Fundamentals Safety Ch. 31 & 32
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| show | factors affecting safety
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| show | 1.age & development 2.lifestyle 3.mobility & health status 4.sensory-perceptual alterations 5.emotional state 6.ability to communicate 7.safety awareness 8.environmental factors 9.cognitive awareness
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| Children learn what is potentially harmful through____&____. | show 🗑
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| show | 1.home 2.workplace 3.community 4.health care setting 5.bioterrorism 6.disaster planning
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| show | bioterrorism
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| The____defines bioterrorism. | show 🗑
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| show | every 30 minutes
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| show | every 2 hours
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| Depending on policies, nurse may need___from___for restraining client. | show 🗑
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| show | restraining
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| show | Mitigation Phase
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| show | Mitigation Phase
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| show | Preparedness Phase
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| show | Recovery Phase
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| show | 1.Rescue 2.Activate 3.Confine 4.Extinguish
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| 3 categories of fire: | show 🗑
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| Fire extinguisher that puts out paper, wood, upholstery, rags, & ordinary rubbish. | show 🗑
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| Fire extinguisher that puts out flammable liquids and gases. | show 🗑
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| show | Class C
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| show | 1.paper 2.wood 3.upholstery 4.rags 5.ordinary rubbish
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| Class B puts out___&___. | show 🗑
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| show | electrical
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| show | 1.Pull out the extinguisher's safety pin. 2.Aim the hose at the base of the fire. 3.Squeeze the handle to discharge the material onto the fire. 4.Sweep the hose from side to side across the base of the fire until extinguished.
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| ___are availbale to detect when clients are attempting to move or get out of bed. | show 🗑
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| A single temporary event that consists of an uncontrolled electrical neuronal discharge of the brain resulting in an interruption of normal brain functioning. | show 🗑
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| show | Seizure precautions
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| Development of seizures in adults is most commonly related to___in the brain such as tumors, strokes, and trauma. | show 🗑
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| The development of___in adults is most commonly related to structural abnormalities of the brain such as___,___,&____. | show 🗑
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| Genetic abnormalities account for approximately___of seizure disorders in children and___in adults. | show 🗑
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| show | 1.Genetic abnormalities 2.seizure disorders 3.children 4.adults
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| Seizures are classified into 2 categories: | show 🗑
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| show | Partial seizures also called focal
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| show | 1.electrical discharges 2.one area 3.brain
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| ___affect the whole brain. | show 🗑
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| show | whole brain
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| show | 1.Partial seizures involve electrical discharge from one area of the brain. 2.generalized seizures affect the whole brain.
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| show | grand mal (tonic-clonic) seizures or any seizure that involves loss of consciousness
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| Any seizure that involves loss of consciousness. | show 🗑
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| show | electric shock
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| Static electricity that builds up on the body is___. | show 🗑
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| Electric shock occurs when: | show 🗑
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| Lack of oxygen due to interrupted breathing. | show 🗑
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| Suffocation or asphyxiation is__of__due to___. | show 🗑
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| show | Carbon Monoxide (CO)
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| Carbon monoxide is an___,___,___that is very___. | show 🗑
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| Exposure to (CO) or carbon monoxide can cause symptoms that inlcude: | show 🗑
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| Prolonged exposure to CO can lead to: | show 🗑
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| show | (CO) carbon monoxide
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| show | prolonged exposure to CO or carbon monoxide
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| show | Restraints
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| show | 1.physical 2.chemical
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| The Joint Commission and the Center for Medicare and Medicaid Services (CMS) state that only 2 reasons for restraint use are acceptable: | show 🗑
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| Medications such as anxiolytics, sedatives, neuroleptic, and psychotropic agents used to control socially disruptive behavior. | show 🗑
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| show | 1.anxiolytics 2.sedatives 3.neuroleptic 4.psychotropic agents
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| show | 1.Ativan 2.Xanax
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| Ativan & Xanax are ex. of____. | show 🗑
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| show | 1.Amytal 2.Seconal
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| show | sedatives
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| Thorazine & Haldol are ex. of___. | show 🗑
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| show | 1.Thorazine 2.Haldol
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| show | socially disruptive behavior
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| show | Chemical restraints
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| show | 1.jacket restraints 2.belt restraints 3.mitt or hand restraints 4.limb restraints
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| Jacket restraints, belt restraints, mitt or hand restraints, and limb restraints are all most common restraints for___. | show 🗑
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| show | 1.gerichairs 2.wheelchairs with lap trays 3.bed rails
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| Restraints for infants & children include: | show 🗑
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| Mummy restraints, elbow restraints, & crib nets are for___&___. | show 🗑
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| __can occur when foreign objects become lodged in throat, cutting off air supply. | show 🗑
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| show | infection
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| The collective vegetation in a given area in one part of the body yet produce infection in another. | show 🗑
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| show | infectious agent
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| If the microorganism in the body tissue produces no clinical evidence of disease it is called___. | show 🗑
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| Some___can cause considerable damage. | show 🗑
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| ___is an ex. of a subclinical infection that is harmful because it can lead to significant___in___. | show 🗑
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| The ability to produce disease. | show 🗑
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| Ability to produce disease. | show 🗑
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| show | asepsis
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| show | aseptic technique
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| There are 2 types of asepsis: | show 🗑
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| Includes all practices intended to confine a specific microorganism to a specific area, limiting the number, growth, & transmission of microorganisms. | show 🗑
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| In___, objects are referred to as clean which means the absence of almost all microorganisms or dirty (soiled or contaminated). | show 🗑
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| Refers to those practices that keep an area or object free of all microorganisms & spores. | show 🗑
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| 4 major categories of microorganims cause infection in humans: | show 🗑
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| show | Nosocomial infections
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| ___causes disease only in a susceptible individual. | show 🗑
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| 6 links that make up chain of infection: | show 🗑
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| 3 mechanisms for method of transmission: | show 🗑
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| ___are a subgroup of health care-associated infections (HAIs). | show 🗑
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| Nosocomial infections are a__of____. | show 🗑
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| A person or animal reservoir of a specific infectious agent that usually does not manifest any clinical signs of disease. | show 🗑
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| Indirect transmission may be either___or____. | show 🗑
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| ___may be either vehicle-borne or vector-borne. | show 🗑
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| ___involves immediate transfer of microorganisms from person to person through touching, biting, kissing, or sexual intercourse. | show 🗑
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| Direct transmission involves immediate transfer of___from person to person through___,___,___,or____. | show 🗑
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| show | Direct transmission
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| Airborne transmission may involve___or____. | show 🗑
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| show | Airborne transmission
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| Sources of microorganisms. | show 🗑
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| Reservoirs are___of___. | show 🗑
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| show | carrier
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| show | 1.harmless 2.beneficial
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| show | microorganisms
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| A microorganism-free area. | show 🗑
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| show | Colonization
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| show | 1.local 2.systemic
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| Limited to specific part of the body where the microorganisms remain. | show 🗑
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| If the microorganisms spread & damage different parts of the body it is a___. | show 🗑
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| When a culture of the person's blood reveals microorganisms, the condition is called___. | show 🗑
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| When bacteremia results in systemic infection, it is referred to as___. | show 🗑
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| There are also__& ___infections. | show 🗑
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| __generally appear suddenly or last a short time. | show 🗑
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| Acute infections generally appear__or last a___. | show 🗑
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| show | Chronic infections
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| Chronic infections may occur___,over a___, & may last___. | show 🗑
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| The microorganisms that cause nosocomial infections can originate from which 2 sources? | show 🗑
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| show | Nosocomial infections
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| ___come from the clients themselves. | show 🗑
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| Endogenous sources come from the___. | show 🗑
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| Exogenous sources come from the___&___. | show 🗑
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| show | Exogenous sources
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| show | latrogenic infections
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| show | 1.direct 2.diagnostic 3.therapeutic procedures
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| show | endogenous sources (from the clients themselves)
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| Most___appear to have endogenous sources (from the clients themselves). | show 🗑
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| show | vector
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| If patient has a bruised area on site of restraint, it must be___. If so,___to come___. | show 🗑
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| Risk Factors for Using Physical Restraints: | show 🗑
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| If nurse gives another person an order, & they do it incorrectly, it's the__. | show 🗑
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| show | nurse
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| The nurse is responsible for___for restraints. | show 🗑
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| show | 1.agency's specific policy 2.procedure
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| show | nurse
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| Restraints must be__& part of__&___. | show 🗑
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| ___is required for restraints. Unless there is a major emergency. | show 🗑
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| A physician's order is required unless there is a major emergency. In such an event, the nurse can restrain patient but must__it & get___. | show 🗑
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| A physician's order must state: | show 🗑
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| A___must state type of restraint, location, & specific behaviors for which restraints are to be used & must have a limited time frame & ongoing assessment by nurse. | show 🗑
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| show | 1.behaviors that necessitated use of restraints 2.procedure used in restraining 3.condition of body part being restrained 4.evaluation of clien't response 5.remove prn for ROM etc.
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| show | Proper documentation
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| Soft music, pet therapy, & back massages are ex. of___. | show 🗑
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| Central government federal agency for emergency planning. | show 🗑
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| Follow facility's policy & procedure on management of large scale disasters. | show 🗑
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| show | Disaster management
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| Person with pulse but gunshot vs. victim who is nearly decapitated is an ex. of___. | show 🗑
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| Type of management used in ER. | show 🗑
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| show | capillary refill
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| show | blanching
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| If patient complains of numbness, but all sign seems healthy & 2 finger rule is being applied, what should nurse do? | show 🗑
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| show | Mitigation Phase
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| show | Preparedness Phase
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| show | Response Phase
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| show | Recovery Phase
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| Nurses play important roles in___&___. | show 🗑
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| show | 1.community agencies 2.ANA 3.primary prevention 4.bio-terrorism
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| show | external disaster
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| Primary prevention of external disaster: | show 🗑
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| Rescue & recovery are___of___. | show 🗑
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| show | ANA
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| Community agencies that nurses collaborate with during external disaster includes___. | show 🗑
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| show | 1.hurricanes 2.tornadoes 3.earthquake 4.tsunami etc.
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| show | external disaster
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| During disaster management, follow___on management of large scale disasters. | show 🗑
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| show | 1.large scale disasters 2.large scale disasters -FEMA
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| show | Risk Management
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| show | 1.identify potential hazards 2.eliminate them before they occur
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| show | 1.identify possible risks 2.analyze risk 3.evaluate steps taken 4.document assessments/findings 5.report significant changes in client's condition (facts only; no incident reports)
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| show | Risk Management Nurse
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| One tool used in risk management. | show 🗑
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| Incident report or occurrence report is one tool used in___. | show 🗑
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| show | Incident -follow policies & procedures of agency
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| show | Asepsis
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| show | 1.absence 2.pathogenic microorganisms
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| show | Medical (clean) technique
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| show | 1.reduce 2.prevent 3.spread 4.microorganisms
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| Eliminates all microorganisms. | show 🗑
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| show | all microorganisms
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| Medical aseptic procedures: | show 🗑
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| Hand hygiene, alcohol-based waterless antiseptic, & clean dressing procedures are all part of the___. | show 🗑
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| show | Surgical Asespsis
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| Surgical asepsis is used during procedures that___. | show 🗑
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| show | 1.during procedures that intentionally break the skin (IV's) 2.Surgical trauma or burns 3.Procedures that involve insertion of catheters into sterile body cavities
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| Surgical asepsis is used during procedures that intentionally break the skin (IV's),___or__,& procedures that involve___of___into____. | show 🗑
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| show | 1.) sterile object is sterile only when touched by another sterile object. 2.) Only sterile objects placed on sterile field. 3.) Sterile field contaminated by prolonged exposure to air. 4.) 1 inch or 2.5cm around border is considered contaminated.
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| Sterile object is sterile only when touched by another sterile object, only sterile objects placed on sterile field, sterile field contaminated by prolonged exposure to air, & 1 inch or 2.5cm around border is considered contaminated are the___. | show 🗑
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| Sterile field is contaminated by prolonged exposure to___. | show 🗑
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| ___or___around___of sterile field is considered contaminated during surgical asepsis. | show 🗑
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| Chain of Infection in order: | show 🗑
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| An infectious agent or pathogen, reservoir, portal of enxit, mode of transmission, portal of entry, & susceptible host are all parts of the___. | show 🗑
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| show | localized infectious process
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| show | 1.localized 2.systemic
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| show | infectious process
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| What is an ex. of a localized infection? | show 🗑
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| show | systemic infection
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| Systemic infection can be___. | show 🗑
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| show | systemic infection
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| show | 1.entire body 2.single organ
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| 4 Stages of Infection in order: | show 🗑
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| The incubation period, prodromal stage, illness stage, & convalescence are all stages of___. | show 🗑
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| show | Incubation Period
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| The incubation period is the interval between___of___into body and appearance of first symptoms. | show 🗑
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| show | 1.appearance 2.first symptoms
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| show | Prodromal Stage
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| Signs & symptoms of being tired is an ex. of____. | show 🗑
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| show | 1.being tired 2.onset 3.nonspecific signs/symptoms
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| Client shows signs & symptoms such as sore throat. | show 🗑
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| show | sore throat
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| During this time, acute symptoms disappear. | show 🗑
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| During the Convalescence stage,___. | show 🗑
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| A protective reaction that neutralizes pathogens & repairs body cells. | show 🗑
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| The inflammatory process is a___that___&___. | show 🗑
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| The Inflammatory Process in order: | show 🗑
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| Normal flora, body systems defenses, inflammation, vascular & cellular response, inflammatory exudates, tissue repair, & general adaptation syndrome (GAS)are the___. | show 🗑
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| Stages of GAS or General Adaptation Syndrome: | show 🗑
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| show | Stages of GAS or General Adaptation Syndrome
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| show | Alarm reaction stage
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| During the alarm reaction stage,___result in____&____. | show 🗑
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| show | Resistance Stage
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| During the resistance stage, the___. | show 🗑
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| During the___, the body can no longer resist the effects of the stressor. | show 🗑
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| During the exhaustion stage, the body can no longer___the___of the___. | show 🗑
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| Prevents soiling of clothes. | show 🗑
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| show | 1.soiling 2.clothes
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| OSHA Guidelines for health care providers: | show 🗑
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| Universal precautions should be observed to prevent contact w/ blood or infectious material, work practice control to eliminate employee exposure, accessible hand-washing, hand-hygiene practices, & no food kept where blood products are present are all__. | show 🗑
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| Tier One Standard Precautions: | show 🗑
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| Washing hands, wearing gloves w/ body fluids, masks for splashing, gowns for soiling, cleaning equipment, & discarding sharp instruments are all___. | show 🗑
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| show | 1.Airborne precautions 2.Droplet precautions 3.contact precautions
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| show | mask
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| With___&____, a mask is worn. | show 🗑
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| show | 1.measles 2.mask
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| ____would be practiced with measles & a mask would be worn. | show 🗑
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| show | 1.mumps 2.mask
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| show | Droplet precautions
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| show | 1.(RSV) respiratory synctial virus 2.scabies
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| (RSV) respiratory synctial virus & scabies woule be practiced with___. | show 🗑
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| ___&___would be used in contact precautions. | show 🗑
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| Gloves & gown would be used in___. | show 🗑
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| show | 1.gowning 2.full face protection 3.gloves
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| show | full face protection
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| Full face protection is used when___may occur. | show 🗑
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| show | gloves
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| show | 1.transmissions 2.pathogens
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| show | 1.direct 2.indirect contact
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| show | 1.Fire 2.Electrical 3.Chemical
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| show | 1.measures 2.ensure safe environment
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| show | 1.smoke/fire alarms 2.plan of action (in case)
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| show | 1.electrical equipment 2.good working order
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| show | 1.out of reach 2.stored properly
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| show | 1.complete 2.current 3.factual 4.current 5.organized
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| ___should be accurate, complete, current, factual, & organized. | show 🗑
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| show | Material Safety Data Sheet (MSDS)
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| show | 1.workers 2.ER personnel 3.particular substance
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| Documentation policies & procedures conform to__&___. | show 🗑
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| show | 1.state 2.federal laws
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| ____conforms do state & federal laws. | show 🗑
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| show | Incident Reports
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| show | 1.breaches in safety & security 2.ethics committee 3.chain of command 4.incident reports-risk management tool 5.(HIPPA) Health Insurance Portability & Accountability Act
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| The process of reporting___in___&___. | show 🗑
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| show | 1.process 2.reporting
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| show | risk management
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| The__of__&___are parts of process for reporting. | show 🗑
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| Burns are the leading cause of injury among older adults. True or False. | show 🗑
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| show | encourage wearing non-skid shoes
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| When nurse implements seizure precautions, what should be done in order? | show 🗑
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| What statement, made by the nurse orienting a newly hired nurse to the unit, is correct regarding seizure precautions? | show 🗑
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| After applying restraints to a client, the nurse notifies the provider & recognizes the provider must see the client within: | show 🗑
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| The provider must re-evaluate the client for a new order every___. | show 🗑
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| The client must be seen by the provider every___. | show 🗑
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| During a change of shift report, the nurse learns that an assigned client required application of soft wrist restraints secondary to confusion & attempting to remove indwelling urinary & IV catheters. The nurse's priority actions upon completing report: | show 🗑
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| The nurse is preparing a presentation at a senior citizens center on the leading cause of accidents in older adults. What topic should the nurse concentrate on presenting | show 🗑
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| show | not leaving client unattended when restraint is temporarily removed
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| The nurse assesses a cyanotic appearance and cool temperature in the hand of a client wearing a wrist restraint. The client complains of numbness and tingling in the hand. What should the nurse do first? | show 🗑
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| show | "I shouldn't give him ice cream bars on a stick."
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| Which adolescent would be at the highest risk for committing suicide or homicide? | show 🗑
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| show | Use a bed exit safety monitoring device
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| When planning a safety seminar in the workplace for a group of middle-aged adults, what should be a primary focus? | show 🗑
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| show | medical errors
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| The CDC (2001) defined three categories of biological pathogens that can be used in terrorism. The pathogens of highest concern are: | show 🗑
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| A nurse applies restraints to a client who is combative. The nurse informs the physician and knows that the physician must see the client within what time frame for evaluation? | show 🗑
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| A client has a yeast infection. What category of microorganism is yeast? | show 🗑
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| show | the client identifies fall hazards in the home
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| show | 1.patient 2.communicate knowledge
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| show | 1.Escherichia coli 2.Enterococci 3.Staphylcoccus aureus
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| show | Vascular and cellular response
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| What type of immunity is lost when a client develops human immunodeficiency virus (HIV)? | show 🗑
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| show | (HIV) Human Immunodeficiency Virus
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| show | "Infants begin to make their own immunity between 1 and 3 months of age."
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| show | Droplet
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| show | Place the paper bag inside a plastic bag for disposal
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| A client with tuberculosis is expecting visitors, and asks if they need to wear masks if they are healthy. What response by the nurse would be most accurate? | show 🗑
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| show | Escherichia coli enterococci
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|
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| show | mattress
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|
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| show | 1.placing oral suction equip. at bedside & ensuring function. 2.padding headboard, footboard, & side rails. 3.placing oxygen & face mask in room.
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|
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| show | (NIEHS) National Institute of Environmental Health Services
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|
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| Protects life and promotes health by offering information on safety in the workplace, home/community, and environment. | show 🗑
|
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| show | surgical asespsis
🗑
|
||||
| show | medical asespsis
🗑
|
||||
| show | surgical asepsis
🗑
|
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| When having the client shower with antibacterial cleanser prior to surgery,___is used. | show 🗑
|
||||
| A client with a high fever has had blood cultures drawn that reveal the presence of pathogens circulating in the bloodstream. The nurse documents this as___. | show 🗑
|
||||
| Escherichia coli is most likely to cause infection in____. | show 🗑
|
||||
| ___is most likely to cause infection in urinary tract. | show 🗑
|
||||
| show | gastrointestinal tract
🗑
|
||||
| ___is most likely to cause infection in gastrointestinal tract. | show 🗑
|
||||
| Hepatitis B is most likely to cause infection in___. | show 🗑
|
||||
| show | Hepatitis B
🗑
|
||||
| Mycobacterium tuberculosis is most likely to cause infection in___. | show 🗑
|
||||
| ____is most likely to cause infection in lungs/pneumonia. | show 🗑
|
||||
| show | 1.oxygen 2.nutrition 3.optimum 4.temperature/humidity
🗑
|
||||
| Hypothermia occurs when the core body temperature is ____? | show 🗑
|
||||
| show | Smoking
🗑
|
||||
| The majority of med errors occur during the ___ and ___ stages. | show 🗑
|
||||
| What three types of medical errors accounted for 60% of safety incidents? | show 🗑
|
||||
| What is the most common factor precipitating a client's fall? | show 🗑
|
||||
| For restraints to be applied, a ____ assessment and ____ must occur. | show 🗑
|
||||
| Your patient required emergency restraints because they were choking themselves with a sheet. To CYA, you need to get ____. | show 🗑
|
||||
| Prior to applying restraints, you should pad ___. | show 🗑
|
||||
| A belt restraint prevents? | show 🗑
|
||||
| ____ restraints are commonly used on children to keep them from removing IVs. | show 🗑
|
||||
| show | Mummy
🗑
|
||||
| show | that doesn't move?
🗑
|
||||
| How do you ensure a restraint isn't compromising a patient? | show 🗑
|
||||
| Immediately post-seizure a client should be placed in the ____ position. | show 🗑
|
||||
| Clients exposed to anthrax should? | show 🗑
|
||||
| show | Streptomycin
🗑
|
||||
| show | Smoking
🗑
|
||||
| show | ordering and administering
🗑
|
||||
| show | 1.infection after surgery 2.bedsores 3.failure to diagnose & treat in time
🗑
|
||||
| show | getting up to go to the restroom
🗑
|
||||
| For restraints to be applied, a ____ assessment and ____ must occur. | show 🗑
|
||||
| show | Dr.'s order within one hour.
🗑
|
||||
| show | Skin and bony prominences
🗑
|
||||
| show | a client from rolling off a 1.stretcher 2.falling out of bed 3.sitting up on stretcher.
🗑
|
||||
| ____ restraints are commonly used on children to keep them from removing IVs. | show 🗑
|
||||
| A ____ restraint is useful when examining or treating a child's head or neck. | show 🗑
|
||||
| Restraints should be attached to the ____ part of the bed frame. | show 🗑
|
||||
| How do you ensure a restraint isn't compromising a patient? | show 🗑
|
||||
| show | Side-lying
🗑
|
||||
| show | remove clohtes and store in labeled plastic bags, shower, and IV or oral fluoroquinolones
🗑
|
||||
| show | Streptomycin
🗑
|
||||
| What type of pathogen consists primarily of nucleic acid & therefore requires entry into living cells to reproduce? | show 🗑
|
||||
| show | artificial active immunity
🗑
|
||||
| The nurse explains to the parent of a child recovering from chicken pox that the child has immunity to varicella that is: | show 🗑
|
||||
| show | True
🗑
|
||||
| Client & family need to know how to keep their surroundings clean in order to prevent spread of infection is ex. of___. | show 🗑
|
||||
| show | infection control
🗑
|
||||
| Teach the client & family how to avoid infections is an ex. of____. | show 🗑
|
||||
| show | wound care
🗑
|
||||
| With Hepatitis B, use____. | show 🗑
|
||||
| With Clostridium difficile, use___. | show 🗑
|
||||
| show | airborne precautions
🗑
|
||||
| show | droplet precautions
🗑
|
||||
| With___use standard precautions. | show 🗑
|
||||
| With___use contact precautions. | show 🗑
|
||||
| show | chicken pox
🗑
|
||||
| With___use droplet precautions. | show 🗑
|
||||
| show | 1.gloves 2.eyewear 3.gown 4.mask
🗑
|
||||
| The nurse determines that a field remains sterile when___. | show 🗑
|
||||
| show | maintaining a sterile field
🗑
|
||||
| The nurse is caring for a client who requires insertion of an indwelling urinary catheter. To what staff member might the nurse safely delegate this task? | show 🗑
|
||||
| show | sign a release for testing
🗑
|
||||
| show | HIV
🗑
|
||||
| The CDC does not recommend immediate treatment when nurse is exposed to___. However, all health care should be immunized for it. | show 🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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