Chapter 27.docx - Chapter 27 Patient Safety and Quality MULTIPLE CHOICE 1 A home health nurse is performing a home assessment for safety Which of the

Chapter 27.docx - Chapter 27 Patient Safety and Quality...

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Chapter 27: Patient Safety and Quality MULTIPLE CHOICE 1. A home health nurse is performing a home assessment for safety. Which of the following comments by the patient would indicate a need for further education? 1. I will schedule an appointment with a chimney inspector next week. 2. Daylight savings is the time to change batteries on the carbon monoxide detector. 3. If I feel dizzy when using the heater, I need to have it inspected. 4. When it is cold outside in the winter, I can warm my car up in the garage. ANS: D Allowing a car to run in the garage introduces carbon monoxide into the environment and decreases the available oxygen for human consumption. Garages should be opened and not just cracked to allow fresh air into the space and allay this concern. Checking the chimney and heater, changing the batteries on the detector, and following up on symptoms such as dizziness, nausea, and fatigue are all statements that would indicate that the individual has understood the education. DIF: Remember REF: 374 OBJ: Describe environmental hazards that pose risks to a persons safety. TOP: Evaluation MSC: Safe and Effective Care Environment: Safety and Infection Control 2. The nurse is caring for an elderly patient admitted with nausea, vomiting, and diarrhea. Upon completing the health history, which priority concern would require collaboration with social services to address the patients health care needs? 1. The electricity was turned off 2 days ago. 2. The water comes from the county water supply. 3. A son and family recently moved into the home. 4. The home is not furnished with a microwave oven. ANS: A Electricity is needed for refrigeration of food, and lack of electricity could have contributed to the nausea, vomiting, and diarrheapotential food poisoning. This discussion about the patients electrical needs can be referred to social services. 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: Understand REF: 374 OBJ: Describe environmental hazards that pose risks to a persons safety.
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TOP: Implementation MSC: Safe and Effective Care Environment: Safety and Infection Control 3. The patient has been diagnosed with a respiratory illness and complains of shortness of breath. The nurse adjusts the temperature to facilitate the comfort of the patient. What is the usual comfort range for most patients? 1. 65Fto75F 2. 60Fto75F 3. 15Cto17C 4. 25Cto28C ANS: A The comfort zone for most individuals is the range between 65 F and 75 F (18.3 C to 23.9 C). The other ranges do not reflect the average persons comfort zone. DIF: Remember REF: 374 OBJ: Describe environmental hazards that pose risks to a persons safety. TOP: Implementation MSC: Physiological Integrity: 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 100/56, apical pulse 56, respiratory rate 12. Which of the vital signs should be addressed immediately?
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  • Fall '19
  • Ruth Bundy

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