VNSG 1323: Chapter 19 Prep U Questions || with Error-free Solutions.
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Course
VNSG 1323:
Institution
VNSG 1323:
A fire has erupted in the trash can on the unit and the nurse implements the protocol for fire safety for the facility. Another nurse obtains the fire extinguisher and is preparing to use it. What would the nurse do first? correct answers Pull the pin.
Explanation: When using a fire extinguisher...
VNSG 1323: Chapter 19 Prep U Questions || with Error-free
Solutions.
A fire has erupted in the trash can on the unit and the nurse implements the protocol for fire
safety for the facility. Another nurse obtains the fire extinguisher and is preparing to use it. What
would the nurse do first? correct answers Pull the pin.
Explanation: When using a fire extinguisher, the nurse should follow the PASS mnemonic: Pull
the pin, aim the nozzle, squeeze the handle and sweep back and forth over the fire.
The nurse is preparing to discuss safety with a group of parents of infants. When planning the
program, which topic would be most important to include? correct answers Use of blankets,
pillows, and stuffed animals in the crib
Explanation: Infant safety education should include use of approved car seats and not booster
seats. Booster seats are used for the pre-school child with recommended height and weight. The
use of skid-proof mats in the bathtub are topics more suited to the parents of preschool children.
Infants are not likely to be physically able to access guns in the home. Infants should not have
pillows, stuffed animals, or blankets in the bed due to the risk of suffocation.
The surgical nurse is preparing a client for surgery on the left leg. Which nursing action is
appropriate? (Select all that apply.) correct answers Mark the appropriate lower extremity as the
one intended for surgery.
Have the client mark the body part intended for surgery.
Go through a preprocedure verification protocol.
Call for a "time out" immediately before surgery begins.
Explanation: To prevent wrong site, wrong procedure, and wrong person surgery, the nurse will
mark the left leg as the one intended for surgery, have the client mark the body part intended for
surgery, conduct a preprocedure verification protocol, and perform a "time out" immediately
before surgery to double-check the all surgical information regarding the client, and required
documents. The nurse will never delegate surgical site identification to a UAP.
Which agent has the potential to affect the integrity of latex gloves? correct answers Oil-based
lotions
Explanation:Oil-based lotions may adversely affect the integrity of latex gloves.
Over the past few weeks, a client in a long-term care facility has become increasingly unsteady.
The nurses are worried that the client will climb out of bed and fall. Which measure does not
comply with a least restraint policy? correct answers Raising all side rails while the client is in
bed
, Explanation: Raising all side rails on the bed would be a restraint and may increase the client's
risk of a falling if he climbs out of bed. All the other options would comply with a least restraint
policy
A caregiver of a toddler has called the poison control nurse to report that the child licked a small
amount of petroleum jelly. The caregiver states that the toddler is sitting on the floor, watching a
cartoon, and playing with a toy. Which information will the poison control nurse provide?
correct answers Dilute with water or milk
Explanation: The decision tree for treating ingested poisons states that if petroleum is ingested, it
should be diluted with water or milk, vomiting should be prevented, hydration should be given,
and symptoms should be treated. Therefore, it is not appropriate to call 9-1-1, induce vomiting,
or administer laxative.
A nurse visits an elderly client at home and assesses the safety of the client's environment.
Which article can be a threat to the client's safety? (Select all that apply.) correct answers Area
rugs kept on the stairs without carpet
Dimly lit hallways
Waxed floors
Explanation: Area rugs kept on the stairs, dimly lit hallways, and waxed floors are hazards that
may cause falls. Nonskid mats and decals for the tub are a fall-prevention method. No danger
exists from a laundry bag in the corner of the room.
A client with diabetes has impaired sensation in her lower extremities. What education would be
necessary to reduce her risk of injury? correct answers "Always test the temperature of bath
water before stepping in."
Explanation: Alterations in sensory perception can have a serious effect on safety. A client
whose tactile sense is impaired may not perceive temperature extremes that are a threat to safety.
Although all the other statements may be necessary, they do not promote safety.
The poison control nurse receives a call from the parent of a 2-year-old child. The parent states,
"I just took a quick shower, and when I finished, I walked into the kitchen and found my child
with an open bottle of household cleaner." What is the poison control nurse's appropriate
response? correct answers "Is your child breathing at this time?"
Explanation: Initial treatment for a victim of suspected poisoning involves maintaining breathing
and cardiac function, so the nurse will ask about the child's respiratory status. Definitive
treatment depends on the substance, the client's condition, and if the substance is still in the
stomach; vomiting should not be induced until more information is gathered. Instructing the
parent about leaving the child alone is not therapeutic at this time.
A nurse is assessing fire safety in a home in which a single mother and young children live.
What information would the nurse include in teaching the mother on how to prevent injury from
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