Examkin

Question

Difficulty: HardAccident, Error, and Injury Prevention

During a clinical observation on a subacute rehabilitation unit, a charge nurse evaluates a licensed practical nurse (LPN) who is implementing safety measures for several high-risk clients. Which action by the LPN demonstrates appropriate adherence to accident and error prevention protocols?

  1. Applying a tubular elastic dressing over an intravenous insertion site and providing a towel-folding activity for a client who repeatedly pulls at the tubing.Answer
  2. B
    Removing a contaminated isolation gown first, followed by the face shield, and pulling off gloves last when exiting a room on contact precautions.
  3. C
    Directing an experienced nursing assistant to feed a client who has just developed a sudden, new-onset cough and difficulty swallowing thin liquids.
  4. D
    Informing a concerned family member that an older adult client's sudden, acute visual hallucinations are a standard reaction to being admitted to an unfamiliar facility.

Answer

Applying a tubular elastic dressing over an intravenous insertion site and providing a towel-folding activity for a client who repeatedly pulls at the tubing.
Applying a tubular elastic dressing and offering a diversionary activity represents the correct application of least restrictive interventions. This approach protects the intravenous line from dislodgement without relying on physical restraints, thereby preventing client injury and maintaining a safe environment.

Step-by-Step Solution

1
Analyze each LPN intervention to determine if it adheres to evidence-based safety and error prevention standards.
Three actions pose safety risks (incorrect PPE removal, unsafe delegation, and ignoring acute delirium), while one action promotes safety through restraint alternatives.
Identifying the correct safety protocol requires evaluating multiple domains of practice including infection control, scope of practice, and physiological assessment.
2
Evaluate the intervention involving the intravenous line and the agitated client.
The LPN uses a tubular dressing to conceal the site and provides a folding activity.
Concealing lines and offering diversionary activities are gold-standard restraint alternatives that prevent injury while maintaining client dignity and mobility.

Key Concept

Implementation of Restraint Alternatives and Environmental Safety
Rate this question

Topics

Accident, Error, and Injury Prevention

More questions from this topic