MODULE 6.docx - MODULE 6 SAFETY AND INFECTION CONTROL 1...

MODULE 6: SAFETY AND INFECTION CONTROL
1. Which event would require a nurse to complete and file an
incident report?
A client has a seizure.
The nurse determines that a client would benefit from the use of a
walker to ambulate.
The nurse, preparing an intravenous infusion, notes that the battery
of an intravenous infusion pump is not working.
When a visitor suddenly becomes weak and dizzy, the nurse checks
the visitor’s blood pressure and takes the visitor to the
emergency department for treatment.
2. A nurse, charting the administration of medications to an assigned
client at 9 pm, notes that atenolol (Tenormin) was prescribed to be
administered at 9 am instead of 9 pm. The nurse checks the client’s
vital signs, completes an incident report, and calls the physician to
report the error. The physician tells the nurse that an incident report
is not needed but instructs her to monitor the client during the night
for hypotension. What action should the nurse take?
Notifying the nursing supervisor
Tearing up and discarding the incident report
Telling the physician that the error warrants the completion of an
incident report
Telling the nursing supervisor that the physician did not want an
incident report completed and filed
3. Contact precautions are initiated for a client with methicillin-
resistant Staphylococcus aureus (MRSA) infection. The nurse,
providing instructions to a nursing assistant about caring for the
client, tells the assistant:
To transfer the client to a semiprivate room
That gloves only are needed to care for the client
To wear gloves and a gown when changing the client's bed linen.
To wear a gown when caring for the client and remove the gown
immediately after leaving the client’s room
4. A nurse hears someone calling, “Help! My bed is on fire!” On
entering the room, the nurse finds a client trying to beat out the
flames with a pillow. Place in order of priority the actions that the
nurse should take:
1 Removing the client from the room
2 Pulling the nearest fire alarm
3 Running to get the nearest fire extinguisher
4 Closing the door to the room
5. The mother of a 3-year-old calls a neighbor who is a nurse and
reports that her child just drank some window cleaner that had been
stored in a cabinet. The nurse should instruct the mother to
immediately:
Call a poison control center
Administer an excessive amount of fluids to induce vomiting
Call an ambulance to bring the child to the emergency
department
Leave a message at the physician answering service about the
incident
6. A hurricane is forecast to make landfall in 48 hours, and the staf
of the emergency department of an area hospital is advised to
prepare for causalities. Which action should the nurse manager who
receives the telephone call regarding this warning take first?