Examkin

Soru

Zorluk: OrtaAccident, Error, and Injury Prevention

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.

  1. Verifying a client's name and date of birth on the identification band before administering oral medications.Cevap
  2. Placing the bed in the lowest position and activating the bed alarm for a client who is agitated and attempting to stand.Cevap
  3. Ensuring a client is wearing appropriately fitted non-skid footwear before assisting with a bed-to-chair transfer.Cevap
  4. D
    Applying soft wrist restraints to a client who frequently pulls at their intravenous (IV) line before attempting other interventions.
  5. E
    Attributing an 84-year-old client's sudden onset of disorientation to expected age-related cognitive decline.
  6. F
    Removing a particulate respirator mask inside the client's room before doffing the isolation gown.

Cevap

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.

Adım Adım Çözüm

1
Evaluate the medication administration action.
Verifying two unique identifiers is identified as a critical standard to prevent medication errors.
Checking the name and date of birth ensures the right client receives the right medication, upholding safety protocols.
2
Assess the fall prevention strategies presented in the options.
Using bed alarms, keeping the bed low, and ensuring non-skid footwear are validated as correct actions.
These are evidence-based, non-restrictive interventions that directly reduce fall risk in healthcare environments.
3
Analyze the remaining actions for safety violations or practice errors.
Applying restraints first, ignoring acute confusion, and removing an N95 respirator inside the room are identified as unsafe practices.
These actions violate least-restrictive alternative policies, misinterpret critical clinical signs, and breach infection control protocols, respectively.

Anahtar Kavram

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.
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Konular

Accident, Error, and Injury Prevention

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