Foundations of Adult Health and Nursing
latest complete update
R.A.C.E. - rescue, alarm, contain, extinguish
C.D.C. - Centers for Disease Control and Prevention
O.S.H.A. - Occupational Safety and Health Administration
P.A.S.S. - Pull, Aim, Squeeze, Sweep
SRD - Safety Reminder Device
What is the first priority for nursing action after Mercury spills? - answers Evacuating
everyone in the room
What is the first priority for nursing action for a corridor fire with visible flames and fire
alarm? - answers Delegate UAP to move ambulatory patients towards the exit
What information should be included in a nurse teaching fire safety in the home? -
answers No smoking near oxygen use, install fire/smoke/carbon monoxide detectors,
practice escape routes
Nursing intervention for a patient who wonders and has a history of falls? - answers
Obtaining an order for bed and chair alarm
Which side should nurse stand on when gait belt ambulating a patient with left-side
weakness? - answers Left side and holding back of gait belt
When considering use of an SRD (safety reminder device) which should nurse first do?
- answers Obtain order, explain purpose to family and patient, then exhaust all other
alternatives prior to implementing
, First priority of nurse in event of patient room fire? - answers Remove patient from
room
Which questions should nurse ask during fall risk assessment of elderly patient? -
answers Any falls in past year, does patient feel unsteady when standing, ability to
independently walk room to room, does patient use cane or other assistive device
What should nurse have fall risk patient do before standing? - answers Slowly sit up
and dangle legs
Which care task can nurse delegate to Assistive Personnel? - answers Changing
position every two hours
What should be worn by personnel caring for patient being treated with internal
radiation? - answers Dosimeter
Most important safety issue to discuss with mothers of infants beginning to crawl? -
answers How to manage electrical sockets and cords
Which new equipment creates greatest fall risk for older adults? - answers Prescription
lenses
First lab value to check for post-op patient demonstrating mild dizziness and mild
shortness of breath while going from sitting to standing? - answers Red blood cell count
Over-the-counter medicine that contributes to dizziness when standing too fast
(orthostatic hypotension) - answers Antihistimine
SRD used on infant with left upper arm dressing, who attempts to remove dressing -
answers Right elbow SRD
Most important question to ask parent who believes child consumed tablet medications?
- answers How many pills may have been in the container?
Greatest sign or symptom for patient with latex allergy who has been exposed -
answers Laryngeal edema
First step after being accidentally punctured with a contaminated sharp - answers
Scrub wound with copious amounts of soap and water
First role of nurse in event of bioterrorist attack - answers Recognize flulike symptoms
or other symptoms that mimic endemic disorders. The nurse would isolate any
suspected cases and immediately contact the supervisor, so that emergency/disaster
plan can be activated.
Suspected symptom of patient exposed to cyanide gas - answers Severe respiratory
distress is the most prominent symptom of cyanide gas exposure.
latest complete update
R.A.C.E. - rescue, alarm, contain, extinguish
C.D.C. - Centers for Disease Control and Prevention
O.S.H.A. - Occupational Safety and Health Administration
P.A.S.S. - Pull, Aim, Squeeze, Sweep
SRD - Safety Reminder Device
What is the first priority for nursing action after Mercury spills? - answers Evacuating
everyone in the room
What is the first priority for nursing action for a corridor fire with visible flames and fire
alarm? - answers Delegate UAP to move ambulatory patients towards the exit
What information should be included in a nurse teaching fire safety in the home? -
answers No smoking near oxygen use, install fire/smoke/carbon monoxide detectors,
practice escape routes
Nursing intervention for a patient who wonders and has a history of falls? - answers
Obtaining an order for bed and chair alarm
Which side should nurse stand on when gait belt ambulating a patient with left-side
weakness? - answers Left side and holding back of gait belt
When considering use of an SRD (safety reminder device) which should nurse first do?
- answers Obtain order, explain purpose to family and patient, then exhaust all other
alternatives prior to implementing
, First priority of nurse in event of patient room fire? - answers Remove patient from
room
Which questions should nurse ask during fall risk assessment of elderly patient? -
answers Any falls in past year, does patient feel unsteady when standing, ability to
independently walk room to room, does patient use cane or other assistive device
What should nurse have fall risk patient do before standing? - answers Slowly sit up
and dangle legs
Which care task can nurse delegate to Assistive Personnel? - answers Changing
position every two hours
What should be worn by personnel caring for patient being treated with internal
radiation? - answers Dosimeter
Most important safety issue to discuss with mothers of infants beginning to crawl? -
answers How to manage electrical sockets and cords
Which new equipment creates greatest fall risk for older adults? - answers Prescription
lenses
First lab value to check for post-op patient demonstrating mild dizziness and mild
shortness of breath while going from sitting to standing? - answers Red blood cell count
Over-the-counter medicine that contributes to dizziness when standing too fast
(orthostatic hypotension) - answers Antihistimine
SRD used on infant with left upper arm dressing, who attempts to remove dressing -
answers Right elbow SRD
Most important question to ask parent who believes child consumed tablet medications?
- answers How many pills may have been in the container?
Greatest sign or symptom for patient with latex allergy who has been exposed -
answers Laryngeal edema
First step after being accidentally punctured with a contaminated sharp - answers
Scrub wound with copious amounts of soap and water
First role of nurse in event of bioterrorist attack - answers Recognize flulike symptoms
or other symptoms that mimic endemic disorders. The nurse would isolate any
suspected cases and immediately contact the supervisor, so that emergency/disaster
plan can be activated.
Suspected symptom of patient exposed to cyanide gas - answers Severe respiratory
distress is the most prominent symptom of cyanide gas exposure.
