A practical nurse (PN) is providing care for a group of clients on a medical-surgical unit. Which nursing actions demonstrate the appropriate implementation of accident, error, and injury prevention strategies? (Select all that apply.)
- ARaising all four bed rails to prevent an older adult client with nocturnal wandering from getting out of bed unassisted.
- BDelegating the assessment of a client's continuous intravenous (IV) insertion site to the unlicensed assistive personnel (UAP).
- Verifying two distinct client identifiers prior to delivering a regular diet food tray to a newly admitted client.Answer
- Using a mechanical lift and two staff members to transfer a completely immobile client from the bed to a chair.Answer
- EDocumenting a 78-year-old client's sudden disorientation to time and place as an expected age-related cognitive change.
- Placing a fall risk alert bracelet on a client who is receiving newly prescribed opioid analgesics for postoperative pain.Answer
Answer
The correct actions include verifying two client identifiers before delivering a food tray, using a mechanical lift with two staff members for an immobile client, and placing a fall risk bracelet on a client receiving opioids.
The correct interventions directly support a safe care environment. Using two distinct identifiers prevents critical errors in dietary and medication administration. Employing a mechanical lift with two staff members prevents physical injury to both the immobile client and the healthcare workers. Applying a fall risk bracelet for a client on opioids proactively addresses the risk of falls caused by medication-induced dizziness or sedation.
Step-by-Step Solution
Key Concept
Accident, Error, and Injury Prevention involves a multidisciplinary approach including proper patient identification, safe equipment use, fall prevention, appropriate delegation, and restraint avoidance.