Examkin

Soru

Zorluk: ZorAccident, Error, and Injury Prevention

During a comprehensive safety audit on an acute care unit, a clinical nurse leader evaluates various staff practices for compliance with injury prevention protocols. Which action by a staff member demonstrates correct adherence to environmental and client safety standards?

  1. Establishing a direct one-to-one sitter arrangement for an older adult with acute encephalopathy who is continually trying to exit the bed, while simultaneously requesting a pharmacy review of the client's current prescriptions.Cevap
  2. B
    Attaching the anchoring straps of a client's physical restraints to the elevating side rails of the bed frame using standard quick-release slip knots for emergency accessibility.
  3. C
    Donning a standard surgical mask, protective gown, and clean gloves prior to entering the isolation room of a client diagnosed with disseminated herpes zoster.
  4. D
    Directing the unlicensed assistive personnel (UAP) to independently evaluate the sacral skin integrity of a bedbound client during their scheduled hourly repositioning rounds.

Cevap

The action that demonstrates correct adherence to safety standards is establishing a direct one-to-one sitter arrangement for the client with encephalopathy and requesting a pharmacy review.
The correct answer describes establishing a one-to-one sitter (a non-pharmacological alternative) to address the immediate safety risk for a confused client attempting to exit the bed. This is a required safety measure before considering physical restraints. Concurrently requesting a medication review is a proactive error-prevention strategy to identify pharmacological causes of the encephalopathy.

Adım Adım Çözüm

1
Analyze the action involving the sitter arrangement and medication review.
Identified as a correct, least-restrictive safety intervention that also investigates the root cause of the client's condition.
Safety standards mandate exhausting non-pharmacological and non-physical alternatives before applying restraints.
2
Evaluate the technique used for securing the physical restraints.
Identified as a critical safety violation.
Restraint straps must be secured to the immovable part of the bed frame, never to movable side rails, to prevent injury when the bed is adjusted.
3
Assess the personal protective equipment (PPE) selected for disseminated herpes zoster.
Identified as inappropriate infection control practice.
Disseminated herpes zoster requires Airborne precautions (N95 respirator), not a standard surgical mask.
4
Review the delegation of evaluating sacral skin integrity to the UAP.
Identified as an inappropriate delegation of a nursing responsibility.
Evaluation and assessment require clinical judgment and fall strictly outside the UAP's scope of practice.

Anahtar Kavram

Accident, Error, and Injury Prevention
Bu soruyu puanla

Konular

Accident, Error, and Injury Prevention

Bu konudan daha fazla soru