FaAHN Chapter 14

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FaAHN Chapter 14
2013-01-21 23:42:08
FaAHN Chapter 14

Chapter 14 Study
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  1. Any unexpected occurrence involving death or serious physical or psychological injury, or risk thereof.
    Sentinel Event
  2. Another Term for SRDs (Safety Reminder Devices)
  3. The majority of patient falls occur during transfer either to :
    a bedside commode or to a wheelchair.
  4. is defined as any of numerous devices used to immobilize a patient or part of the patients body such as arms or hands.
  5. The most common type of SRD is the soft restraint, often referred to as a :
    Posey (Named after the company that manufactures this type of restraint.)
  6. Nonallergic response characterized by skin redness and itching.
    Contact Dermatitis
  7. Cell mediated allergic reaction to chemicals used in latex processing. delayed reaction, including redness, itching and hives, up to 48 hours is possible, localized swelling, red and itchy or runny eyes and nose, and coughing often develop
    Type IV hypersensitivity
  8. A true latex allergy that is possibly life threatening. reactions are likely based on type of latex protein and degree of individual sensitivity, including local and systemic symptoms include hives, generalized edema, itching, rash wheezing bronchospasm difficulty breathing, laryngeal edema, diarrhea, nausea, hypotension tachycardia, and respitory or cardiac arrest.
    Type I Hypersensitivity.
  9. EPA
    Environmental Protection Agency
  10. NRC
    Nuclear Regulatory Commission
  11. DOE
    Department of Energy
  12. EPA NRC and DOE
    These agencies have established specific strict guidelines for the disposal of radioactive waste. If radioactive leak occurs, these agencies institute measures to prevent exposure of surrounding neighborhoods, to clean up radioactive leaks as quickly as possible and to ensure that anyone injured receives prompt medical care.
  13. Federal Organization that provides guidelines to help reduce safety hazards in the workplace.
    The Hazard Communication Act of the Occupational Safety and Health Administration (OSHA)
  14.  federal agency that provides facilities and services for investigation identification prevention and control of disease
    Centers for Disease Control and Prevention CDC
  15. the condition or physical state produced by ingestion, injection, inhalation, or exposure of a poisonous (toxic) substance.
  16. is an uncontrollable unexpected, psychologically shocking event that is unique and likely to have a significant impact on a variety of health care facilities
    A Disaster Situation
  17. A violent or dangerous act used to intimidate or coerce a person or government to further a political or social agenda
  18. Is the use of biological agents to create fear and threat.
  19. High Risk Syndromes:
    • Anthrax
    • Botulism
    • Plague
    • Smallpox
  20. a disease that emerges rapidly at an uncharacteristic time or in an unusual pattern
  21. Terrorism by Nuclear Exposure
    • -Hematopoietic
    • -Gastrointestinal
    • -Cerebrovascular and central nervous systems
    • -Skin
  22. Chemical Terrorism
    • -Pulmonary agents
    • -Incapacitating agents
    • -Cyanide Agents
    • -Nerve Agents
    • -Vesicant Agents
  23. On the transfer sheet of a patient admitted to a health care facility is the order" restrain PRN. " SRDs are used in the hospital setting to prevent patient injury, which statement is correct.
    1.) SRDs often decrease anxiety because the patient feels safer
    2.) All older adult patients need some type of SRD at night.
    3.) allow as much freedom of movement as possible when applying SRDs
    4.) When using soft SRDs to prevent injury from falling out of bed, tie them to the side rail.
    3.) allow as much freedom of movement as possible when applying SRDs.
  24. In the situation of question 1, what is an appropriate goal for the patient requiring a physical restraint?
    1.) patient will remain free of injury
    2.) patient will allow SRDs to be used.
    3.) nurse will check SRD every 30 minutes.
    4.) use least restrictive form of SRD possible
    1.) patient will remain free of injury.
  25. Documentation related to use of an SRD is required to include:
    1.) the nurses feelings about having used the SRD.
    2.) specific type of SRD used.
    3.) confirmation of a prn order for use of SRD
    4.) evidence that the patient was assessed every 8 hours.
    2.) specific type of SRD used.
  26. When caring for the patient who requires the use of an SRD, the nurse remembers that an appropriate nursing intervention when caring for a patient who needs an SRD is to:
    1.) monitor the skin for signs of impairment
    2.) remove the SRD once every 24 hours
    3.) secure the ends of the ties to the side rails.
    4.) ensure that the SRD is in place at all times.
    1.) monitor the skin for signs of impairment
  27. The nurse discovers smoke in a soiled utility room and remembers that the initial step taken to protect the patient in the event of a fire is to:
    1.) notify the fire department
    2.) disconnect the oxygen supply
    3.) use any extinguisher on the fire.
    4.) remove the patient from the area
    4.) remove the patient from the area.
  28. The patient who requires the use of an extremity SRD has an edematous extremity. The most appropriate nursing action is to:
    1.) elevate the involved extremity
    2.) increase the padding around the extremity
    3.) notify the physician for a different use of SRD
    4.) remove the SRD and watch the patient more closely
    4.) remove the SRD and watch the patient more closely
  29. A type C fire extinguisher is required for which of the following types of fires:
    1.) Paper
    2.) Cloth
    3.) Grease
    4.) Electrical
    4.) Electrical
  30. When assessing a patients knowledge of the fire safety precautions, which action indicates the need for further fire safety instruction?
    1.) Fire exits and corridors are kept clear.
    2.) A no smoking sign is posted when oxygen is in use.
    3.) A healing pad cord is taped when a frayed area is noted.
    4.) facility smoking policies are a part of the admission procedure.
    3.) heating pad cord is taped when a frayed area is noted.
  31. Which factor places a child at greatest risk for specific types of injuries?
    1.) sex of the child
    2.) overall health
    3.) educational level
    4.) developmental level
    4.) developmental level
  32. During the 7 am to 3 pm shift on the adult surgical unit, the code is announced for an external disaster emergency, which event best represents this type of situation?
    1.) school bus accident
    2.) a bomb threat in the mail room
    3.) hostage-taking event in the emergency department
    4.) electrical fire in the maintenance department
    1.) a school bus accident
  33. Vomiting is most likely to be induced if poisoning is related to the ingestion of which substance(s)?
    1.) Lye
    2.) Petroleum products
    3.) Household cleaners
    4.) Salicylates, such as aspirin
    4.) Salicylates, such as Aspirin
  34. A 63 year old patient is brought to the emergency department or the treatment of an accidental poisoning. The irst step in the treatment is to
    1.) Induce vomiting
    2.) assess the patient
    3.) place the patient in an upright position
    4.) notify the poisoning control center.
    2.) Assess the patient
  35. Which is the greatest safety issue for caregivers of older adults?
    1.) accidental poisoning
    2.) electrical shock
    3.) accidental falls
    4.) thermal burns
    3.) accidental falls
  36. A potential environmental health threat is possibility of :
    1.) bioterrorism
    2.) noise pollution
    3.) water pollution
    4.) air pollution
    1.) bioterrorism
  37. In the event of a mercury spill, which statement is true?:
    1.) it is acceptable to clean the mercury spill with alcohol and ordinary cleaning cloths.
    2.) close all windows and doors to prevent the mercury spill from spreading out of the area.
    3.) do not vacuum the spill
    4.) place the recovered mercury in a plastic bag and close tightly.
    3.) do not vacuum the spill