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27 Cards in this Set

  • Front
  • Back
What are the most common agents seen in childhood poisoning?
Salicylates, hydrocarbons, caustics, iron, & lead.
What are the common conditions in the home that are associated with an increase in falls?
Slippery surfaces, poor lighting, clutter, & improperly fitting clothing or slippers.
List the nursing diagnoses involving safety risks:
Risk for Injury
Risk for Poisoning
Risk for Suffocation
Risk for trauma
What are the safety considerations a nurse needs to be aware of when working with the: Neonate & Infant
Chemical & physical factors can affect the fetus. Look for: alcohol, caffeine, smoking, drugs, & pesticide exsposure.

Physical care for the newborn includes maintaining a patent airway, protecting from infection & injury, & nutrition. Look for: SIDS, falls, burns, suffocation/drowning
What are the safety considerations a nurse needs to be aware of when working with: toddlers & preschoolers
Though more independent, toddlers/preschoolers limited awareness of dangerous behavior. Strive to imitate adults. Watch for: falls, cuts, burns, drowning, suffocation/drowning, poisoning, & weapons.
What are the safety considerations a nurse needs to be aware of when working with: School-Aged Child
Refinement of muscular coordination, involvement in sports/play increase risk for injury. Cognitive maturity improves understanding of safety. Look for car saftey interventions for: burns, drowning, broken bones, ingestion, weapons, substance abuse
What are the safety considerations a nurse needs to be aware of when working with the older Adult?
Injuries occur more frequently because of decline in senses, reflexes & reaction times, Resulting in changes in hearing and vision, and loss of strength and mobility. look for: falls
car accidents, elder abuse, fires, & falls.
What are some developmental considerations that affect adolesents:
The adolescent needs increasing freedom and responsibility to prepare for adulthood. The teen's peer group is a greater influence than parents during this stage
Look for: drowning, car accidents, weapons, drug use, risky sexual behavior.
How do lifestyle considerations affect safety:
Certain occupations, recreational activities, and environments place people in more hazardous situations.
Give an example of recommendations for specific safety & security precautions a nurse would need to know when dealing with: Communication barriers
The nurse must assess any factor that influences the patient's ability to receive and send messages. Fatigue, stress, medication, aphasia, and language barriers are examples of factors that can affect personal communication and prevent the patient from accurately perceiving events.
Give an example of recommendations for specific safety & security precautions a nurse would need to know when dealing with: Physical Health State
Anything that affects the patient's health state potentially can affect the safety of the environment. When a person is chronically ill or in a weakened state, the focus of healthcare includes preventing accidents as well as promoting wellness and restoring the individual to a healthy state
Give an example of recommendations for specific safety & security precautions a nurse would need to know when dealing with: Psychosocial Health State
Stressful situations tend to narrow a person's attention span and make him or her more prone to accidents. Stress may occur over a long period, but the effects tend to be more devastating in the person's later years, when there is typically less adaptive and coping capacity.

Depression may result in confusion and disorientation, accompanied by reduced awareness or concern about environmental hazards. Social isolation or lack of social contact may lead to a reduced level of concentration, errors in judgment, and a diminished awareness of external stimuli.
What three categories should a nurse focus on when performing a safety assessment?
The individual, the environment, and specific risk factors.
What should a nurse look for when obtaining the nursing history in regaurd to assessing a patients saftey?
Any history of falls or accidents. Note any assistive devices that the patient uses (eg, a cane or walker). Be alert to any history of drug or alcohol abuse.
What are some environmental safety considerations a nurse would need to assess?
Risks in the home, community, and healthcare agency may cause injury. Look for
falls, fires, poisoning, suffocation, guns & accidents involving motor vehicles, equipment, & procedures.
What are the individual characteristics that place a person at high risk for falls?
Age older than 65 years
Documented history of falls
Impaired vision/balance
Altered gait or posture
A medication regimen that includes diuretics, tranquilizers, sedatives
Postural hypotension
Slowed reaction time
Confusion or disorientation
Impaired mobility
Weakness and physical frailty
Unfamiliar environment
How are unsafe situations & patient risks used in planning care?
All risks are reflected in the nursing diagnosis & plan of care. Where the statement of the patient's actual or potential health status must be followed by the appropriate contributing factors or risk factors to individualize the nursing plan of care.
Give an example of a nursing diagnoses involving safety risks?
Risk for Disuse Syndrome related to use of physical restraints

Impaired Home Maintenance related to insufficient finances; substance abuse; physical disability; inadequate support systems; lack of knowledge

Risk for Poisoning related to impaired vision; medications stored in unlocked medicine cabinet that is accessible to a child; presence of poisonous plants; excess alcohol intake; use of illicit drugs; knowledge deficit; chemical contamination of food and water
Describe several expected outcomes for patients that promote safety and prevent injury.
The patient will
Identify unsafe situations in his or her environment
Identify potential hazards in his or her environment
Demonstrate safety measures to prevent falls and other accidents
Establish safety priorities with family members or significant others
Demonstrate familiarity with his or her environment
What are the safety considerations a nurse needs to be aware of when working with adults?
Visible signs of aging, lifestyle behaviors & situational/family crises effect overall health & cause stress. Preventive health practices improve quality and duration of life. Look for: stress, domestic violence, car/industrial accidents, drug/alcohol abuse.
Why is it no longer considered acceptable bedside care to restrain patients?
Recent studies indicate that the use of restraints is dangerous. Older patients are 8X more likely to die than are those who are not restrained, & 50% of restrained elderly patients fall & sustain injuries while in restraints.
Describe the physiological hazards associated with the use of restraints.
Suffocation, impaired circulation, altered skin integrity, pressure ulcers @ contractures, diminished muscle & bone mass, fractures
altered nutrition/hydration, aspiration/breathing difficulties
Changes in mental status (eg, combativeness, depression, anger
List several nursing interventions that might help reduce confusion or agitation & thus reducing the need for restraints.
Rule out causes for agitation. Assess V.S, glucose, fluids, & pain. Reduce stimulation, distract & redirect
What are the saftey guidelines a nurse must consider when using restraints?
A valid physician's order within 24/hrs. Use quick-release knots tied to a non movable structure. 2 fingers width spacing, Ascess every 1/hr & remove every 2/hrs, Performing ROM, toilet, offer fluids, hand hygeine & evaluate for continued use.
List the steps a nurse must be prepared take during a fire.
Using RACE as a guide:
Rescue anyone in immediate danger. Activate the fire code system and notify the appropriate person.
Confine the fire by closing doors and windows.
Evacuate patients and other people to a safe area.
What must a nurse consider when domestic violence is suspected?
Careful assessment of situation, consider speaking w/ trained victim advocate, provide safety options,
& the rights of choice.
Describe Physical and Behavioral Manifestations of Child Abuse
History of unexplained or repeated injuries
Multiple or unexplained bruises
Multiple fractures (arms, legs, facial, ribs)
Sexually transmitted disease
Sleeping problems (nightmares)
Psychosomatic illnesses
Excessive sexual curiosity or play