SAMPLE NCLEX-LPN

‭Chapter 2:‬ ‭Safe & Effective Care Environment‬ ‭(Safety & Infection Control)‬ ‭Overview‬ ‭This‬ ‭chapter‬ ‭of‬ ‭the‬ ‭NCLEX-LPN‬ ‭exam‬ ‭focuses‬ ‭on‬ ‭providing‬ ‭safe‬ ‭and‬ ‭effective‬ ‭care‬ ‭environments‬ ‭for‬ ‭clients‬‭by‬‭applying‬‭key‬‭safety‬‭and‬‭infection‬‭control‬‭principles.‬‭Questions‬‭in‬‭this‬‭topic‬‭area‬‭are‬‭designed‬ ‭to‬‭assess‬‭the‬‭applicant's‬‭knowledge‬‭of‬‭preventing‬‭infections‬‭in‬‭hospital‬‭settings,‬‭keeping‬‭clients‬‭safe‬‭in‬ ‭their‬‭homes,‬‭and‬‭identifying‬‭environmental‬‭and‬‭health‬‭hazards.‬‭Approximately‬ ‭10-16%‬ ‭of‬‭the‬‭exam‬‭will‬ ‭cover this area, making it important to gain a thorough understanding of this topic.‬ ‭Learning Objectives‬ ‭1.‬ ‭Identify aspects of accident/error/injury prevention and develop an emergency response plan.‬ ‭2.‬ ‭Apply‬ ‭ergonomic‬ ‭principles‬ ‭and‬ ‭demonstrate‬ ‭a‬ ‭safe‬ ‭protocol‬ ‭for‬ ‭handling‬ ‭hazardous‬ ‭and‬ ‭infectious materials.‬ ‭3.‬ ‭Discuss home safety measures and utilize equipment safely and appropriately.‬ ‭4.‬ ‭Explain‬ ‭how‬ ‭to‬ ‭correctly‬ ‭report‬ ‭incidents,‬ ‭events,‬ ‭irregular‬ ‭occurrences,‬ ‭and‬ ‭variances,‬ ‭and‬ ‭develop and implement a security plan.‬ ‭5.‬ ‭Understand‬‭the‬‭standard‬‭precautions,‬‭transmission-based‬‭precautions,‬‭surgical‬‭asepsis,‬‭and‬‭the‬ ‭use of restraints and other safety devices.‬ ‭A. General Safety‬ ‭As‬‭part‬‭of‬‭your‬‭preparation‬‭for‬‭the‬‭NCLEX‬‭exam,‬‭review‬‭safety‬‭issues‬‭and‬‭the‬‭various‬‭elements‬‭of‬‭client‬ ‭safety‬ ‭and‬ ‭accident‬ ‭prevention‬ ‭that‬ ‭are‬ ‭specific‬ ‭to‬ ‭different‬ ‭age‬ ‭groups,‬ ‭including‬ ‭infants,‬ ‭toddlers,‬ ‭school-age‬‭children,‬‭adolescents,‬‭adults,‬‭and‬‭older‬‭adults‬‭(geriatric‬‭clients).‬‭When‬‭considering‬‭particular‬ ‭safety‬ ‭measures,‬ ‭such‬ ‭as‬ ‭fall‬ ‭risks‬ ‭in‬ ‭a‬ ‭hospital‬ ‭setting,‬ ‭the‬ ‭age‬ ‭of‬ ‭the‬ ‭client‬ ‭should‬ ‭be‬ ‭taken‬ ‭into‬ ‭consideration.‬ ‭Providing‬ ‭a‬ ‭safe‬ ‭environment‬ ‭may‬ ‭require‬ ‭several‬‭interventions‬‭based‬‭on‬‭the‬‭identified‬ ‭client‬ ‭risk.‬ ‭Utilization‬‭of‬‭restraints‬‭in‬‭the‬‭hospital‬‭setting‬‭is‬‭a‬‭high-risk‬‭intervention.‬‭Understanding‬‭and‬ ‭following‬ ‭the‬ ‭organizational‬ ‭policy‬ ‭is‬ ‭key.‬ ‭Maintaining‬ ‭a‬ ‭safe‬ ‭environment‬ ‭for‬ ‭a‬ ‭client‬ ‭with‬ ‭seizure‬ ‭precautions‬ ‭includes‬ ‭ensuring‬ ‭the‬ ‭appropriate‬ ‭suction‬ ‭and‬ ‭oxygen‬ ‭equipment‬ ‭are‬ ‭available‬ ‭at‬ ‭the‬ ‭bedside.‬‭Lastly,‬‭be‬‭sure‬‭to‬‭educate‬‭parents/caretakers‬‭on‬‭proper‬‭prevention‬‭strategies‬‭for‬‭infant‬‭safety,‬ ‭such‬ ‭as‬ ‭placing‬ ‭them‬ ‭on‬ ‭their‬ ‭backs‬ ‭after‬ ‭eating‬ ‭and‬ ‭while‬ ‭sleeping‬ ‭and‬ ‭utilizing‬ ‭the‬ ‭appropriate‬ ‭car‬ ‭seats for their age.‬ ‭1.‬ ‭Infants‬ ‭:‬ ‭Parents‬‭or‬‭caretakers‬‭should‬‭be‬‭educated‬‭about‬ ‭infant‬‭safety‬ ‭and‬‭their‬‭responsibility‬ ‭to‬ ‭take‬ ‭proper‬ ‭precautions‬ ‭to‬ ‭prevent‬ ‭injury.‬ ‭It‬ ‭is‬ ‭crucial‬ ‭to‬ ‭place‬ ‭infants‬ ‭on‬ ‭their‬ ‭backs‬‭after‬ ‭eating‬‭and‬‭while‬‭sleeping‬‭and‬‭to‬‭use‬‭car‬‭seats‬‭for‬‭transportation.‬‭This‬‭age‬‭group‬‭is‬‭at‬‭high‬‭risk‬ ‭for‬ ‭falls and burns‬ ‭.‬ ‭At the end of this chapter, you should be able to:‬

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