Nursing Chapter 32 Insert Tongue Blade Into The Clients Mouth

Kozier & Erb’s Fundamentals of Nursing, 10/E

Chapter 32

Question 1

Type: MCSA

The nurse is planning care for an older client. Which safety hazard should the nurse take into consideration when

planning this care?

1. Burns

2. Drowning

3. Poisoning

4. Suffocation

Question 2

Type: MCSA

The nurse is preparing materials to instruct the parents of a newborn. What should the nurse identify as a safety

hazard in an infant?

1. Exposure to alcohol consumption

2. Drowning

3. Pedestrian accidents

4. Suffocation in the crib

Question 3

Type: MCSA

The nurse is reviewing safety hazards with a pregnant client. What should the nurse include when instructing this

client about safety and the developing fetus?

1. Banging into objects

2. Bicycle rides

3. Recreational activities

4. X-rays

Question 4

Type: MCSA

The nurse would like to improve communication among caregivers. How should the nurse use the Joint

Commission 2013 National Patient Safety Goals to achieve this objective?

1. Review a list of look-alike/sound-alike drugs used in the organization.

2. Use a verification process to confirm the correct procedure.

3. Report critical results of tests and diagnostic procedures on a timely basis..

4. Use the client’s room number as an identifier.

Question 5

Type: MCSA

The nurse is planning care for a client who is prone to falling. Which nursing diagnoses should the nurse use for

this client?

1. Deficient Knowledge

2. Risk for Injury

3. Risk for Disuse Syndrome

4. Risk for Suffocation

Question 6

Type: MCSA

The nurse is identifying care goals for a client who is prone to getting hurt. Which care goal should the nurse

select for this client?

1. Assess the client’s mental status.

2. Keep the client dependent on the staff for all care.

3. Make all choices for the client.

4. Remain free from injury.

Question 7

Type: MCSA

As a member of the safety committee, the nurse’s task is to identify actions to prevent falls within the

organization. Which intervention should the nurse emphasize as important to prevent falls?

1. Display the phone number to the nurses’ station.

2. Keep electrical cords under the bed.

3. Keep the environment tidy.

4. Read label directions.

Question 8

Type: MCSA

The home care nurse wants to ensure the safety of an older client who lives at home alone. Which intervention

should the nurse identify as a way to prevent this client from falling?

1. Check vision every 5 years.

2. Exercise regularly.

3. Place socks on feet.

4. Turn the light on after getting out of bed.

Question 9

Type: MCSA

The mother of a 2-year-old expresses concern to the nurse that her child continually climbs out of the crib at home.

What should the nurse advise the mother to do?

1. Omit the afternoon nap.

2. Place a crib net over the top of the crib.

3. Remove all objects from around the crib.

4. Restrain the child if he gets up more than once.

Question 10

Type: MCSA

While the nurse is performing morning care, a client begins to have a seizure. What should the nurse do to help

this client?

1. Insert a tongue blade into the client’s mouth.

2. Loosen any clothing around the neck and chest.

3. Restrain the client.

4. Turn the client to the supine position if possible.

Question 11

Type: MCSA

The nurse is considering the use of restraints for a client. In which situation can the nurse apply restraints to a

client?

1. Client wanders around the care area.

2. Client is picking at the access site for intravenous infusion of chemotherapy.

3. Client needed to use the bathroom and waited for help but didn’t want to soil the bed and fell while attempting

to walk to the bathroom.

4. Client does not want to stay in bed but wants to sit in the lounge with others.

Question 12

Type: MCSA

The nurse is applying restraints to a client. After securing a health care provider’s order, what should the nurse

do?

1. Assess the restraints every 10 minutes.

2. Pad bony prominences.

3. Secure the restraint to the side rail.

4. Tie the restraint with a square knot.

Question 13

Type: MCSA

An older client diagnosed with Alzheimer’s disease continually tries to get out of bed at night. Which safety

measure should the nurse consider using with this client?

1. Explain all procedures and treatments.

2. Place a bed safety monitoring device on the bed.

3. Orient the client to surroundings.

4. Use relaxation techniques.

Question 14

Type: MCSA

The nurse is caring for a client who is confused and wanders. Which alternative to a restraint can the nurse use for

this client?

1. Assign this client to the farthest room from the nurses’ station.

2. Place a rocking chair in the client’s room.

3. Pull up all of the side rails on the bed.

4. Wedge pillows against the side rails on the bed.

Question 15

Type: MCSA

The nurse is identifying outcomes for an older client prone to injuries. Which outcome should the nurse identify

as appropriate for this client?

1. The client will demonstrate an understanding of all limitations.

2. The client will establish a buddy system.

3. The client will make uninformed choices when addressing health issues.

4. The client will take his medication as desired.

Question 16

Type: MCSA

The nurse is reviewing safety with a home-care client. What should the nurse include in this teaching?

1. Always pull a plug at the plug-in from the wall outlet.

2. Keep plants in the home.

3. Use overloaded outlets when necessary.

4. Remove labels from containers and refill for recycling.

Question 17

Type: MCSA

The nurse is attending a seminar on bioterrorism. What should the nurse identify as being the highest concern for

homeland security?

1. Cancer

2. Seasonal flu

3. Tuberculosis

4. Smallpox

Question 18

Type: MCSA

While eating in a restaurant, a nurse notices that a customer at the next table begins to clutch his throat while

eating a steak. What should the nurse do first?

1. Ask the customer if he is choking.

2. Attempt to give five back blows.

3. Perform the Heimlich maneuver.

4. Start chest compressions.