Nokea
The nurse is presenting an educational session on safety for parents of adolescents. Which information will the nurse include in the teaching session?
- A. Increased aggressiveness and blood spots on clothing may indicate substance abuse.
- B. Increased aggressiveness is an environmental clue that may indicate an adolescent is abusing.
- C. Adolescents need information about the effects of uncoordination on accidents.
- D. Adolescents need to be reminded to use seat belts primarily on long trips.
Correct Answer: A
Rationale: The correct answer is A. Increased aggressiveness and blood spots on clothing are potential signs of substance abuse in adolescents. This is important information for parents to be aware of as it can indicate a serious issue that needs to be addressed promptly.
Choice B is incorrect because it only partially addresses the issue by mentioning aggressiveness but does not include the specific indication of blood spots on clothing related to substance abuse.
Choice C is incorrect as it focuses on uncoordination and accidents, which is not directly related to the signs of substance abuse mentioned in the question.
Choice D is incorrect as it discusses seat belt use, which is important but not the main focus of the educational session on safety for parents of adolescents.
In summary, choice A is the correct answer because it provides crucial information about potential signs of substance abuse in adolescents, which is relevant to the safety concerns of parents.
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The nurse is caring for an older-adult patient admitted with nausea, vomiting, and diarrhea due to food poisoning. Which priority concern will require collaboration with social services?
- 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: A
Rationale: The correct answer is A because the lack of electricity poses a serious risk to the patient's health and safety, affecting the ability to store and prepare food properly, maintain a comfortable temperature, and access medical devices if needed. Collaboration with social services is crucial to address this urgent issue. Choices B, C, and D do not directly impact the patient's immediate health needs and can be addressed at a later time.
The nurse is assessing a patient for lead poisoning. Which patient is the nurse most likely assessing?
- A. Young infant
- B. Toddler
- C. Preschooler
- D. Adolescent
Correct Answer: B
Rationale: The correct answer is B: Toddler. Toddlers are at higher risk for lead poisoning due to their hand-to-mouth behavior and increased exposure to lead-containing objects. Young infants are less likely to be mobile and interact with potential sources of lead. Preschoolers and adolescents have lower risk compared to toddlers due to reduced mouthing behavior. Therefore, the nurse is most likely assessing a toddler for lead poisoning.
A nurse is teaching a community group of school-aged parents about safety. Which safety item is most important for the nurse to include in the teaching session?
- A. Proper fit of a bicycle helmet
- B. Proper fit of soccer shin guards
- C. Proper fit of swimming goggles
- D. Proper fit of baseball sliding shorts
Correct Answer: A
Rationale: The correct answer is A: Proper fit of a bicycle helmet. This is the most important safety item to include because head injuries from cycling accidents can be severe or fatal. A properly fitting helmet can reduce the risk of head injuries significantly. It is crucial for the nurse to emphasize the importance of wearing a helmet every time a child rides a bike.
The other choices are incorrect because while shin guards, swimming goggles, and sliding shorts are important for specific sports, they do not have the same level of overall impact on safety as a properly fitting bicycle helmet. It is essential to prioritize the safety item that has the most potential to prevent serious injuries, which in this case is the bicycle helmet.
The nurse enters the patient's room and notices a small fire in the headlight above the patient's bed. In which order will the nurse perform the steps, beginning with the first one?
- A. Pull the alarm.
- B. Remove the patient.
- C. Use the fire extinguisher.
- D. Close doors and windows.
Correct Answer: A
Rationale: The correct order is A: Pull the alarm. In case of a fire, alerting others is the first priority to ensure everyone's safety. This step will notify the fire department and initiate evacuation procedures. Removing the patient (B) should be done after sounding the alarm to prevent harm. Using the fire extinguisher (C) comes after ensuring the alarm is activated. Closing doors and windows (D) is important to contain the fire but should be done after alerting others and removing the patient.
A nurse is providing care to a patient. Which action indicates the nurse is following the National Patient Safety Goals?
- A. Identifies patient with one identifier before transport
- B. Initiates IV catheter using clean technique
- C. Uses medication bar coding
- D. Obtains vital signs for surgical chart
Correct Answer: C
Rationale: The correct answer is C: Uses medication bar coding. This action aligns with the National Patient Safety Goals by helping to ensure accurate medication administration through technology. Bar coding reduces the risk of medication errors by verifying the right patient, medication, dose, route, and time. Option A is important but does not specifically align with the National Patient Safety Goals. Option B mentions clean technique, but sterile technique is required for IV catheter insertion. Option D is important for surgical preparation but does not directly relate to patient safety goals.