A practical nurse (PN) receives the handoff report for a client who is two hours postoperative following a right total hip arthroplasty. The client requires contact precautions for a methicillin-resistant Staphylococcus aureus (MRSA) infection. Which of the following actions should the PN take to prevent errors and ensure client safety? Select all that apply.
- Scan the client's barcode wristband and ask them to state their name and date of birth before administering the prescribed enoxaparin.Answer
- BAccept the charge nurse's delegation to conduct the initial comprehensive postoperative physical assessment.
- Place an abduction wedge pillow between the client's legs to maintain proper alignment while turning.Answer
- DRemove the isolation gown first, followed by the soiled gloves, before leaving the client's room.
- EAssist the client into a high-Fowler's position with the knees sharply flexed when offering a bedpan.
- Verify the bed is in the lowest position, wheels are locked, and the call light is within the client's reach.Answer
Answer
The correct actions are: scanning the barcode wristband and using two identifiers before medication administration, placing an abduction wedge pillow between the client's legs, and verifying the bed is in the lowest locked position with the call light in reach.
The correct interventions demonstrate adherence to strict safety protocols and error prevention. Using two unique identifiers and barcode scanning prevents critical medication errors. Using an abduction wedge maintains proper femoral head alignment, preventing the severe injury of hip dislocation. Maintaining the bed in the lowest locked position with the call light within reach is a foundational fall prevention strategy.
Step-by-Step Solution
Key Concept
Accident, Error, and Injury Prevention in Postoperative Care