Chapter 27 Safety

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Chapter 27  Safety

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. The Martin family has recently moved into a newly renovated home in the inner city. The house is the dream home that they have been saving for years to purchase. Mrs. Martin has been to the clinic with her 12-year-old daughter. She complains that they have been having headaches and nausea since the first of the year, shortly after moving into the new home. As the nurse gathers information, what other question would be most appropriate to ask Mrs. Martin?
A.
“When was your last period?”
B.
“Have you changed your diet since moving?”
C.
“What type of furnace do you have?”
D.
“Do you have a history of headaches?”

ANS: C
A furnace, stove, or fireplace that is not properly vented introduces carbon monoxide into the environment. Carbon monoxide is a colorless, odorless, poisonous gas produced by the combustion of carbon or organic fuels. This gas binds strongly with hemoglobin, preventing the formation of oxyhemoglobin and thus reducing the supply of oxygen delivered to the tissues (see Chapter 29). Low concentrations cause nausea, dizziness, headache, and fatigue.

PTS: 1 DIF: Cognitive Level: Analysis REF: 720
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. Sally is a registered nurse who works for a home health agency. She has been asked to admit Mr. Kelly, a 72-year-old patient who was released from a rehabilitation hospital following therapy after he fell at home and broke his hip. As Sally surveys the home environment, which of the following situations is most dangerous to Mr. Kelly?
A.
Bedside lamp with an extension cord
B.
Handrail on one side of stairs only
C.
Throw rugs in the bedroom
D.
No handrail near toilet

ANS: C
Common physical hazards in the home include inadequate lighting, barriers along normal walking paths and stairways, and a lack of safety devices.

PTS: 1 DIF: Cognitive Level: 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

3. Of the following, who is most at risk for accidental poisoning?
A.
Supervised 16-month-old toddler in the kitchen
B.
Unsupervised 2-month-old infant left near a closed bottle of prescription medication
C.
Unsupervised 4-year-old child playing dress-up with mother’s makeup
D.
Supervised 6-year-old child playing with watercolor paints

ANS: B
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.

PTS: 1 DIF: Cognitive Level: Analysis REF: 721
OBJ: Discuss the specific risks to safety for 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 his community for a potential bioterrorist attack. On which of the following threats should he focus?
A.
Hurricane
B.
Earthquake
C.
Anthrax
D.
Tornado

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.

PTS: 1 DIF: Cognitive Level: Application REF: 721
OBJ: Discuss methods to reduce physical hazards and the transmission of pathogens
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment

5. A student nurse is working on her senior project for school. She is concerned about the safety of patients in the hospital, especially regarding the transmission of pathogens. She knows that the most common means of transmission of pathogens in this environment is caused by which of the following?
A.
Contaminated blood products
B.
Enteric transmission
C.
Insufficient hand hygiene
D.
Aerosols

ANS: C
Pathogens and parasites pose a threat to patient safety. A pathogen is any microorganism capable of producing an illness. The most common means of transmission of pathogens is by the hands.

PTS: 1 DIF: Cognitive Level: Application REF: 721
OBJ: Discuss methods to reduce physical hazards and the transmission of pathogens
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment

 

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