Which patient is at higher risk of motor vehicle accidents according to the CDC quizlet?

Correct
A, C, D, E

Because of this patient's gait, he or she is at risk for falls. The assessment activities appropriate for the patient who has an uncoordinated, shuffling gait and stooping posture are observing the posture, body alignment, and range of motion. A home hazard appraisal is required for patients at risk for falls, who have poorly lit homes or rooms cluttered with small items, and rugs, due to which, a patient could trip over and fall. A visual acuity assessment is done with patients who have difficulty with night vision and people who trip over rugs and furniture.

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The registered nurse (RN) is teaching a group of patients from a vulnerable population regarding measures to prevent fires at home. Which statement by a member of the group indicates the need for further teaching?
1
"We should avoid smoking at home."
2
"We should use old model space heaters."
3
"We should use the cooking equipment effectively."
4
"We should place carbon monoxide detectors in the house.

2 "We should use old model space heaters."

The U.S Consumer Product Safety Commission estimates that more than 25,000 residential fires every year are associated with the use of space heaters. Therefore, families should be advised to use only newer-model space heaters that have all of the current safety features. The leading cause of fire-related death is careless smoking, especially when smoking in bed. Therefore, smoking should be completely avoided. The improper use of cooking equipment and appliances are the main source of in-home fires and fire injuries. Therefore, families should be taught about effective use of cooking equipment. Smoke detectors and carbon monoxide detectors should be placed throughout the home.

The registered nurse (RN) is teaching a nursing student about poisons. Which statements if made by the nursing student indicate effective learning? Select all that apply.
1
"Poisons mostly affect the liver."
2
"Household cleaning solutions do not cause poisoning."
3
"Older adults are at greater risk for accidental poisoning at home."
4
"A poison control center is the best resource for treating accidental poisoning."
5
"Emergency treatment is necessary when a poisonous substance comes into contact with the skin."

4
"A poison control center is the best resource for treating accidental poisoning."
5
"Emergency treatment is necessary when a poisonous substance comes into contact with the skin."

A poison control center is the best resource for patients and parents who need information about the treatment of accidental poisoning. Emergency treatment is necessary when a poisonous substance comes into contact with the skin, because it can be absorbed through the skin. Poisons impair the function of every major organ system in the human body. Household cleaning solutions can also cause severe poisoning. Toddlers, preschoolers, and young school-age children are at greater risk for accidental poisoning as opposed to older adults.

The registered nurse (RN) is teaching a patient's family members about environmental assessments for substance abuse. Which statements should the nurse include in the teaching? Select all that apply.
1
"You should observe for increased aggressiveness."
2
"You should check for the changes in style of dress."
3
"You should observe for changes in interpersonal relationships."
4
"You should check for the presence of drug-oriented magazines."
5
"You should observe for the presence of blood spots on clothing

4
"You should check for the presence of drug-oriented magazines."
5
"You should observe for the presence of blood spots on clothing

The environmental clues that indicate substance abuse are the presence of drug-oriented magazines and the presence of blood spots on the patient's clothing, which could be caused by the injection of drugs into the body. Increased aggressiveness, changes in style of dress, and changes in interpersonal relationships are psychological clues that indicate substance abuse.

The mother of a 4-year-old child is worried about the safety of her child. Which suggestion by the nurse would be helpful in promoting the safety of the child? Select all that apply.
1
"You should teach your child safe use of the Internet."
2
"You should provide supervision while your child is swimming."
3
"You should teach your child how to cross the street and walk in parking lots."
4
"You should teach your child the safe use of equipment for play and work."
5
"You should instruct your child not to play or hide in a car trunk or unused appliances.

2
"You should provide supervision while your child is swimming."
3
"You should teach your child how to cross the street and walk in parking lots."

5
"You should instruct your child not to play or hide in a car trunk or unused appliances.

Learning to swim is important and may someday save the life of the child. However, this activity needs constant supervision for a 4-year-old child. Pedestrian accidents are common among young children. Therefore, the child should be taught how to cross the street and walk in parking lots. Asphyxiation can occur if a child gets stuck playing in appliances and car trunks. Teaching the safe use of the Internet is important for an adolescent child, not a preschooler. The safe use of equipment for play and work is taught to school-age children.

The nurse is teaching the parent of a young child about car safety. Which statement by the parent indicates effective learning?
1
"I should secure my 6-month-old child in a forward-facing car seat."
2
"When my child is 1 year old, I can place his car safety seat in the front seat."
3
"I should place my 3-month old child in the back seat with a rear-facing convertible seat."
4
"I should not place my child in a front-facing seat before the age of 1."

3
"I should place my 3-month old child in the back seat with a rear-facing convertible seat."

The American Academy of Pediatrics (AAP) recommends that all infants and toddlers ride in the back seat with a rear-facing seat only or rear-facing convertible seat until the age of 2 or when the child reaches the highest weight or height allowed by the manufacturer of the rear-facing safety seat. A 1-year-old child should not be allowed to sit in the front seat. The child should be allowed to use a front-facing seat at the age of 2 or when the child reaches the highest weight or height allowed by the manufacturer of the rear-facing safety seat.

The registered nurse is instructing a nursing student regarding providing safety tips to the parent of a preschooler. Which statement made by the nursing student requires correction?
1
"You should teach your child about proper bicycle safety."
2
"You should remove doors from unused refrigerators and freezers."
3
"You should teach your child to not eat food items found in the street."
4
"You may teach your child to swim, but provide supervision near water

"You should teach your child about proper bicycle safety."

Teaching about proper bicycle safety is appropriate for a school-age child, not a preschooler, to reduce the risk of injuries from falling off a bike or being hit by a car. A preschooler may suffer asphyxiation after hiding in a car trunk or inside unused appliances. Therefore, the nurse should recommend that the child's parent remove those appliances' doors if they are not in use. The mother should properly guide her child to avoid eating items that are found in the grass or road to reduce the risk of poisoning. A preschooler child can be taught to swim, but the nurse must teach the child's mother to provide supervision near the water.

The nurse is assessing four patients with different conditions. Which patient should the nurse anticipate having a high risk of death?
1
Patient A
2
Patient B
3
Patient C
4
Patient D

Patient A is at high risk of death after being exposed to high concentrations of carbon monoxide. Exposure to high levels of carbon monoxide for 1 to 3 minutes may lead to death. Patient B's exposure to cold conditions of 48.7 o F (9.3 o C) may lead to hypothermia if prolonged, but is unlikely to lead to death. Patient C's skin has been exposed to a poisonous substance, which is unlikely to lead to death if treated appropriately. Patient D is exposed to excessive levels of lead, which may lead to learning and behavioral problems, but not death.

A nurse instructs a patient to color code the hot water faucets and dials. What might be the possible age group of the patient?
1
Young adult
2
Older adult
3
Adolescent
4
Preschooler

Older adult

Older adults are instructed to color code the hot water faucets and dials to prevent burns and scalds. The color coding makes it easier for an older adult to know which is hot and which is cold. Young adults and adolescents usually do not confuse hot and cold water, so this suggestion may not be helpful for them. Preschoolers usually need a parent's help taking baths and would not use hot-water faucets and dials.

Which patients are at higher risk of motor vehicle accidents according to the Centers for Disease Control and Prevention (CDC)?
1
2-year-old patient
2
30-year-old patient
3
55-year-old patient
4
16-year-old patient

16-year-old patient

According to the CDC, the risk of motor vehicle accidents is higher among 16- to 19-year-old drivers than any other age group, because teens are more likely to underestimate dangerous situations. A 2-year-old patient is not at elevated risk of motor vehicle accidents, because 2-year-olds do not use motor vehicles. A 30- or 55-year-old adult is not at elevated risk of motor vehicle accidents according to the CDC.

The registered nurse (RN) is teaching a patient's family members tips for protecting the patient during a seizure attack. Which statements made by a family member indicates the need for further teaching? Select all that apply.
1
"I should stay with the patient."
2
"I should hold the limbs tightly."
3
"I should position the patient safely."
4
"I should note the time of the seizure."
5
"I should lift the patient from the floor to the bed."

...

The nurse is caring for a patient with muscle weakness. The patient is provided with skid-proof footwear. Which safety measure is implemented in this situation?
1
Enabling to remain alert
2
Promoting cooperation
3
Allowing for safe exit from bed
4
Preventing falls from slipping on floor

4 Preventing falls from slipping on floor

Skid-proof footwear can prevent the patient from slipping on the floor. Muscle weakness may lead to unexpected falls that can cause injuries. Skid-proof footwear can help prevent falls that are caused by slipping on the floor. Hearing aids and glasses enable patients to remain alert within their environments. Clear explanations of safety measures help elicit cooperation from the patient and family members. Providing side rails on the bed helps in the safe exit of the patient from the bed.

Which mnemonic should a patient follow if his or her clothing or skin is burning?
1
PASS
2
RACE
3
Back to sleep
4
Stop, drop, and roll

Stop, drop, and roll

All patients, even young children, should follow the mnemonic "stop, drop, and roll" if his or clothing or skin is burning. PASS is the mnemonic applied for correct usage of fire extinguisher. The mnemonic RACE is used to set priorities in case of a fire. The parents should teach the mnemonic "back to sleep" to have the infants sleep on their back.

Which suggestion would be appropriate to prevent unilateral neglect in a patient with hemiparesis?
1
"You should perform range-of-motion exercises."
2
"You should use a walker and cane around the home."
3
"You should consult with an ophthalmologist for visual assessment."
4
"You should touch one side of the body frequently with the other hand.

"You should touch one side of the body frequently with the other hand.

Hemiparesis is a condition in which there is weakness on one side of the body. A patient with unilateral neglect related to brain injury will benefit from touching the left side of the body frequently with the right hand. Performing range-of-motion exercises is helpful for patients with impaired physical mobility. Using a walker or cane around the home is helpful for patients with impaired physical mobility. Consulting an ophthalmologist for visual assessment will help prevent the risk of falls in a patient with hemiparesis.

The nurse is instructing the mother of an infant not to leave the mesh sides of a playpen lowered. Which accidental trauma can be prevented by this intervention?
1
Falls
2
Choking
3
Asphyxiation
4
Strangulation

3 Asphyxiation

If mesh sides of playpens are lowered, the child's head could become wedged in the lowered mesh side, which may result in asphyxiation. Falls in infants and toddlers can be prevented by instructing the mother not to leave standard crib sides down or leave babies unattended on changing tables or in infant seats. Choking can be prevented by avoiding the use of pacifiers attached to a ribbon clipped to the child's clothing. Strangulation can be prevented by avoiding pillows, bumper pads, large stuffed toys, or comforters in the cribs.

Which restraint is banned due to the risk of fatal injuries?
1
Jacket restraint
2
Elbow restraint
3
Mitten restraint
4
Extremity restraint

Jacket restraint

Jacket restraint is banned due to the risk of fatal injuries. Elbow restraint is used commonly with infants and children to prevent elbow flexion. Mitten restraint prevents patients from dislodging invasion equipment. Extremity restraint is designed to immobilize one or all extremities.

Which nursing activity is performed during the assessment of a patient?
1
Selecting nursing interventions to promote safety
2
Identifying patient perceptions safety needs and risks
3
Consulting with occupational and physical therapists for assistive devices
4
Selecting interventions that will improve the safety of the patient's home environment

2 Identifying patient perceptions safety needs and risks

Identifying the patient's perceptions of safety needs and risks is involved in the critical thinking model for safety assessment. The critical thinking model for safety planning involves selecting nursing interventions to promote safety, consulting with occupational and physical therapists for assistive devices, and selecting interventions that will improve the safety of the patient's home environment.

Which group is at the highest risk for lead poisoning?
1
Adults
2
Infants
3
Adolescents
4
Older adults

2 Infants

Fetuses, infants, and children are at high risk for lead poisoning because their bodies absorb lead more easily and are more sensitive to the damaging effects of lead. Adults, older adults, and adolescents are less sensitive to lead exposure.

Which safety precaution should be taken by the patient with muscle weakness while walking?
1
Using side rails
2
Using crutches
3
Using a belt restraint
4
Wearing rubber-soled shoes

4 Wearing rubber-soled shoes

Rubber-soled shoes are used by the patients with muscle weakness because they provide better grip on the floor. Side rails are placed on the sides of the bed to help patients in sitting and standing, but would not help the patients with ambulation. Crutches are assistive aids used by the patient who are unable to walk without support. Belt restraints are not used to support ambulation.

A patient with postural hypotension is hospitalized. Which safety measure should the nurse implement during ambulation?
1
Use of gait belt
2
Raise all side rails
3
Use of wheelchair
4
Use of belt restraint

1 Use of gait belt

A gait belt provides a secure way to steady or guide patients who need assistance with ambulation when they are being transferred. Side rails are provided for beds to help patients with standing and sitting, but not ambulation. Wheelchairs are used to transfer patients when the floor is uneven; they eliminate the need for ambulation. Belt restraints do not support in ambulation.

There is a fire in a hospital. Which is the priority action of the nurse?
1
Activating the fire alarms
2
Confining the fire
3
Extinguishing the fire
4
Rescuing patients in immediate danger

Rescuing patients in immediate danger

The nurse should use the mnemonic RACE to set priorities in case of a fire. When there is a fire in a hospital, the nurse's first and most important intervention is to Rescue and remove all patients who are in immediate danger. After those patients are removed, the nurse should Activate the fire alarm so that other patients and staff will know of the fire danger. After this the nurse should Confine the fire by closing all doors and windows and turning off oxygen and electrical equipment. Finally, the nurse may attempt to Extinguish the fire with the use of an appropriate fire extinguisher.

n a pediatric ward, one of the newborns died of sudden infant death syndrome (SIDS). Which nursing measure lowers the risk of death due to SIDS?
1
Massaging the baby's heels
2
Attaching pacifiers with a string around the baby's neck
3
Gently rubbing the baby's back
4
Having the baby sleep on his or her back

Sudden infant death syndrome (SIDS) is a condition in which the infant dies due to an unexplained cause. The American Academy of Pediatrics recommends having the baby sleep on his or her back to reduce the risk of sudden infant death syndrome (SIDS). Massaging the heels helps in managing an apneic episode. Pacifiers should not be attached with a string around the neck, because this increases the risk of choking. Rubbing the baby's back is helpful in stimulating respiration in newborns.

Which intervention would the nurse employ to reduce the risk of falling in the health care setting due to tripping?
1
Cleaning all spills promptly
2
Ensuring adequate glare-free lighting
3
Keeping the floor free of clutter and obstacles
4
Having assistive devices on the exit side of the bed

Falls in the health care setting have many etiologies. The nurse keeps the floor free of clutter and obstacles to reduce the risk of falling due to tripping, especially in an unfamiliar setting. The nurse cleans all spills promptly to reduce the risk of falling due to slipping on wet surfaces. The nurse ensures adequate, glare-free lighting to reduce the risk of falling due to visual decline or disturbances. The nurse keeps assistive devices on the exit side of the bed to reduce the risk of falling due to decreased mobility status.

A child in the hospital starts to have a grand mal seizure while playing in the playroom. Which is the most important nursing intervention during this situation?
1
Begin cardiopulmonary respiration.
2
Restrain the child to prevent injury.
3
Place a tongue blade over the tongue to prevent aspiration.
4
Clear the area around the child to protect the child from injury.

Clear the area around the child to protect the child from injury.

Once a seizure begins, the nurse needs to monitor the patient and provide a safe environment. A seizure is not an indication for cardiopulmonary resuscitation. A person having a seizure should not be restrained, but the environment should be made safe. Objects should not be forced into the mouth.

A patient who has unilateral neglect related to brain injury from a cerebrovascular accident is unable to eat food on the left side of the plate. Which nursing intervention is followed in this situation?
1
Remind the patient to eat food on the left side of the plate.
2
Teach the patient to use a walker and cane around the home.
3
Help the patient identify actions he or she can adapt to the left side.
4
Teach the patient how to perform range-of-motion exercises on the left side

The nurse should remind the patient to eat food on the left side of the plate in the event of unilateral neglect related to brain injury from a cerebrovascular accident. When the patient has anxiety related to fear of falling, the nurse should help the patient identify actions he or she can adapt to the left side. When the patient is physically impaired related to left-sided weakness, the nurse should teach the patient how to use a walker and cane around the home. The nurse should teach the patient how to perform range-of-motion exercises if the patient has impaired physical mobility related to left-sided weakness.

A patient was diagnosed with left-sided neglect after suffering a cerebrovascular accident. Which nursing intervention would be most effective to ensure the patient's safety?
1
Teaching the patient to use a walker
2
Reminding the patient to scan the environment while walking
3
Encouraging the patient to see an ophthalmologist for visual assessment
4
Teaching the patient to perform strengthening exercises on the left side of the body

2 Reminding the patient to scan the environment while walking

The nurse should remind the patient to scan the environment when walking in the event of left-sided neglect after suffering a cerebrovascular accident, because the patient may fail to notice people or things approaching from the left. A patient with cerebrovascular accident-caused left-sided weakness should be educated regarding the use of a walker. Visiting an ophthalmologist is effective for those patients who have problems in seeing objects at a distance. The nurse should teach the patient with left sided weakness to perform strengthening exercises on the left side of the body.

The nurse is reviewing the manufacturer's instructions for restraint application before entering the patient's room. Which step in the nursing process is the nurse demonstrating?
1
Planning
2
Evaluation
3
Assessment
4
Implementation

The basic step involved in this situation is assessment. Assessment involves the nurse reviewing the manufacturer's instructions for restraint application before entering the patient's room, so that the nurse can be familiar with all the devices used for the patient. Planning involves gathering equipment and performing hand hygiene to reduce transmission of microorganisms. Evaluation occurs after application and involves observing the patient for signs of injury and checking vital signs. Implementation involves adjusting the bed to a proper height and inspecting the area to prevent injuries during restraint application.

Which task related to use of patient restraints can be delegated to nursing assistive personnel (NAP)?
1
Checking on a restraint
2
Assessing a patient's behavior
3
Determining a patient's need for restraints
4
Orientating the patient to the environment

Checking on a restraint

Routinely applying or checking on a restraint can be delegated to appropriately trained nursing assistive personnel (NAP). Assessing a patient's behavior, determining the need for restraints, orienting the patient to the environment, and determining the need and appropriate use of restraints must be performed by the nurse and cannot be delegated to NAP.

While caring for an infant, the nurse places the infant on his/her back. What is the reason for this intervention?
1
Reduce the risk of suffocation
2
Reduce the risk of head injury
3
Reduce the risk of choking and aspiration.
4
Reduce the risk of sudden infant death syndrome (SIDS)

Reduce the risk of sudden infant death syndrome (SIDS)

Placing infants on their backs reduces the risk of SIDS. Suffocation can be prevented by removing plastic bags from home. Risk of head injury can be reduced by preventing accidents. Choking and aspiration can be prevented by not giving the child toys with small parts, such as buttons.

The nurse is training a new mother on the use of the Heimlich maneuver. This intervention lowers the risk of which emergency situation?
1
Choking
2
Poisoning
3
Suffocation
4
Head injury

Caregivers for infants need to learn cardiopulmonary resuscitation (CPR) and the Heimlich maneuver in order to be prepared to intervene in the event of acute emergencies, such as choking. Poisoning can be prevented by removing toxic or poisonous substances from the house. Suffocation can be prevented by removing plastic bags from the home. Head injury can be prevented by placing the infant at the back of the seat securely with seat belts.

Which intervention would be most appropriate to prevent a patient fall by reducing the risk of entanglement?
1
Cleaning all spills promptly and posting a sign indicating a wet floor
2
Removing excess equipment, supplies, and furniture from rooms and halls
3
Coiling and securing excess electrical, telephone, and any other cords or tubing
4
Keeping the floors clutter and obstacle free, particularly the path to the bathroom

Coiling and securing excess electrical, telephone, and any other cords or tubing

Coiling and securing excess electrical, telephone, and any other cords or tubing will prevent patient falls by reducing the risk of entanglement. Cleaning all spills promptly and posting a sign indicating a wet floor will reduce the likelihood of falling or tripping over objects. Removing excess equipment, supplies, and keeping the floors clutter and obstacle free will also reduce the likelihood of falling or tripping over objects.

The registered nurse is teaching a group of student nurses about various problems faced by older adults and effective interventions to overcome those problems. Which patient information provided by the registered nurse needs correction?

Nocturia and incontinence are common problems in older adults. Interventions include instituting a regular toileting schedule with a recommended frequency of every 3 hours. Giving diuretics in the morning will also be beneficial in these patients. The nurse should provide adequate and meaningful stimuli when an older adult shows a reduced response to multiple stimuli. Older adults should be encouraged to engage in physical activity to increase their range of motion and strength. An older adult who has diminished memory may not take medications correctly. The nurse should encourage the use of medication organizers. Older adults are at a high risk for automobile accidents due to slowed reaction time. Therefore, the nurse should teach safety tips for avoiding automobile accidents.

The nurse is performing fall prevention measures for a patient. During which step of the nursing process does the nurse perform "Timed Get up and Go" (TUG) if a patient is able to ambulate?
1
Planning
2
Evaluation
3
Assessment
4
Implementation

Assessment

Performing TUG when the patient is able to ambulate is included in the assessment step of the nursing process. Planning involves gathering equipment to promote organization and performing hand hygiene to reduce the transmissions of microorganisms. Evaluation is the basic step involved when the nurse is performing visual checks in a patient. Implementation involves adjusting the bed to a proper height and inspecting the area to prevent injuries during restraint application.

A patient has been having seizures for more than 30 minutes. The nurse looks after the patient and implements the best efforts to keep the patient safe. Which nursing intervention may lead to complications in the patient?
1
Calling a rapid response team
2
Notifying a health care provider
3
Restraining the patient to prevent injuries
4
Maintaining the airway and administering oxygen

3 Restraining the patient to prevent injuries

Seizures persisting beyond 30 minutes indicate status epilepticus, which is a medical emergency. Restraining the patient further aggravates the injuries during an active episode and should be avoided. Status epilepticus is managed by calling a rapid response team or code blue and notifying a health care provider. The nurse should also take the necessary steps to maintain the airway. If oxygen saturation has dropped to a critical level, then oxygen should be administered.

Which restraint should the nurse use to prevent nerve injury?
1
Belt
2
Elbow
3
Mitten
4
Extremity

Elbow

Elbow restraint, or the freedom splint, is commonly used with infants and children to prevent elbow flexion. This helps keep the elbow extended and prevents nerve injury in cases where the IV line is placed in the antecubital fossa. Belt restraint is used to maintain the center of gravity and prevents patients from rolling off stretchers or sitting up while on stretchers, as well as from falling out of bed. Mitten restraints prevent patients from dislodging invasive equipment, removing dressings, or scratching. Extremity restraints maintain immobilization of extremities to protect patients from falling or accidental removal of therapeutic devices.

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