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Soru

Zorluk: KolayReduction of Risk Potential

A newly licensed practical nurse (PN) is reviewing safety protocols and scope of practice during clinical orientation on a progressive care unit. Which of the following actions indicate that the PN is correctly applying risk reduction principles? (Select all that apply)

  1. Verifying a client's identity by checking the name and date of birth on the wristband before administering treatments.Cevap
  2. Immediately escalating a newly reported serum potassium level of 2.8 mEq/L to the supervising registered nurse (RN).Cevap
  3. C
    Monitoring a client with a blood pressure of 88/54 mm Hg and a heart rate of 115 beats/minute without notifying the RN because the client appears asleep.
  4. D
    Accepting a delegated task to independently administer intravenous (IV) push morphine to a client experiencing acute pain.
  5. Withholding a scheduled dose of oral digoxin and notifying the RN when the client's apical pulse is 52 beats/minute.Cevap
  6. F
    Waiting until the end-of-shift handoff to communicate a critically high laboratory value to avoid interrupting the provider.

Cevap

The correct actions include verifying client identity using two identifiers, immediately escalating critical potassium levels, and withholding digoxin for bradycardia while notifying the RN.
Verifying two client identifiers directly reduces the risk of medication errors. Escalating a critical potassium level of 2.8 mEq/L ensures prompt treatment of hypokalemia, preventing cardiac arrhythmias. Withholding digoxin when the apical pulse is less than 60 beats/minute is a standard risk reduction action to prevent medication toxicity.

Adım Adım Çözüm

1
Evaluate each nursing action against the established practical nurse (PN) scope of practice and basic safety protocols.
Identify safe versus unsafe actions in clinical scenarios.
Risk reduction requires acting within scope and prioritizing immediate client safety over routine tasks.
2
Identify the correct applications of risk reduction.
Verifying identity, escalating a critical hypokalemia lab (2.8 mEq/L), and holding digoxin for a heart rate below 60 beats/minute are identified as correct safety measures.
These actions directly prevent medication errors and address physiological deterioration.
3
Identify and exclude unsafe actions.
Ignoring hypotensive tachycardia, giving IV push medications, and delaying critical lab reporting are excluded.
These represent severe breaches of safety principles and fall outside the appropriate LPN scope.

Anahtar Kavram

Reduction of Risk Potential through adherence to safety protocols, timely escalation of critical findings, and operating within the LPN scope of practice.
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Konular

Reduction of Risk Potential

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