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Zorluk: OrtaReduction of Risk Potential

During a busy shift on a medical-surgical unit, a practical nurse is prioritizing client care and safety. Which of the following actions by the practical nurse demonstrate the correct application of risk reduction principles? Select all that apply.

  1. Withholding a scheduled dose of oral furosemide for a client whose morning serum potassium level is 2.8 mEq/L and alerting the registered nurse.Cevap
  2. Declining a delegated task to administer an intravenous push (IVP) dose of morphine to a client experiencing severe postoperative pain.Cevap
  3. C
    Documenting a one-hour postoperative client's rising heart rate of 114 beats/min and blood pressure of 90/58 mmHg as expected surgical anxiety without further escalation.
  4. D
    Bypassing the electronic barcode scanning system and relying solely on the client's room number to verify identity before administering routine antibiotics.
  5. E
    Leaving a laboratory report showing a serum calcium level of 6.4 mg/dL (1.60 mmol/L) on the chart for the provider to review during afternoon rounds.
  6. F
    Accepting a delegated assignment to independently monitor and titrate a continuous intravenous heparin infusion for a client with a pulmonary embolism.

Cevap

The correct actions are withholding the furosemide due to critical hypokalemia and declining to administer the intravenous push (IVP) morphine.
The correct actions demonstrate a clear understanding of risk reduction. Hypokalemia increases the risk of severe dysrhythmias, so withholding a loop diuretic and notifying the registered nurse is essential. Furthermore, refusing to perform tasks outside the practical nurse scope of practice, such as administering IV push medications, protects the client from potential harm and medication errors.

Adım Adım Çözüm

1
Evaluate each action for adherence to safety protocols, critical value escalation, and practical nursing scope of practice.
Identified that handling medications appropriately and recognizing scope limitations are key components of risk reduction.
Risk reduction requires proactive identification of potential harm.
2
Analyze the action regarding furosemide administration.
A potassium level of 2.8 mEq/L is critically low. Withholding a potassium-depleting diuretic prevents further life-threatening hypokalemia.
Nurses must verify that current laboratory values support the safe administration of scheduled medications.
3
Analyze the action regarding the intravenous push (IVP) medication.
Declining the IVP administration is appropriate because it falls outside the legal and educational scope of the practical nurse.
Practicing within legal boundaries prevents client injury and professional liability.
4
Identify why the remaining actions fail to reduce risk.
The other actions involve ignoring early signs of shock, skipping vital medication identity checks, delaying the report of critical lab values, and accepting assignments beyond the PN scope.
Each of these distractors represents a direct violation of clinical safety and risk potential reduction.

Anahtar Kavram

Risk reduction requires the practical nurse to operate strictly within their defined scope of practice, properly verify client identity, and promptly escalate abnormal physiological findings and critical laboratory values.
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Konular

Reduction of Risk Potential

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