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exam 3 safety and asepsis, and preventing infection (1)

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exam 3 safety and asepsis, and preventing infection (1)

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  • July 22, 2024
  • 17
  • 2023/2024
  • Exam (elaborations)
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exam 3 safety and asepsis, and preventing
infection
According to Leap Frog Hospital Safety Guide (2018), approximately how many avoidable deaths
occur in U.S. hospitals each year?
1.Under 100,000
2.Over 200,000
3.Over 300,000
4.Over 400,000 - CORRECT ANSWER-2. over 200,000

The home health nurse is instructing the family of an elderly client about safety precautions that
should be taken in the bathroom. Which information should the nurse provide?select all that apply
1. Use raised toilet seats.
2.Set up grab bars in the shower.
3.Purchase a sturdy shower chair for the client.
4.Place a throw rug on the floor to dry wet feet.
5.Install a fixed shower head on the wall for the client.
6.Install a fixed shower head on the wall for the client. - CORRECT ANSWER-1. Use raised toilet
seats.
2.Set up grab bars in the shower.
3.Purchase a sturdy shower chair for the client.

A nurse works night shift in an intensive care unit. After a night of multiple clients developing
abnormal heart rhythms, and alarms going off continuously, the nurse does not notice that a client
has developed a potentially lethal rhythm and the alarm is sounding. What does this describe?
1.High reliability
2.Root cause
3.Alarm fatigue
4.Alarm inertia - CORRECT ANSWER-3.alarm fatigue

Which fire extinguisher classification is approved for use with combustible metals?
1.Class A
2.Class B
3.Class C
4.Class D - CORRECT ANSWER-4. class D

Which criteria must be present for an occurrence to be labeled a never event?
1.Serious
2.Preventable
3.Measurable
4.Documentable
5.Manageable outcomes
6.Manageable outcomes - CORRECT ANSWER-1.Serious
2.Preventable
3.Measurable

Which factors lead to increased numbers of injuries in children and younger adults related to motor
vehicle accidents?
1.Driver distraction
2.Poor driving patterns

,3.Failure to use seat belts
4.Decreased reaction time
5.Improperly placed car seats - CORRECT ANSWER-1,3,5
1.Driver distraction
3.Failure to use seat belts
5.improperly placed car seats

Which are examples of never events, or Serious Reportable Events? Select all that apply.
1.Foreign object left in client after surgery
2.Medication errors
3.Delays in discharge
4.Catheter-associated urinary tract infection
5.Stage IV pressure ulcer that develops during hospitalization - CORRECT ANSWER-1,4,5
1.Foreign object left in client after surgery
4.Catheter-associated urinary tract infection
5.Stage IV pressure ulcer that develops during hospitalization

Which scenarios support the use of restraints in a hospital? Select all that apply.
1.A client refusing to take medications
2.A confused client who continuously pulls out his or her IV line
3.An alert client who is ventilator dependent who is pulling at the endotracheal tube
4.A client who is threatening to leave the hospital against medical advice
5.A confused client who has fallen multiple times - CORRECT ANSWER-2,3
2.A confused client who continuously pulls out his or her IV line
3.An alert client who is ventilator dependent who is pulling at the endotracheal tube

Which are common causes of fire in a health-care setting?
Smoking
1.Anesthesia
2.Malfunctioning electrical equipment
3.Garbage fires
4.Kitchen grease fires - CORRECT ANSWER-1,2,3

1.Anesthesia
2.Malfunctioning electrical equipment
3.Garbage fires

The nurse in a long-term care facility is caring for a 70-year-old client who has a history of type 2
diabetes mellitus, hypertension, and Parkinson disease. The client takes antihypertensive
medications, insulin, and carbodopa/levodopa. The client has functional incontinence due to a
shuffling gait and uses a wheeled walker for ambulation. Which factors place the client at risk for
falls?select all that apply
1. Insulin injections
2.Parkinson disease
3. Wheeled walker use
4.Functional incontinence
5.Type 2 diabetes mellitus
6.Antihypertensive medications - CORRECT ANSWER-1,2,3,6
1. Insulin injections
2.Parkinson disease
3. Wheeled walker use

, 6.Antihypertensive medications

The nurse is educating a group of clients about risks for food poisoning. Which statement made by
a client indicates understanding?
1."I should not consume raw cookie dough."
2."It is fine to eat raw sushi in a restaurant."
3."I sometimes drink milk straight from the cow."
4."I can leave food out for three hours before consumption." - CORRECT ANSWER-1."I should not
consume raw cookie dough.

Which is the safest way to warm infant formula prior to feeding an infant?
1.One minute in the microwave
2.Submerging the bottle in boiling water
3.Warming infant formula in a pan of warm water
4.Reconstituting with hot water - CORRECT ANSWER-3.Warming infant formula in a pan of warm
water

Which describes the process in which a safety event is analyzed to determine the underlying
cause and to prevent the event from occurring again?
1.Reporting
2.Trending
3.Clinical analysis
4.Root cause analysis - CORRECT ANSWER-.4.Root cause analysis

Which falls prevention measures can a nurse delegate to nursing assistive personnel?
1.Provide nonskid slippers.
2.Lock beds and wheelchairs.
3.Initiate restraints.
4.Prepare medications as ordered.
5.Discharge planning.
6.Keep room free of clutter. - CORRECT ANSWER-1,2,6
1.Provide nonskid slippers.
2.Lock beds and wheelchairs.
6.Keep room free of clutter

Which nursing interventions are important for the home health nurse to perform to promote safety
when caring for elderly clients?
1.Removing throw rugs
2.Moving electrical cords
3.Changing positions slowly
4.Using visual and hearing aids
5.Taking pain medication prior to movement - CORRECT ANSWER-1.Removing throw rugs
2.Moving electrical cords
3.Changing positions slowly
4.Using visual and hearing aids

Which are measures that should be taken by health-care workers to decrease radiation exposure
for a client with a radioactive implant? Select all that apply.
1. limit the time spend with the client
2. perform care near the client only when nessesary
3.Stand at an angle from the client to minimize radiation exposure.

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