PATIENT SAFETY AND QUALITY QUESTIONS EXAM
QUESTIONS & ANSWERS WITH DETAILED RATIONALES |
INSTANT PDF DOWNLOAD
The nurse is caring for a patient in restraints. Which of the following pieces of information about
restraints requires nursing documentation in the medical record? (Select all that apply.)
-The patient states that her gown is soiled and needs changing.
-Attempts to distract the patient with television are unsuccessful.
-The patient has been placed in bilateral wrist restraints at 0815.
-One family member has gone to lunch.
-Bilateral radial pulses present, 2+, hands warm to touch
-Released from restraints, active range-of-motion exercises complete - correct answer -
Attempts to distract the patient with television are unsuccessful.
The patient has been placed in bilateral wrist restraints at 0815.
Bilateral radial pulses present, 2+, hands warm to touch
Released from restraints, active range-of-motion exercises complete
Attempts at alternatives are documented in the medical record, as are type of restraint and time
restrained. Assessments related to oxygenation, orientation, skin integrity, circulation, and
position are documented, along with release from restraints and patient response. Comments
about hygiene or the activities of one family member are not necessarily required in nursing
documentation of restraints.
Which of the following concepts are important to utilize when evaluating orders for restraints?
(Select all that apply.)
-Behaviors that necessitate the use of restraint are part of the nursing plan of care.
,-A physician's order is required for restraint and includes a face-to-face evaluation.
-The physician's preference for the format of the order can override agency policy.
-Orders are time limited. Restraints are not ordered prn (as needed).
-It should be specified that restraints are to be removed periodically.
-Restraint orders are time dated and signed by the physician. - correct answer -A physician's
order is required for restraint and includes a face-to-face evaluation
Orders are time limited. Restraints are not ordered prn (as needed).
It should be specified that restraints are to be removed periodically.
Restraint orders are time dated and signed by the physician
The nurse is caring for an older adult who presents to the clinic after a fall. The nurse reviews
fall prevention in the home. Which of the following should the patient avoid? (Select all that
apply.)
-Watering outdoor plants with a nozzle and hose
-Purchasing light bulbs with strength greater than 60 watts
-Missing yearly eye examinations
-Using bathtubs without safety strips
-Unsecured rugs throughout the home
-Walking to the mailbox in the summer - correct answer -Watering outdoor plants with a nozzle
and hose
Missing yearly eye examinations
Using bathtubs without safety strips
Unsecured rugs throughout the home
Unsecured rugs, using a hose to water plants, missing yearly eye examinations, and using tubs
without safety strips are all items the patient should avoid to help in the prevention of falls in
the home. Exercise is beneficial and increases strength, which helps with the prevention of falls.
, It is important that the home is well lit, so encourage the purchase of bulbs with strength of 60
watts or higher for the home.
A home health nurse is performing a home assessment for safety. Which of the following
comments by the patient would indicate a need for further education?
-"I will schedule an appointment with a chimney inspector next week."
-"Daylight savings is the time to change batteries on the carbon monoxide detector."
-"If I feel dizzy when using the heater, I need to have it inspected."
-"When it is cold outside in the winter, I can warm my car up in the garage." - correct answer -
"When it is cold outside in the winter, I can warm my car up in the garage."
Allowing a car to run in the garage introduces carbon monoxide into the environment and
decreases the available oxygen for human consumption. Garages should be opened and not just
cracked to allow fresh air into the space and allay this concern. Checking the chimney and
heater, changing the batteries on the detector, and following up on symptoms such as dizziness,
nausea, and fatigue are all statements that would indicate that the individual has understood
the education.
The nurse is caring for an elderly patient admitted with nausea, vomiting, and diarrhea. Upon
completing the health history, which priority concern would require collaboration with social
services to address the patient's health care needs?
-The electricity was turned off 2 days ago.
-The water comes from the county water supply.
-A son and family recently moved into the home.
-The home is not furnished with a microwave oven. - correct answer -The electricity was turned
off 2 days ago.
QUESTIONS & ANSWERS WITH DETAILED RATIONALES |
INSTANT PDF DOWNLOAD
The nurse is caring for a patient in restraints. Which of the following pieces of information about
restraints requires nursing documentation in the medical record? (Select all that apply.)
-The patient states that her gown is soiled and needs changing.
-Attempts to distract the patient with television are unsuccessful.
-The patient has been placed in bilateral wrist restraints at 0815.
-One family member has gone to lunch.
-Bilateral radial pulses present, 2+, hands warm to touch
-Released from restraints, active range-of-motion exercises complete - correct answer -
Attempts to distract the patient with television are unsuccessful.
The patient has been placed in bilateral wrist restraints at 0815.
Bilateral radial pulses present, 2+, hands warm to touch
Released from restraints, active range-of-motion exercises complete
Attempts at alternatives are documented in the medical record, as are type of restraint and time
restrained. Assessments related to oxygenation, orientation, skin integrity, circulation, and
position are documented, along with release from restraints and patient response. Comments
about hygiene or the activities of one family member are not necessarily required in nursing
documentation of restraints.
Which of the following concepts are important to utilize when evaluating orders for restraints?
(Select all that apply.)
-Behaviors that necessitate the use of restraint are part of the nursing plan of care.
,-A physician's order is required for restraint and includes a face-to-face evaluation.
-The physician's preference for the format of the order can override agency policy.
-Orders are time limited. Restraints are not ordered prn (as needed).
-It should be specified that restraints are to be removed periodically.
-Restraint orders are time dated and signed by the physician. - correct answer -A physician's
order is required for restraint and includes a face-to-face evaluation
Orders are time limited. Restraints are not ordered prn (as needed).
It should be specified that restraints are to be removed periodically.
Restraint orders are time dated and signed by the physician
The nurse is caring for an older adult who presents to the clinic after a fall. The nurse reviews
fall prevention in the home. Which of the following should the patient avoid? (Select all that
apply.)
-Watering outdoor plants with a nozzle and hose
-Purchasing light bulbs with strength greater than 60 watts
-Missing yearly eye examinations
-Using bathtubs without safety strips
-Unsecured rugs throughout the home
-Walking to the mailbox in the summer - correct answer -Watering outdoor plants with a nozzle
and hose
Missing yearly eye examinations
Using bathtubs without safety strips
Unsecured rugs throughout the home
Unsecured rugs, using a hose to water plants, missing yearly eye examinations, and using tubs
without safety strips are all items the patient should avoid to help in the prevention of falls in
the home. Exercise is beneficial and increases strength, which helps with the prevention of falls.
, It is important that the home is well lit, so encourage the purchase of bulbs with strength of 60
watts or higher for the home.
A home health nurse is performing a home assessment for safety. Which of the following
comments by the patient would indicate a need for further education?
-"I will schedule an appointment with a chimney inspector next week."
-"Daylight savings is the time to change batteries on the carbon monoxide detector."
-"If I feel dizzy when using the heater, I need to have it inspected."
-"When it is cold outside in the winter, I can warm my car up in the garage." - correct answer -
"When it is cold outside in the winter, I can warm my car up in the garage."
Allowing a car to run in the garage introduces carbon monoxide into the environment and
decreases the available oxygen for human consumption. Garages should be opened and not just
cracked to allow fresh air into the space and allay this concern. Checking the chimney and
heater, changing the batteries on the detector, and following up on symptoms such as dizziness,
nausea, and fatigue are all statements that would indicate that the individual has understood
the education.
The nurse is caring for an elderly patient admitted with nausea, vomiting, and diarrhea. Upon
completing the health history, which priority concern would require collaboration with social
services to address the patient's health care needs?
-The electricity was turned off 2 days ago.
-The water comes from the county water supply.
-A son and family recently moved into the home.
-The home is not furnished with a microwave oven. - correct answer -The electricity was turned
off 2 days ago.
