Patient Safety and quality Questions Correctly
Answered
An 18-year-old patient is brought to the emergency department following a motor vehicle accident.
Which are possible causes of a motor vehicle accident in this age group? Select all that apply.
A- reduced vision
B- drunken driving
C- fast driving
D- carelessness regarding road hazards
E- improper driver's training
B, C, D
Motor vehicle accidents are commonly seen in drivers between 16 to 19 years of age. In this age group,
alcohol, drugs, and high speeds are the major causes of accidents. This age group does not always
consider dangerous or hazardous situations. Reduced vision is a common cause of accidents in an older
or elderly population. Proper training to drive is always provided before issuing a valid license.
The nurse is admitting a 64-year-old patient who had a right hemisphere stroke and a recent fall. The
spouse stated that the patient has a history of high blood pressure, which is controlled by an
antihypertensive and a diuretic. Currently the patient exhibits left-sided neglect and problems with
spatial and perceptual abilities and is impulsive. The patient has moderate left-sided weakness that
requires the assistance of two nurses and the use of a gait belt to transfer the patient to a chair. The
patient currently has an intravenous (IV) line and a urinary catheter in place. Which factors increase
the patient's fall risk at this time? Select all that apply.
A- Smokes a pack a day
B- Used a cane to walk at home
C- Takes antihypertensive and diuretics
D- History of recent fall
E- Neglect, spatial and perceptual abilities, impulsive
F- Requires assistance with activity, unsteady gait
G- IV line, urinary catheter
C,D,E,F,G
Smoking is not a risk factor for falls. Using a cane at home is not a current risk factor for falls. Risk is
determined by the patient's current status.
, Which event is classified as an environmental event on the National Quality Forum list?
A-Patient death due to physical assault in the health care facility
B-Patient death due to contaminated drugs in the health care facility
C- Patient death associated with a fall during care in the health care facility
D- Patient death due to spinal manipulative therapy in the health care facility
C
Patient death associated with a fall in the health care facility is classified as an environmental event on
the National Quality Forum list. Patient death due to physical assault in a health care facility is
reportable under criminal events. Patient death due to contaminated drugs in a health care facility is
reportable as a product or device event. Patient death due to spinal manipulative therapy in health care
facility is reportable under care management events.
According to the American Hospital Association, a red wristband is given for which category?
A- Allergies
B- Poisoning
C- Risk of falls
D- Immunization
A
Wristbands are provided to patients for easy recognition by health care providers during treatment. A
red wristband is given to patients with allergies. No specific wristbands are given for patients with
poisoning, because they are treated in the emergency department. A yellow wristband is given to
patients at risk of falling. Wristbands are not specifically provided for immunization, because there are
many types of vaccinations.
The nurse is assessing four patients with different conditions. Which patient should the nurse
anticipate having a high risk of death?
A- Patient A ;exposed to high concentration of carbon monoxide
B- Patient B; exposed to cold conditions of 48.7
C- Patient C; skin exposed to poisonous substance
D- Patient D; exposed to excessive levels of lead poisiong
A
Patient A is at high risk of death after being exposed to high concentrations of carbon monoxide.
Exposure to high levels of carbon monoxide for 1 to 3 minutes may lead to death. Patient B's exposure
to cold conditions of 48.7 o F (9.3 o C) may lead to hypothermia if prolonged, but is unlikely to lead to
death. Patient C's skin has been exposed to a poisonous substance, which is unlikely to lead to death if
treated appropriately. Patient D is exposed to excessive levels of lead, which may lead to learning and
behavioral problems, but not death.
Answered
An 18-year-old patient is brought to the emergency department following a motor vehicle accident.
Which are possible causes of a motor vehicle accident in this age group? Select all that apply.
A- reduced vision
B- drunken driving
C- fast driving
D- carelessness regarding road hazards
E- improper driver's training
B, C, D
Motor vehicle accidents are commonly seen in drivers between 16 to 19 years of age. In this age group,
alcohol, drugs, and high speeds are the major causes of accidents. This age group does not always
consider dangerous or hazardous situations. Reduced vision is a common cause of accidents in an older
or elderly population. Proper training to drive is always provided before issuing a valid license.
The nurse is admitting a 64-year-old patient who had a right hemisphere stroke and a recent fall. The
spouse stated that the patient has a history of high blood pressure, which is controlled by an
antihypertensive and a diuretic. Currently the patient exhibits left-sided neglect and problems with
spatial and perceptual abilities and is impulsive. The patient has moderate left-sided weakness that
requires the assistance of two nurses and the use of a gait belt to transfer the patient to a chair. The
patient currently has an intravenous (IV) line and a urinary catheter in place. Which factors increase
the patient's fall risk at this time? Select all that apply.
A- Smokes a pack a day
B- Used a cane to walk at home
C- Takes antihypertensive and diuretics
D- History of recent fall
E- Neglect, spatial and perceptual abilities, impulsive
F- Requires assistance with activity, unsteady gait
G- IV line, urinary catheter
C,D,E,F,G
Smoking is not a risk factor for falls. Using a cane at home is not a current risk factor for falls. Risk is
determined by the patient's current status.
, Which event is classified as an environmental event on the National Quality Forum list?
A-Patient death due to physical assault in the health care facility
B-Patient death due to contaminated drugs in the health care facility
C- Patient death associated with a fall during care in the health care facility
D- Patient death due to spinal manipulative therapy in the health care facility
C
Patient death associated with a fall in the health care facility is classified as an environmental event on
the National Quality Forum list. Patient death due to physical assault in a health care facility is
reportable under criminal events. Patient death due to contaminated drugs in a health care facility is
reportable as a product or device event. Patient death due to spinal manipulative therapy in health care
facility is reportable under care management events.
According to the American Hospital Association, a red wristband is given for which category?
A- Allergies
B- Poisoning
C- Risk of falls
D- Immunization
A
Wristbands are provided to patients for easy recognition by health care providers during treatment. A
red wristband is given to patients with allergies. No specific wristbands are given for patients with
poisoning, because they are treated in the emergency department. A yellow wristband is given to
patients at risk of falling. Wristbands are not specifically provided for immunization, because there are
many types of vaccinations.
The nurse is assessing four patients with different conditions. Which patient should the nurse
anticipate having a high risk of death?
A- Patient A ;exposed to high concentration of carbon monoxide
B- Patient B; exposed to cold conditions of 48.7
C- Patient C; skin exposed to poisonous substance
D- Patient D; exposed to excessive levels of lead poisiong
A
Patient A is at high risk of death after being exposed to high concentrations of carbon monoxide.
Exposure to high levels of carbon monoxide for 1 to 3 minutes may lead to death. Patient B's exposure
to cold conditions of 48.7 o F (9.3 o C) may lead to hypothermia if prolonged, but is unlikely to lead to
death. Patient C's skin has been exposed to a poisonous substance, which is unlikely to lead to death if
treated appropriately. Patient D is exposed to excessive levels of lead, which may lead to learning and
behavioral problems, but not death.
