CHAPTER 27: PATIENT SAFETY AND QUALITY (TESTBANK)
EXAM QUESTIONS & ANSWERS WITH DETAILED
RATIONALES | INSTANT PDF DOWNLOAD
1. A home health nurse is performing a home assessment for safety. Which comment by the
patient will cause the nurse to follow up?
"When it is cold outside in the winter, I will use a nonvented furnace." - correct answer -
2. The nurse is caring for an older-adult patient admitted with nausea, vomiting, and diarrhea
due to food poisoning. The nurse completes the health history. Which priority concern will
require collaboration with social services to address the patient's health care needs?
a.
The electricity was turned off 3 days ago.
b.
The water comes from the county water supply.
c.
A son and family recently moved into the home.
,d.
This home is not furnished with a microwave oven. - correct answer - ANS: A
Electricity is needed for refrigeration of food, and lack of electricity could have contributed to
the nausea, vomiting, and diarrhea due to food poisoning. This discussion about the patient's
electrical needs can be referred to social services. Foods that are inadequately prepared or
stored or subject to unsanitary conditions increase the patient's risk for infections and food
poisoning, and an assessment should include storage practices. The water supply, the increased
number of individuals in the home, and not having a microwave may or may not be concerns
but do not pertain to the current health care needs of this patient.
DIF:Analyze (analysis)REF:374 | 381 | 388
OBJ: Describe environmental hazards that pose risks to a person's safety.
TOP:PlanningMSC:Management of Care
3. The patient has been diagnosed with a respiratory illness and reports shortness of breath.
The nurse adjusts the temperature to facilitate the comfort of the patient. At which
temperature range will the nurse set the thermostat?
a.
60° to 64° F
b.
,65° to 75° F
c.
15° to 17° C
d.
25° to 28° C - correct answer - ANS: B
A person's comfort zone is usually between 18.3° and 23.9° C (65° and 75° F). The other ranges
are too low or too high and do not reflect the average person's comfort zone.
DIF:Understand (comprehension)REF:374
OBJ: Describe environmental hazards that pose risks to a person's safety.
TOP: Implementation MSC: Basic Care and Comfort
4. A homeless adult patient presents to the emergency department. The nurse obtains the
following vital signs: temperature 94.8° F, blood pressure 106/56, apical pulse 58, and
respiratory rate 12. Which vital sign should the nurse address immediately?
a.
Respiratory rate
, b.
Temperature
c.
Apical pulse
d.
Blood pressure - correct answer - ANS: B
The sstemperature ssindicates ssthe sspatient ssis ssexperiencing sshypothermia. ssHomeless ssindividuals
ssare ssmore ssat ssrisk ssfor ss hypothermia. ssWhile ssall ssthe ssvital sssigns ssare sslow, ssthe ssmost sscritical ssvital
sssign ssat ssthis sstime ssis ssthe sstemperature.
DIF:Analyze ss(analysis)REF:374
OBJ: ssDescribe ssenvironmental sshazards ssthat sspose ssrisks ssto ssa ssperson's sssafety.
TOP: ssAssessment ssMSC: ssReduction ssof ssRisk ssPotential
5. ssA ssnurse ssis ssteaching ssthe sspatient ssand ssfamily ssabout sswound sscare. ssWhich sstechnique sswill ssthe
ssnurse ssteach ssto ssbest ssprevent sstransmission ssof sspathogens?
a.
EXAM QUESTIONS & ANSWERS WITH DETAILED
RATIONALES | INSTANT PDF DOWNLOAD
1. A home health nurse is performing a home assessment for safety. Which comment by the
patient will cause the nurse to follow up?
"When it is cold outside in the winter, I will use a nonvented furnace." - correct answer -
2. The nurse is caring for an older-adult patient admitted with nausea, vomiting, and diarrhea
due to food poisoning. The nurse completes the health history. Which priority concern will
require collaboration with social services to address the patient's health care needs?
a.
The electricity was turned off 3 days ago.
b.
The water comes from the county water supply.
c.
A son and family recently moved into the home.
,d.
This home is not furnished with a microwave oven. - correct answer - ANS: A
Electricity is needed for refrigeration of food, and lack of electricity could have contributed to
the nausea, vomiting, and diarrhea due to food poisoning. This discussion about the patient's
electrical needs can be referred to social services. Foods that are inadequately prepared or
stored or subject to unsanitary conditions increase the patient's risk for infections and food
poisoning, and an assessment should include storage practices. The water supply, the increased
number of individuals in the home, and not having a microwave may or may not be concerns
but do not pertain to the current health care needs of this patient.
DIF:Analyze (analysis)REF:374 | 381 | 388
OBJ: Describe environmental hazards that pose risks to a person's safety.
TOP:PlanningMSC:Management of Care
3. The patient has been diagnosed with a respiratory illness and reports shortness of breath.
The nurse adjusts the temperature to facilitate the comfort of the patient. At which
temperature range will the nurse set the thermostat?
a.
60° to 64° F
b.
,65° to 75° F
c.
15° to 17° C
d.
25° to 28° C - correct answer - ANS: B
A person's comfort zone is usually between 18.3° and 23.9° C (65° and 75° F). The other ranges
are too low or too high and do not reflect the average person's comfort zone.
DIF:Understand (comprehension)REF:374
OBJ: Describe environmental hazards that pose risks to a person's safety.
TOP: Implementation MSC: Basic Care and Comfort
4. A homeless adult patient presents to the emergency department. The nurse obtains the
following vital signs: temperature 94.8° F, blood pressure 106/56, apical pulse 58, and
respiratory rate 12. Which vital sign should the nurse address immediately?
a.
Respiratory rate
, b.
Temperature
c.
Apical pulse
d.
Blood pressure - correct answer - ANS: B
The sstemperature ssindicates ssthe sspatient ssis ssexperiencing sshypothermia. ssHomeless ssindividuals
ssare ssmore ssat ssrisk ssfor ss hypothermia. ssWhile ssall ssthe ssvital sssigns ssare sslow, ssthe ssmost sscritical ssvital
sssign ssat ssthis sstime ssis ssthe sstemperature.
DIF:Analyze ss(analysis)REF:374
OBJ: ssDescribe ssenvironmental sshazards ssthat sspose ssrisks ssto ssa ssperson's sssafety.
TOP: ssAssessment ssMSC: ssReduction ssof ssRisk ssPotential
5. ssA ssnurse ssis ssteaching ssthe sspatient ssand ssfamily ssabout sswound sscare. ssWhich sstechnique sswill ssthe
ssnurse ssteach ssto ssbest ssprevent sstransmission ssof sspathogens?
a.
