Study Guide for Fundamentals of Nursing The Art and Science of Nursing Care

CHAPTER 26 SAFETY, SECURITY, AND EMERGENCY PREPAREDNESS 153

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c.Botulism produces skeletal muscle paralysis

that progresses symmetrically in a descend-

ing manner and muscle weakness that can

result abruptly in respiratory failure.

d.Tularemia produces fever and cough; the

patient’s condition may progress to respira-

tory failure.

e.Smallpox produces fever, myalgias, conjunc-

tival symptoms, mild hypotension, and

petechial hemorrhages; the patient’s condi-

tion may progress to shock and hemorrhage.

f.Lassa fever, Ebola fever, and yellow fever

cause diarrhea, nausea, and respiratory

distress.

4.Which of the following are examples of nerve

agents? (Select all that apply.)

a.Phosgene

b.Tabun

c.Sarin

d.Soman

e.Agent 15

f.Phosphogene oxime

5.Which of the following are acronyms for

organizations that are involved in emergency

preparedness? (Select all that apply.)

a.NDMS

b.FEMA

c.CDC

d.HMO

e.TJC

f.EPO

6.Which of the following would be an age-appro-

priate method to prevent accidents and promote

safety in a preschooler? (Select all that apply.)

a.Supervise the child closely to prevent injury.

b.Childproof the house to ensure that

poisonous products and small objects are

out of reach.

c.Instruct the child to wear proper safety

equipment when riding bicycles or scooters.

d.Do not leave the child alone in the bathtub

or near water.

e.Provide drug, alcohol, and sexuality

education.

f.Practice emergency evacuation measures.

7.Which of the following actions would a nurse

perform when properly applying restraints to a

patient? (Select all that apply.)

a.Check agency policy for the application of

restraints and secure a physician’s order.

b.Choose the most restrictive type of device

that allows the least amount of mobility.

c.Pad bony prominences.

d.For a restraint applied to an extremity,

ensure that the restraint is tight enough

that a finger cannot be inserted between

the restraint and the patient’s wrist or

ankle.

e.Fasten the restraint to the side rail.

f.Remove the restraint at least every 2 hours

or according to agency policy and patient

need.

Prioritization Questions

1.Place the following steps for applying

restraints to a patient in the order in which

they should occur:

a.Explain the reason for use of restraints to

the patient and family.

b.Determine the need for restraints and assess

patient’s physical condition, behavior, and

mental status.

c.Fasten restraint to the bed frame, not the

bed rail.

d.Apply restraints according to manufacturer’s

directions.

e.Perform hand hygiene; document reason

for restraining patient.

f.Perform hand hygiene.

g.Remove restraint at least every 2 hours;

reassure patient at regular intervals and

assess for signs of sensory deprivation.

h.Confirm agency policy for application of

restraints and secure physician order.

DEVELOPING YOUR

KNOWLEDGE BASE

MATCHING EXERCISES

Match the type of poisonous agent in Part A

with its common clinical manifestations listed

in Part B. List the type of emergency treatment

you would use for each agent on the line

provided.

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