Question

Difficulty: EasyAccident, Error, and Injury Prevention

A newly hired practical nurse (PN) is demonstrating safety protocols during clinical orientation. Which of the following actions by the PN indicate a correct understanding of accident, error, and injury prevention? (Select all that apply.)

  1. Moving a client who is severely disoriented and at high risk for falls to a room close to the nursing station.Answer
  2. B
    Removing the respiratory mask prior to taking off contaminated gloves when exiting a client's isolation room.
  3. Scanning the barcode on the client's identification band and asking them to state their date of birth prior to giving medications.Answer
  4. D
    Utilizing soft limb tie-downs on an agitated client as the primary strategy to protect their intravenous catheter.
  5. Directing a client who feels dizzy to sit on the edge of the mattress for several minutes before rising.Answer

Answer

The correct actions include moving a disoriented client close to the nursing station, properly verifying client identity with two identifiers before medication administration, and having a dizzy client sit on the bed's edge before standing.
The correct actions demonstrate a fundamental understanding of proactive injury and error prevention. Moving a disoriented client closer to the nursing station provides increased supervision without the use of physical restraints. Scanning the barcode and verbally verifying the date of birth ensures the 'right client' parameter of medication administration is met, directly preventing errors. Instructing a dizzy client to sit on the edge of the bed helps prevent orthostatic hypotension, which is a major contributor to patient falls.

Step-by-Step Solution

1
Identify interventions related to fall prevention and restraint alternatives.
Moving a disoriented client closer to the nurses' station and having a dizzy client sit before standing are identified as safe, proactive measures.
Least restrictive observation methods and gradual position changes minimize the risk of falls and injuries without violating client rights.
2
Evaluate the medication safety protocol.
Scanning a barcode and asking for the date of birth correctly utilizes two unique client identifiers.
This strict verification process is essential to prevent medication administration errors.
3
Analyze the remaining actions for safety violations.
Removing a mask before contaminated gloves and using physical restraints as a first choice are identified as unsafe.
Improper PPE sequence increases the risk of self-contamination, and restraints should never be a primary intervention.

Key Concept

Core principles of accident, error, and injury prevention include prioritizing least restrictive safety measures, rigorous client identification, and strict adherence to infection control protocols.
Estimated Time:1m 0s
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