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NURS 100 ~ Assessment 2 Exam Questions With Complete Solutions @ 2024
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NURS 100 ~ Assessment 2 Exam Questions WithComplete Solutions @ 2024
History of Nursing: Safety
Assess for history of falls or accidents
Note assistive devices
Be alert to history of drug or alcohol abuse
Obtain knowledge of family support systems and home environment
What to assess on physical examination?
Mobility status
Ability to communicate
Level of awareness or orientation
Sensory perception
Identify potential safety hazards
Recognize manifestations of domestic violence or neglect
Contributors to a fall
Poor lower body weakness
Poor vision
Gait, balance issues
Problems with feet
Psychoactive medications
Postural dizziness
Hazards in the home
Safety precautions to prevent falls
Hourly rounding
Fall risk bracelet
, Bed alarms
Low beds
Keep close to nursing station
Reduce rugs
Declutter
Bright lights
Shower chair
No loose cords
No alcohol or drugs
RACE acronym
R: Rescue anyone that is in imminent danger
A: Activate the fire code and call appropriate person
C: Confine fire by closing all doors and windows
E: Evacuate patients and others from area to safe zone
Treatment-Related Injuries /Potential Mistakes
Administration of medication of IV fluid
Patient transfer
Change of dressing
Application of external heat to an extremity of patient
Failure to implement fall precautions
Potential mistake or incident of situation that may have harmed a patient but that was
intercepted and prevented
Near miss incident
an unplanned event that occurred w/injury to the client, but had potential to cause harm
to the client
Client safety event
Series of events or circumstances that led to unintentional harm to the client
Adverse event
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