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Zorluk: OrtaAccident, Error, and Injury Prevention

An older adult client is admitted to a respiratory isolation unit with suspected pulmonary tuberculosis. The client exhibits sudden disorientation and repeatedly attempts to remove their peripheral intravenous (IV) catheter. Which action by the practical nurse demonstrates the appropriate application of safety and error prevention principles?

  1. Cover the intravenous site with a tubular bandage and utilize a bed exit alarm.Cevap
  2. B
    Apply bilateral soft wrist restraints to prevent the client from disrupting the intravenous access.
  3. C
    Remove the N95 respirator mask inside the client's room before stepping out into the hallway.
  4. D
    Document the sudden disorientation as an expected cognitive change related to the client's advanced age.

Cevap

The correct action is to cover the intravenous site with a tubular bandage and utilize a bed exit alarm.
To prevent injury and maintain safety, practical nurses must implement the least restrictive interventions first. Using a tubular bandage (IV sleeve) acts as a visual barrier to protect the catheter, and a bed alarm alerts staff if the confused client attempts to get out of bed, ensuring safety without improperly restricting movement.

Adım Adım Çözüm

1
Identify the immediate risks to the client.
The client is at risk for self-injury by pulling out the IV catheter and is at high risk for falls due to sudden disorientation.
Recognizing safety hazards is the first step in error and injury prevention.
2
Evaluate the proposed interventions against safety guidelines and the hierarchy of restraints.
Standards of care dictate that the least restrictive measures must be used before applying chemical or physical restraints.
Restraints can cause further agitation, injury, or severe complications.
3
Select the intervention that mitigates the risk using the least restrictive method.
A tubular bandage hides the IV site from the confused client (reducing the urge to pull it), and a bed alarm provides immediate notification if the client attempts to wander.
This combination effectively prevents injury without inappropriately restricting the client's freedom of movement.

Anahtar Kavram

Accident, Error, and Injury Prevention (Least Restrictive Alternatives)
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Konular

Accident, Error, and Injury Prevention

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