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Zorluk: OrtaAccident, Error, and Injury Prevention

A practical nurse (PN) is planning care for a newly admitted client who requires intravenous (IV) therapy and is identified as a high fall risk. Which of the following actions should the PN implement to prevent accidents and errors? Select all that apply.

  1. Maintain the client's bed in the lowest locked position with the call bell in reach.Cevap
  2. B
    Delegate the assessment of the client's IV insertion site to the unlicensed assistive personnel (UAP).
  3. C
    Verify the client's identity by asking, 'Are you the patient for room 204?' before giving medications.
  4. D
    Apply bilateral soft wrist restraints if the client reaches for the IV tubing.
  5. Provide the client with non-slip footwear before assisting with any ambulation.Cevap
  6. Clear the pathway between the client's bed and the bathroom of any excess equipment or clutter.Cevap

Cevap

The correct actions are maintaining the bed in the lowest locked position with the call bell in reach, providing non-slip footwear, and clearing the pathway between the bed and the bathroom.
Preventing accidents and errors requires a comprehensive approach focused on environmental safety and strict adherence to clinical protocols. Keeping the bed in the lowest locked position with the call bell within reach minimizes the distance of a potential fall and ensures the client can easily request help. Providing non-slip footwear prevents slipping during ambulation, and clearing the pathway to the bathroom eliminates tripping hazards, which are essential interventions for a client identified as a high fall risk.

Adım Adım Çözüm

1
Analyze the client's risk profile based on the scenario.
The client has a high risk for falls and is receiving IV therapy, which requires specific safety and error prevention interventions.
Identifying the specific clinical risks dictates the appropriate nursing interventions to maintain a safe environment.
2
Evaluate the environmental and physical interventions for fall prevention.
Keeping the bed low, clearing pathways of clutter, and providing non-slip footwear are all established, highly effective fall prevention strategies.
These actions directly address the physical risks associated with ambulation, transferring, and navigating the clinical environment.
3
Evaluate the procedural interventions for error and injury prevention.
Delegating nursing assessment, using yes/no questions for patient identification, and prematurely applying physical restraints are unsafe practices.
These actions violate the PN scope of practice, strict medication administration rights, and restraint protocols, significantly increasing the risk of client harm.

Anahtar Kavram

Multidisciplinary Safety Protocols and Error Prevention
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Konular

Accident, Error, and Injury Prevention

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