic for complaints of ongoing headaches, nausea, dizziness and fatigue. The symptoms started shortly after moving into the new home. As the nurse gathers information, which of the following questions would be most appropriate to ask the patient?

ANS:   C

A furnace, stove, or fireplace that is not properly vented introduces carbon monoxide into the environment. This gas binds strongly with hemoglobin; preventing the formation of oxyhemoglobin and thus reducing the supply of oxygen delivered to the tissues. Low concentrations cause nausea, dizziness, headache, and fatigue. The importance of having a proper working smoke detector will decrease the chance of smoke inhalation and potential death owing to a fire but does not produce the symptoms listed. A balanced diet and proper storage of food is essential to decrease the chance of infection to the gastrointestinal system but does not produce the symptoms listed. Painting would not produce the symptoms listed even if the paint is old and contains lead as it must be ingested.

PTS:    1                      DIF:    Cognitive Level: Analyzing (Analysis)

REF:    721

OBJ:    Describe methods to evaluate interventions designed to maintain or promote safety.

TOP:    Nursing Process: Assessment

MSC:   Client Needs: Safe and Effective Care Environment

2. The registered nurse from the home health agency is performing an initial assessment on a 72-year-old patient who was released from a nursing home. The patient had been admitted to the nursing home for therapy after surgery for repair of a fractured left hip. During a survey of the home environment, which finding would cause the nurse to intervene?

ANS:   C

Common physical hazards that lead to falls in the home include inadequate lighting, barriers along normal walking paths and stairways, and a lack of safety devices. All other answers do not indicate a safety risk to the home.

PTS:    1                      DIF:    Cognitive Level: Analyzing (Analysis)

REF:    721 | 722 | 726

OBJ:    Describe methods to evaluate interventions designed to maintain or promote safety.

TOP:    Nursing Process: Assessment

MSC:   Client Needs: Safe and Effective Care Environment

3. Of the following, who is most at risk for accidental poisoning?

ANS:   C

In the home, accidental poisoning is a greater risk for the toddler, preschooler, and young school-age child, who often ingest household cleaning solutions, medications, or personal hygiene products. Two of the responses have the word supervised in the response, which makes them incorrect for an accidental poisoning. The response which has the child’s age of 2 months decreases the chance of accidental poisoning due to lack of coordination and dexterity (a 2-month-old cannot open a closed medication bottle).

PTS:    1                      DIF:    Cognitive Level: Analyzing (Analysis)

REF:    722

OBJ:    Discuss specific safety risks for patients at each developmental age.

TOP:    Nursing Process: Assessment

MSC:   Client Needs: Safe and Effective Care Environment

4. A nursing student is volunteering with a local agency to help prepare the community for a potential bioterrorist attack. On which of the following threats would be the nursing student’s primary focus?

ANS:   C

A new potential environmental health threat is the possibility of a bioterrorist attack. Threats of this type come in the form of biological, chemical, and radiological attacks. Bioterrorism, or the use of biological agents to create fear and threat, is the most likely form of a terrorist attack to occur. The other responses (hurricane, earthquake, and tornado) are classified as natural disasters.

PTS:    1                      DIF:    Cognitive Level: Applying (Application)

REF:    723

OBJ:    Describe environmental hazards that pose risks to patient safety.

TOP:    Nursing Process: Assessment

MSC:   Client Needs: Safe and Effective Care Environment