Chapter 27 Patient Safety and quality
2022/2023
A patient has been newly admitted to a medicine unit with a history of diabetes and advanced heart
failure. The nurse is assessing the patient's fall risks. Place the following steps for measuring the
"Timed Get-Up & Go Test" (TUG) in the correct order.
1. Tell patient to walk 10 feet as quickly and safely as possible to a line you marked on the floor, turn
around, walk back, and sit down.
2. Have patient rise from straight-back chair without using arms for support.
3. Begin timing.
4. Look for unsteadiness.
5. Have patient return to chair and sit down without using arms for support.
6. Check time elapsed.
A nurse knows that the people most at risk for accidental hypothermia are... (Select all that apply)
- People who are homeless
- People with cardiovascular conditions
- The very old
A parent calls the pediatrician's office to ask about directions for using a car seat. Which of the
following is the most correct set of instructions the nurse gives to this parent?
- Toddlers must reach age 2 or the height or weight requirement before they ride forward facing.
The nursing assessment of a 78-year-old woman reveals orthostatic hypotension, weakness on the left
side, and fear of falling. On the basis of the patient's data, which one of the following nursing
diagnoses indicates an understanding of the assessment findings?
- Risk for falls
A couple who is caring for they aging parents are concerned about factors that put then at risk for
falls. Which factors are most likely to contribute to an increase in falls in the elderly? (Select all that
apply)
- Inadequate lighting
- Throw rugs
- Multiple medications
- Doorway thresholds
- Cords covered by carpets
2022/2023
A patient has been newly admitted to a medicine unit with a history of diabetes and advanced heart
failure. The nurse is assessing the patient's fall risks. Place the following steps for measuring the
"Timed Get-Up & Go Test" (TUG) in the correct order.
1. Tell patient to walk 10 feet as quickly and safely as possible to a line you marked on the floor, turn
around, walk back, and sit down.
2. Have patient rise from straight-back chair without using arms for support.
3. Begin timing.
4. Look for unsteadiness.
5. Have patient return to chair and sit down without using arms for support.
6. Check time elapsed.
A nurse knows that the people most at risk for accidental hypothermia are... (Select all that apply)
- People who are homeless
- People with cardiovascular conditions
- The very old
A parent calls the pediatrician's office to ask about directions for using a car seat. Which of the
following is the most correct set of instructions the nurse gives to this parent?
- Toddlers must reach age 2 or the height or weight requirement before they ride forward facing.
The nursing assessment of a 78-year-old woman reveals orthostatic hypotension, weakness on the left
side, and fear of falling. On the basis of the patient's data, which one of the following nursing
diagnoses indicates an understanding of the assessment findings?
- Risk for falls
A couple who is caring for they aging parents are concerned about factors that put then at risk for
falls. Which factors are most likely to contribute to an increase in falls in the elderly? (Select all that
apply)
- Inadequate lighting
- Throw rugs
- Multiple medications
- Doorway thresholds
- Cords covered by carpets
