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WorksheetsChapter 19 - Safety
Total questions: 25
Worksheet time: 20mins
While caring for a patient on oxygen therapy, the nurse discovers matches and a lighter at the bedside. What is the most appropriate action?
Turn off the oxygen immediately
Remove the matches and lighter and explain the risks of fire with oxygen use
Contact the respiratory therapist
Document the findings only
A small child is found alone with a spilled container of antibiotics. What is the immediate action to take?
Contact poison control center
Notify the caregivers
Begin chest compressions
Physically restrain the child
Fill in the blank: Microshock refers to low-voltage electrical current affecting ________.
A patient complains of burning at the IV site after plugging in a phone charger. The nurse suspects:
Normal sensitivity
Microshock exposure
Skin irritation
Infection
Which measure prevents electrical shock in clinical areas?
Use of personal extension cords
Grounded three-prong plugs on equipment
Avoiding power strips
Use of static-producing flooring
A patient newly started on opioids is confused and trying to climb out of bed. What is the most appropriate initial nursing action?
Apply soft restraints
Activate bed alarm and stay with the patient
Administer haloperidol
Raise all bed rails
Which patient situation requires immediate environmental safety intervention?
Older adult with night light
Child playing near a hot coffee pot
Ambulatory patient with non-slip socks
Bed alarm in place
Fill in the blank: Before applying a restraint, the nurse must obtain a (a) .
A restrained patient has pale, cold fingers. What is the nurse’s first priority?
Document findings
Reposition restraint
Notify the provider
Remove the restraint immediately
A patient with end-stage Alzheimer’s attempts to pull out their NG tube. What is the most appropriate intervention?
Apply mitt restraints after obtaining an order
Tie the patient’s arms
Ask the family to stay overnight
Remove the NG tube
A patient receives the wrong medication due to a name mix-up. What’s the nurse’s first action?
Complete an incident report
Monitor the patient and notify the provider
Call pharmacy
Inform the family
Which of the following best demonstrates primary prevention for community fire safety?
Treating burn wounds
Holding fire drills
Installing smoke detectors in homes
Teaching CPR to burn victims
A confused patient is found with the bed rail down and blood on their head. What should the nurse do first?
Complete fall documentation
Call the family
Assess the patient and notify the provider
Clean the wound
Which situation best meets the justification for using physical restraints?
Patient is wandering but oriented
Patient is pulling out central line and is disoriented
Family requests restraint
Staff shortage
Fill in the blank: A material safety data sheet (MSDS) provides ________.
A home care nurse evaluates the home of a patient with Parkinson’s disease. Which hazard is most concerning?
Raised toilet seat
Grab bars in the shower
Scatter rugs in hallway
Bedside table with lamp
A nurse precepting a new graduate evaluates safe restraint use. Which action indicates the need for further teaching?
Removing restraints every 2 hours
Documenting skin checks
Tying restraints to bed rails
Using slip knots
A patient is admitted with carbon monoxide poisoning. What’s the highest priority nursing diagnosis?
Acute pain
Risk for aspiration
Impaired gas exchange
Risk for falls
A dementia patient on fall precautions is agitated and frequently tries to exit bed. The best intervention is to:
Assign a sitter or place near the nurse’s station
Use a four-point restraint
Administer sedatives
Turn off the bed alarm
Fill in the blank: Incident reports are used to document __________.
A patient with severe neutropenia asks to keep fresh flowers in the room. What is the appropriate nurse response?
Allow flowers in a separate vase
Encourage but monitor closely
Explain why fresh flowers increase infection risk
Allow if the patient is asymptomatic
Which of the following equipment poses the greatest risk for shock if improperly grounded?
Standard bed
Metal wheelchair
Cardiac telemetry machine
Disposable thermometer
A patient with Alzheimer’s is at risk for elopement. What intervention is most effective?
Restraints
Place in a private room
Wandering alert system
Encourage room isolation
The nurse discovers that an oxygen tank was stored next to a heating unit. What action should the nurse take?
Inform engineering department
Move the tank to a safe area and complete an incident report
Close the room door
Tell the provider
A patient with a history of falls is newly started on a diuretic. What is the most important nursing action?
Administer the medication at bedtime
Place the patient on bed rest
Monitor for postural hypotension and assist with toileting
Encourage independent ambulation
