TEST BANK FOR NURSING INTERVENTIONS & CLINICAL SKILLS, 7TH EDITION BY PERRY, POTTER. Test Bank with

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TEST BANK FOR NURSING INTERVENTIONS AND CLINICAL SKILLS 7TH EDITION BY POTTER

Chapter 04: Patient Safety and Quality Improvement Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition MULTIPLE CHOICE 1. The nurse is caring for an older patient who has a non–weight-bearing cast on the left lower

extremity. The patient ambulates without using a walker despite repeated instruction from the nurse to call for assistance. Which response by the nurse is most likely to keep the patient from falling? a. Apply a vest restraint and offer frequent toileting. b. Plan fall prevention with patient, family, and health care provider. c. Inform family that the patient needs physical restraints. d. Document that the patient has a high potential for falling. ANS: B

Planning an individualized fall prevention program with the help of the patient, family, and health care provider is more likely to reduce the patient’s risk of falls because the patient gains some control over the plan of care and still benefits from the input of the provider, family, and nurse. A combination of interventions is more useful in preventing falls. Including the patient in planning also gives him or her ownership of the plan, making it less likely the patient will disregard this plan. Restraints are associated with serious injuries and are not recommended for use unless nothing else has worked. Alternative methods of engaging the patient in a care plan that minimizes risks should be exhausted before resorting to restraints. Documenting the patient’s risk is important because it communicates the information and records the nurse’s acknowledgment of the risk, but it is not as effective as engaging the patient in planning care as a prevention technique because N it is indirect. DIF: Cognitive Level: Applying TOP: Nursing Process: Planning

OBJ: NCLEX: Safe and Effective Care Environment

2. The nurse plans a fall prevention program for a confused patient. Which task from the

program is suitable for the nurse to delegate to nursing assistive personnel (NAP)? a. Evaluating patient understanding of fall prevention plan b. Keeping the patient’s bed in the low position at all times c. Assessing the patient’s circulatory and respiratory status d. Instructing the patient’s family about alternatives to restraints ANS: B

The nurse may delegate keeping the bed lowered to the NAP because the NAP is trained to perform the task with proper nursing supervision. Skills used to prevent falls can often be delegated. The nurse does not delegate the remaining options because they involve aspects of the nursing process that require the advanced training of a nurse to perform. DIF: Cognitive Level: Applying TOP: Nursing Process: Planning

OBJ: NCLEX: Safe and Effective Care Environment

3. The nurse plans care for a patient who requires physical restraint. Which is a suitable goal for

this patient? a. The patient remains free of any injury. b. The nurse checks the restraint every hour.

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Chapter 32: Home Care Safety

20min
pages 308-318

31: End-of-Life Care

15min
pages 299-307

Chapter 30: Emergency Measures for Life Support

18min
pages 288-298

Chapter 29: Pre-Operative and Post-Operative Care Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition

22min
pages 275-287

Chapter 28: Intravenous Therapy

20min
pages 263-274

Chapter 27: Dressings, Bandages, and Binders Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition

16min
pages 253-262

Chapter 26: Pressure Injury Prevention and Care

18min
pages 241-252

Chapter 25: Wound Care and Irrigation Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition

18min
pages 228-240

Chapter 24: Parenteral Medications Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition

23min
pages 215-227

Nonparenteral Medications

20min
pages 203-214

Chapter 22: Preparation for Safe Medication Administration Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition

13min
pages 194-202

Chapter 21: Ostomy Care

10min
pages 188-193

Chapter 20: Bowel Elimination

15min
pages 179-187

Chapter 19: Urinary Elimination

17min
pages 169-178

Chapter 18: Exercise, Mobility, & Immobilization Devices Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition

12min
pages 162-168

Chapter 17: Safe Patient Handling

18min
pages 152-161

Chapter 16: Promoting Oxygenation Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition

17min
pages 141-151

Chapter 15: Pain Management

18min
pages 130-140

Chapter 14: Parenteral Nutrition Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition

5min
pages 126-129

Chapter 13: Promoting Nutrition

26min
pages 111-125

Chapter 12: Care of the Eye and Ear Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition

13min
pages 103-110

Chapter 11: Bathing and Personal Hygiene Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition

15min
pages 94-102

Chapter 10: Diagnostic Procedures

17min
pages 84-93

Chapter 09: Specimen Collection

16min
pages 74-83

Chapter 08: Health Assessment

21min
pages 60-73

07: Vital Signs

16min
pages 50-59

Chapter 06: Disaster Preparedness Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition

8min
pages 44-49

05: Infection Control

17min
pages 34-43

Chapter 04: Patient Safety and Quality Improvement

20min
pages 22-33

Chapter 03: Documentation and Informatics

9min
pages 16-21

Chapter 02: Communication and Collaboration

16min
pages 6-15

Chapter 01: Using Evidence in Nursing Practice

6min
pages 2-5
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