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NUR 321.Exam3 .Patient Safety and Quality
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NUR 321.Exam3 .Patient Safety and Quality
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NUR 321.Exam3 .Patient Safety andQuality
A confused patient is restless and continues to try to remove the oxygen cannula and
urinary
catheter. What is the priority nursing diagnosis and intervention to implement for this
patient? - ANS-a. Risk for injury: Check on patient every 15 minutes.
b. Risk for suffocation: Place "Oxygen in Use" sign on door.
c. Disturbed body image: Encourage patient to express concerns about body.
d. Deficient knowledge: Explain the purpose of oxygen therapy and the urinary
catheter.
ANS: A
Rationale: The priority nursing diagnosis is Risk for injury. This patient could cause harm
to self by
interrupting the oxygen therapy or by damaging the urethra by pulling the urinary
catheter out.
Before restraining a patient, it is important to implement and exhaust alternatives to
restraint.
A home health nurse is performing a home assessment for safety. Which comment by
the patient will cause the nurse to follow up? - ANS-a. "Every December is the time to
change batteries on the carbon monoxide
detector."
b. "I will schedule an appointment with a chimney inspector next week."
c. "If I feel dizzy when using the heater, I need to have it inspected."
d. "When it is cold outside in the winter, I will use a non-vented heater."
ANS: D
Rationale: Using a non-vented heater introduces carbon monoxide into the environment
and decreases
the available oxygen for human consumption and the nurse should follow up to correct
this
behavior.
A nurse is attempting to minimize the risk of future infection for a post-surgical patient
about
to be discharged. Which technique will the nurse teach the patient to best achieve this
goal? - ANS-a. Sanitizing of eating utensils
b. Medical asepsis handwashing
, c. Wound care using surgical asepsis
d. Limiting visitors during flu season
ANS: C
Rationale : One of the most effective methods for limiting the transmission of pathogens
in health care is
the medically aseptic practice of hand hygiene. It is important that nurses educate
patients,
families, and caregivers about the importance of incorporating hand hygiene in all
aspects of
their lives.
A nurse is providing care to a patient. Which action indicates the nurse is following the
National Patient Safety Goals? - ANS-a. Identifies patient with one identifier before
transporting to x-ray department.
b. Initiates an intravenous (IV) catheter using clean technique on the first try.
c. Uses medication bar coding when administering medications.
d. Obtains vital signs to place on a surgical patient's chart.
ANS: C
Rationale: One of the National Patient Safety Goals is to use medicines safely. For
example, proper
preparation and administration of medications, use of patient and medication bar
coding, and
"smart" intravenous (IV) pumps reduce medication errors. Identifying patients correctly
is a
national patient safety goal, and two identifiers are needed, not one.
The nurse enters the patient's room and notices a small fire in the headlight above the
patient's bed. In which order will the nurse perform the steps, beginning with the first
one? - ANS-1. Pull the alarm.
2. Remove the patient.
3. Use the fire extinguisher.
4. Close doors and windows.
a. 2, 1, 4, 3
b. 1, 2, 4, 3
c. 1, 2, 3, 4
d. 2, 1, 3, 4
ANS: A
Rationale: Nurses use the mnemonic RACE to set priorities in case of fire. The steps
are as follows:
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