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40 terms

Ch. 27 Patient Safety

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remove all patients in immediate danger
The nurse's first action after discovering an electrical fire in a patient's room is to:
call poison control
A parent calls the pediatrician's office frantic about the bottle of cleaner that her 2-year-old son drank. What is the most important instruction the nurse gives to this parent?
risk for falls
The nursing assessment on a 78-year-old woman reveals shuffling gait, decreased balance, and instability. On the basis of the patient's data, which nursing diagnoses indicates an understanding of the assessment findings?
risk for falls
For adults age 65 and older, impaired balance and difficulty with gait are risks for the nursing diagnosis of
automobile accidents, suicide, and substance abuse
A couple is with their adolescent daughter for a school physical and state they are worried about all the safety risks affecting this age. What is the greatest risk for injury for an adolescent?
clear the area around the child to protect the child from injury
A child in the hospital starts to have a grand mal seizure while playing in the playroom. What is your most important nursing intervention during this situation?
place a bed alarm device on the bed
The nursing assessment of an 80-year-old patient who demonstrates some confusion but no anxiety reveals that the patient is a fall risk because she continues to get out of bed without help despite frequent reminders. The initial nursing intervention to prevent falls for this patient is to:
prepare for an influx of patients
At 3 AM the emergency department nurse hears that a tornado hit the east side of town. What action does the nurse take first?
aura
often a bright light, smell, or taste. Usually a warning or sense that a seizure is about to occur
FDA
a federal agency responsible for the enforcement of federal regulations regarding the manufacture, processing, and distribution of foods, drugs, and cosmetics to protect consumers against the sale of impure or dangerous substances
immunization
process by which resistance to an infectious disease is induced or augmented
pathogen
any microorganism capable of producing an illness
poison
any substance that impairs health or destroys life when ingested, inhaled, or absorbed by the body in relatively small amounts
pollutant
a harmful chemical or waste material discharged into the water, soil, or air
restraint
device to aid in the immobilization of a patient or patient's extremity
seizure
hyperexcitation and disorderly discharge of neurons in the brain leading to a sudden, violent, involuntary series of muscle contractions that is a paroxysmal and episodic, causing loss of consciousness, falling, tonicity, and clonicity
seizure precautions
encompass all nursing interventions to protect the patient from traumatic injury, position for adequate ventilation and drainage of oral secretions, and provide privacy and support following the seizure
status epilepticus
prolonged or repeated seizures indicate __. This condition is a medical emergency and requires intensive monitoring and treatment
lifestyle habits and stress
safety risks for adults include
physiological changes and falls
safety risks for older adults include
rescue and remove all patients in immediate danger; activate the alarm; confine the fire; extinguish the fire
RACE =
restraint
any method, physical or mechanical device, material, or equipment that immobilizes or reduces the ability of a patient to move arms, legs, or head freely
type of restraint, location, specific behaviors, length of time
physician's order for restraints is required to include
no
can restraints be ordered PRN?
2 hours
always reassess and remove restraints every __
environment
a patient's __ includes all of the many physical and psychosocial factors that influences or affect the life and survival of that patient
oxygen
low concentrations of this cause nausea, dizziness, headache, and fatigue. Very high concentrations cause death after 1-3 minutes of exposure
65-75
a person's comfort zone of temperature is between __ degrees
motor vehicle accidents, poisonings, falls
three leading causes of death for americans of all ages:
16-19
risk of MVAs is higher among __ year old drivers
falls
among adults 64 years and older, __ are the leading cause of unintentional death
history of falling, being 65 or older, reduced vision, orthostatic hypotension, gait and balance problems, urinary incontinence, walking aids, medications
factors that increase the risk of falls include:
bioterrorism
the use of biological agents to create fear and threat
hand hygiene
one of the most effective methods for limiting the transmission of pathogens is the medically aseptic practice of __
incident or occurrence report
when an actual or potential adverse event occurs, the nurse or health care provider involved completes a(n) __
incident report
a confidential document that completely describes any patient accident occurring on the premises of a health care agency
2
to reduce the potential for a medical error, it is essential for you to check the patient's identification by using __ identifiers
3
a recommended frequency of toileting for patients is every __ hours
4, 2, 1
in the hospital each original restraint order and renewal is limited to every __ hours for adults, __ hours for ages 9-17, and __ hour for children under 9
24
orders for restraints may be renewed to the time limits for a maximum of __ consecutive hours.