2 hours ago The nurse found a 68-year-old female patient wandering in the hall. The patient says she is looking for the bathroom. Which interventions are appropriate to ensure the safety of the … >> Go To The Portal
The patient reports associated weakness and neglect on left side of the body. On further assessment, the nurse learns that the patient has a visual disturbance and uncoordinated gait. How does the nurse ensure the patient's safety? Eliminate the risk of falls. Consult with a physical therapist. Recommend an assessment of the eyes.
What actions can the nurse take to provide a restraint-free environment? Allow a sitter to monitor the patient Observe the patient more frequently Encourage family to be present when they are able Place the patient in a room near the nurses' station A patient in a medical ward develops an acute episode of seizures.
Which nursing interventions should the nurse include in the care plan of a wandering patient on a safety reminder device (SRD)? Assessing circulation Monitoring skin integrity Documenting patient response Performing range-of-motion exercises An LPN is caring for a patient who has a safety reminder device (SRD).
The nurse-to-patient ratio is only one aspect of the relationship between the nursing workload and patient safety. Overall nursing workload is likely linked to patient outcomes as well.
A nurse is assigned to care for five patients. The nurse is concerned about the ability to care for this many patients. The nurse needs to
During clinical experience, the student nurse is assigned a patient scheduled to undergo numerous treatments. The student decides it is not possible to complete all the needed treatments in the time scheduled for this clinical day. The student nurse consults with the clinical instructor to
The charge nurse is assigning patient care activities to the nursing care team. In supervising the team, what is the most effective activity to determine that the nursing care has been completed satisfactorily?
A patient with pneumonia and O2 saturation of 88%
The nurse's first action after discovering an electrical fire in a patient's room is to:#N#A. Activate the fire alarm.#N#B. Confine the fire by closing all doors and windows.#N#C. Remove all patients in immediate danger.#N#D. Extinguish the fire by using the nearest fire extinguisher.
A nurse is caring for a client who was just admitted to the unit after falling at a nursing home. This. client is oriented to person, place, and time and can follow directions. Which of the following actions by.
A nurse educator is presenting a module on basic first aid for newly licensed home health nurses. The. nurse educator evaluates the teaching as effective when the newly licensed nurse states the client who has.
D. Clear the area around the child to protect the child from injury.
A charge nurse is assigning rooms for clients to be admitted to the unit. To prevent falls, which of the following clients should the nurse assign the room closest to the nurses' station?
A nurse is caring for a client who fell at a nursing home. The client is oriented to person, place and time and can follow directions. Which f the following actions should the nurse take to decrease the risk of another fall? (Select all that apply)
Position the patient's head straight and tilted backwards.
Conducting a head to toe evaluation. 4. Notifying the primary health care provider. 1. Positioning the patient safely. A patient is diagnosed with impaired physical mobility related to left-sided weakness. The registered nurse is teaching the patient's family member about the interventions that would be effective for the patient.
The nurse places compression stockings on the client's legs before the procedure . The nurse asks the client's spouse to witness the surgical consent. The nurse prints current lab results and places a copy on the chart. The nurse tells the client that early ambulation after surgery is best.
The nurse places sequential compression devices (SCDs) on George's legs because he will remain in a supine position for a surgical procedure that is scheduled to last 12 hours.Drag and drop the risk the nurse is attempting to avoid with this intervention. venous pooling of blood. diminished lung capacity. shearing.
The nurse is reviewing Juan's allergies and documents that he is allergic to penicillin. The nurse then reviews the preoperative medication list to ensure that Juan has not been prescribed a penicillin product. Drag and drop the medication the nurse should question. cefazolin sodium.
D. Anesthesia should be prepared to intubate and treat her if a reaction occurs because there is no way to ensure a latex-free environment.
C. Inform the patient that her surgery will not be performed today because the risk is too high for a negative outcome.
A scrub nurse passes instruments, sponges, and other items needed during the surgical procedure. A scrub nurse is responsible for maintaining and supporting the patient's physiological status. A scrub nurse prepares the operating room by setting up surgical instruments, sterile drapes, and sterile solutions.
Assessing the patient's breathing for rate, depth, rhythm, and adventitious breath sounds. Assessing peripheral pulses, color, skin turgor, capillary refill, temperature, and edema. Assessing the patient's cognition and ability to understand commands. Assessing the movement, strength, and sensation of the extremities.
Orient patient to the room and environment to provide familiarity
The student nurse is walking on the patient's left side. A group of patients have symptoms such as severe diarrhea and abdominal cramping. All patients have similar signs, such as drooping eyelids and difficulty in speaking or swallowing. The nurse finds that all the patients ate food from one restaurant.
A home health nurse is caring for a patient who lives alone. The patient takes numerous medications. What potential medication risk would the nurse note on the patient's chart?
Encourage the patient's family to provide adequate stimuli. Encourage the patient's family to provide meaningful stimuli. Implement measures to prevent sensory overload of the patient. A patient who has been involved in a fire accident wishes to use a fire extinguisher for future protection.
Maintaining a patent airway. A natural disaster occurs in a nursing home that has numerous patients with advanced stage dementia. Several of the residents have no arm bands and are unable to identify themselves.
he patient should have a call bell within easy reach.
One, some, or all responses may be correct.. (A.) Nursing diagnoses involve the client when possible . (B.) Nursing diagnosis are based on results of diagnostic tests and procedures . (C.) Nursing diagnoses are the identification of a disease condition in the client .
The nurse asks an unlicensed assistive personnel (UAP) to provide an ice pack to a client. Which nursing function does this represent?
Adequate nurse staffing depends on several factors such as lack of training, administrative demands, distractions, and interruptions that can impact nurse’s work.5
Studies show that medication errors are three times more likely to be committed by a nurse working shifts longer than 12.5 hours each on more than two consecutive days.7 Fatigue results in inattention, a decline in vigilance, poor judgment, and lack of concentration.
These included patient-centered outcomes considered to be markers of nursing care quality (such as falls and pressure ulcers) and system-related measures including nursing skill mix, nursing care hours, measures of the quality of the nursing practice environment (which includes staffing ratios), and nursing turnover . These measures are intended to illustrate both the quality of nursing care and the degree to which an institution’s working environment supports nurses in their patient safety efforts. Nurse-sensitive indicators are a metric for the degree to which acute care hospitals provide quality, patient safety, and promote a safe and professional work environment. Nurse-sensitive measures continue to set the standard for quality and safety in care in the acute scare setting. As of 2021, there are 39-nurse sensitive measures.
The nurse-to-patient ratio is only one aspect of the relationship between the nursing workload and patient safety. Overall nursing workload is likely linked to patient outcomes as well. A PSNet Classic 2011 study showed that increased patient turnover was also associated with increased mortality risk, even when overall nurse staffing was considered adequate. Determining adequate nurse staffing is a very complex process that changes on a shift-by-shift basis. It requires close coordination between management and nursing and is based on patient acuity and turnover, availability of support staff and skill mix, and settings of care. The process of establishing nurse staffing on a unit-by-unit and shift-by-shift basis is discussed in detail in this WebM&M commentary.
Several seminal studies linked in this sentence have demonstrated the association between nurse staffing ratios and patient safety, documenting an increased risk of patient safety events, morbidity , and even mortality as the number of patients per nurse increases. The strength of these data has led several states, beginning with California in 2004, to establish legislatively mandated minimum staffing ratios. According to the American Nurses Association, only 14 states have passed nurse staffing legislation as of March 2021 and most states do not specify registered-nurse (RN)-to-patient ratios, which vary by state and are also setting-dependent.
Nurses who commit errors are also at risk of becoming second victims of the error, a well -documented phenomenon that is associated with an increased risk of self-reported error and leaving the nursing profession. In their daily work, nurses are frequently exposed to disruptive or unprofessional behavior by physicians and other health care personnel, and such exposure has been demonstrated to be a key factor in nursing burnout and in nurses leaving their jobs or leaving the profession entirely.
Missed nursing care is a phenomenon of omission that occurs when the right action is delayed, is partially completed, or cannot be performed at all. In one British study, missed nursing care episodes were strongly associated with a higher number of patients per nurse. Missed nursing care errors have been identified as common and universal and secondary to systemic factors that bring undesirable consequences for both patients and nursing professionals. Omission of care has been linked to both job dissatisfaction and absenteeism for nurses, as well as to medication errors, infections, falls, pressure injuries, readmissions, and failure to rescue.10 In addition, If bullying is present within the workplace, more nurses are likely to self-report missed nursing care.11
The most critical contribution of nursing to patient safety, in any setting, is the ability to coordinate and integrate the multiple aspects of quality within the care directly provided by nursing, and across the care delivered by others in the setting. This integrative function is probably a component of the oft-repeated finding that richer staffing (greater percentage of registered nurses to other nursing staff) is associated with fewer complications and lower mortality.17While the mechanism of this association is not evident in these correlational studies, many speculate it is related to the roles of professional nurses in integrating care (which includes interception of errors by others—near misses), as well as the monitoring and surveillance that identifies hazards and patient deterioration before they become errors and adverse events.18Relatively few studies have had the wealth of process data evident in the RAND study of Medicare mortality before and after implementation of diagnosis-related groups. The RAND study demonstrated lower severity-adjusted mortality related to better nurse and physician cognitive diagnostic and treatment decisions, more effective diagnostic and therapeutic processes, and better nursing surveillance.19, 20
Practices considered to have sufficient evidence to include in the category of patient safety practices are as follows:12. Appropriate use of prophylaxis to prevent venous thromboembolism in patients at risk. Use of perioperative beta-blockers in appropriate patients to prevent perioperative morbidity and mortality.
A definition for patient safety has emerged from the health care quality movement that is equally abstract, with various approaches to the more concrete essential components. Patient safety was defined by the IOM as “the prevention of harm to patients.”1Emphasis is placed on the system of care delivery that (1) prevents errors; (2) learns from the errors that do occur; and (3) is built on a culture of safety that involves health care professionals, organizations, and patients.1, 10The glossary at the AHRQ Patient Safety Network Web site expands upon the definition of prevention of harm: “freedom from accidental or preventable injuries produced by medical care.”11
The most recent IOM work to identify the components of quality care for the 21st century is centered on the conceptual components of quality rather than the measured indicators: quality care is safe, effective, patient centered, timely, efficient, and equitable. Thus safety is the foundation upon which all other aspects of quality care are built.9
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Patient safety practices have been defined as “those that reduce the risk of adverse events related to exposure to medical care across a range of diagnoses or conditions.”12This definition is concrete but quite incomplete, because so many practices have not been well studied with respect to their effectiveness in preventing or ameliorating harm. Practices considered to have sufficient evidence to include in the category of patient safety practices are as follows:12
Initially, the IOM defined quality as the “the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.” 4This led to a definition of quality that appeared to be listings of quality indicators, which are expressions of the standards. Theses standards are not necessarily in terms of the possibilities or conceptual clusters for these indicators. Further, most clusters of quality indicators were and often continue to be comprised of the 5Ds—death, disease, disability, discomfort, and dissatisfaction5—rather than more positive components of quality.