A practical nurse is providing care for a group of clients on a medical-surgical unit. Which actions by the nurse demonstrate appropriate implementation of accident, error, and injury prevention measures? Select all that apply.
- Verifying a client's name and date of birth on the identification band before administering oral medications.Answer
- Placing the bed in the lowest position and activating the bed alarm for a client who is agitated and attempting to stand.Answer
- Ensuring a client is wearing appropriately fitted non-skid footwear before assisting with a bed-to-chair transfer.Answer
- DApplying soft wrist restraints to a client who frequently pulls at their intravenous (IV) line before attempting other interventions.
- EAttributing an 84-year-old client's sudden onset of disorientation to expected age-related cognitive decline.
- FRemoving a particulate respirator mask inside the client's room before doffing the isolation gown.
Answer
The correct actions include verifying patient identifiers before medication administration, using a bed alarm with the bed in the lowest position for an agitated client, and ensuring the use of non-skid footwear before a transfer.
Checking two unique client identifiers before medication administration prevents medication errors. Keeping the bed in the lowest position with an alarm activated, and ensuring the use of non-skid footwear, are evidence-based interventions that significantly reduce the risk of client falls and subsequent injuries.
Step-by-Step Solution
Key Concept
Implementing standard safety protocols including patient identification, fall prevention strategies, appropriate PPE sequencing, and proper restraint guidelines is essential to minimize clinical errors and client injuries.