Chapter 24 Promoting Safety

Chapter 24  Promoting Safety

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Physiological changes associated with aging place the older adult especially at risk for which nursing diagnosis?
a)
Risk for Falls
b)
Risk for Ineffective Airway Clearance (choking)
c)
Risk for Poisoning
d)
Risk for Suffocation (drowning)

ANS: A
Loss of muscle strength and joint mobility place older adults at risk for falls. Choking, drowning, and ingesting poisons are primary safety concerns for infants and toddlers.

Difficulty: Moderate
Nursing Process: Diagnosis
Client Need: Safe and Effective Care
Cognitive Level: Knowledge

PTS: 1

2. The nurse will teach the community-based client that the most common cause of injury related to a house fire is/are:
a)
Explosion
b)
Falls from second-story windows
c)
Thermal damage to skin and body surfaces
d)
Smoke inhalation injury

ANS: D
Smoke inhalation injury is associated with significant morbidity and mortality. Manifestations might not show up until 24 hours postexposure.

Difficulty: Moderate
Nursing Process: Assessment
Client Need: Safe and Effective Care
Cognitive Level: Knowledge

PTS: 1

3. The nurse is instructing a new parent on the proper positioning of the infant car seat will explain that the infant or child may be positioned forward facing in an automobile at what weight?
a)
6 kg (12 lb)
b)
7.5 kg (15 lb)
c)
9 kg (20 lb)
d)
10 kg (22 lb)

ANS: C
Positioning of the car seat is based on body weight and age. At 9 kg (20 lb), the infant or child 12 months or older may be placed in a forward-facing child seat.

Difficulty: Moderate
Nursing Process: Intervention
Client Need: Safe and Effective Care
Cognitive Level: Knowledge

PTS: 1

4. While eating in the hospital cafeteria, the nurse sees a visitor display the “universal sign of choking.” Her first action is to:
a)
Page a “Code Blue” emergency.
b)
Immediately perform five abdominal thrusts.
c)
Assess for ineffective breathing by asking, “Are you choking?”
d)
Deliver four sharp back blows between the scapulae.

ANS: C
The nurse’s first response is to assess that the person is actually choking and then rapidly proceed to intervene performing abdominal thrusts. Back blows are not indicated in adults with obstructed airways and might actually create a complete obstruction by dislodging a foreign body that was only partially blocking the airway.

Difficulty: Moderate
Nursing Process: Intervention
Client Need: Safe and Effective Care
Cognitive Level: Knowledge

PTS: 1

5. A nurse is teaching a group of mothers about first aid. Should poison come in contact with their child’s clothing and skin, which action should the nurse instruct the mothers to take first?
a)
Remove the contaminated clothing immediately.
b)
Flood the contaminated area with lukewarm water.
c)
Wash the contaminated area with soap and water and rinse.
d)
Call the nearest poison control center immediately.

ANS: A
The nurse should tell the mother to first remove the contaminated clothing as quickly as possible. Then, flood the contaminated area with lukewarm water. Next, gently wash the area with soap and water and rinse. Have someone call the poison control center (it does not need to be a local poison control center). Additionally, it is most important to remove contact between the skin and poison before doing anything.

Difficulty: Moderate
Nursing Process: Interventions
Client Need: Safe and Effective Care
Cognitive Level: Analysis

PTS: 1