NUR 214 Safety

While teaching about advance care planning, which fac is important for the nurse to share with a client who has been diagnosed with a terminal illness?

A durable power of attorney for health care appoints an agent the person trusts to make decisions.

An older adult client has expressed to the nurse a desire to specify and document the care they want to receive if the become incapacitated. The nurse should encourage the client to explore what option?

A living will.

Which is an example of a tort?

A nurse gives the client a medication, and the client has an adverse reaction to it.

A client informs the nurse about leaving the health care facility because the client is not satisfied with the treatment. The nurse knows that the client's treatment is incomplete and further testing and evaluation are scheduled. Which action by the nurse would be most appropriate to prevent false imprisonment?

Ask the client to sign a release without medical approval.

When educating parents about the safety of pre-school aged children, which is the most important for the nurse to include in the presentation?

At home chemicals should be kept in a locked cabinet.

The nurse is providing care to a client who had orthopedic surgery. The nurse has medicated the client for pain. However, the client reports that the pain is unrelieved. The nurse takes no further action regarding assessment and intervention for the client's pain. The nurse does not inform the surgeon. The failure of the nurse to take further action represents which element of liability in this case?

Breach of duty

Nurses practicing in a critical care unit must acquire specialized skills and knowledge to provide care to the critically ill client. These nurses can validate this specialty competence through what process?

Certification

In some cases, the act of providing nursing care in unexpected situations is covered by the Good Samaritan laws. Which nursing action would most likely be covered by these laws?

Emergency care for a choking victim in a restaurant

When educating families on fire safety in the home, which information is important for the nurse to emphasize?

Have a meeting place outside the home in case of fire.

The surgical nurse is preparing a client for surgery on the left leg. The client is awake, alert and oriented. Who does the nurse identify that should mark the leg that will undergo the surgical procedure? Select all that apply.

Nurse, surgeon, client.

A nurse is caring for a client following endotracheal intubation. Before applying soft wrist restraints to prevent the client from pulling out the endotracheal tube, what is the most appropriate action of the nurse?

Obtain a medical order.

Benzodiazepine use, poor lighting, Hx of falls, environmental hazards, anti-epileptics, are major causes of:

Primary causes of falls (not chronic illness or irregular heart rate)

A hospital can most likely meet its NPSG goals of national patient safety by:

Reducing rate of HAI, hospital acquired infections

During a time out in the OR what 3 items are reviewed?

Right procedure, right site, right patient.

Joint commission NPSG national patient safety goals encourages the use of what reporting format in order to improve staff communication?

SBAR format

SBAR stands for:

Situation, Background, Assessment, Recommendation/Request

A nurse and the facility have been named as defendants in a malpractice lawsuit. In addition to the nurse's attorney, whom else would be appropriate for the nurse to talk with about the case?

The agency's risk manager.

A client who is enrolled in Medicare and who has been recovering in the hospital from a stroke has developed a pressure injury on the coccyx, an event that the Centers for Medicare and Medicaid Services (CMC) has identified as a "never event". The nurse should recognize what implication of this CMS designation?

The hospital must bear any costs incurred for treating the client's injury.

A client is unhappy with the health care provided and informs the nurse that the client is leaving the facility. The client has not been discharged by the physician. The nurse finds that the client has dressed and is ready to go. What should the nurse's action be in this situation?

The nurse should call and inform the nursing supervisor of the situation.

Wear a mask, gown, goggles and gloves when splashes are likely when taking care of an HIV patient. True of False?

True (and wash hands after client care)

An HIV-positive client discovers that the client's name is published in a research report on HIV care prepared by the client's nurse. The client is hurt and files a lawsuit against the nurse. Which offense has the nurse committed?

invasion of privacy

A nurse is caring for a client who is receiving an IV therapy through and IV pump. Which intervention should a nurse implement to ensure electrical safety?

Obtain a three prong grounded plug adapter.

Which best exemplifies malpractice?

The nurse administers amoxicillin to a client with known allergies to penicillin. The client has a seizure with resulting respiratory arrest.

Professional regulations and laws that govern nursing practice are in place for which reason?

To protect the safety of the public