TEST BANK FOR IGNATAVICIUS MEDICAL
SURGICAL NURSING CONCEPTS FOR
INTERPROFESSIONAL COLLABORATIVE CARE 10TH
EDITION BY DONNA D. IGNATAVICIUS FULL
TESTBANK ALL CHAPTERS 1-69|| LATEST AND
COMPLETE UPDATE GRADED A+
, 1|P a ge
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TEST BANK FOR IGNATAVICIUS MEDICAL SURGICAyc yc yc yc yc
L NURSING CONCEPTS FOR INTERPROFESSIONAL C
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OLLABORATIVE CARE 10TH EDITION BY DONNA D. IG yc yc yc yc yc yc yc
NATAVICIUS FULL TESTBANK ALL CHAPTERS 1- yc yc yc yc yc
69|| LATEST AND COMPLETE UPDATE GRADED A+
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Chapter 01: Overview of Professional Nursing Concepts for Medical-
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Surgical Nursing yc
MULTIPLE CHOICE yc
1. A new nurse is working with a preceptor on a medical-
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surgical unit. The preceptor advises the new nurse that which is the priority when worki
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ng as a professional nurse?
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a. Attending to holistic client needs yc yc yc yc
b. Ensuring client safety yc yc
c. Not making medication errors
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d. Providing client-focused care yc yc
- ANSWER- B
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All actions are appropriate for the professional nurse. However, ensuring client safety is the pr
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iority. Health care errors have been widely reported for 25 years, many of which result in client
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injury, death, and increased health care costs. There are several national and international orga
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nizations that have either recommended or mandated safety initiatives.
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Every nurse has the responsibility to guard the client9s safety. The other actions are importa
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nt for quality nursing, but they are not as vital as providing safety. Not making medication e
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rrors does provide safety, but is too narrow in scope to be the best answer.
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DIF:
UnderstandingTOP: Integrated Process: Nursing Process: Intervention KEY: Client
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yc safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
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Control
2. A nurse is orienting a new client and family to the medical-
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surgical unit. What information does the nurse provide to best help the client promote
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his or her own safety?
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a. Encourage the client and family to be active partners. yc yc yc yc yc yc yc yc
, 2|P a ge
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b. Have the client monitor hand hygiene in caregivers.
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c. Offer the family the opportunity to stay with the client.
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d. Tell the client to always wear his or her armband.
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- ANSWER- A
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Each action could be important for the client or family to perform. However, encouraging the c
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lient to be active in his or her health care as a safety partner is the most critical. The other acti
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ons are very limited in scope and do not provide the broad protection that being active and invo
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lved does. yc
DIF: UnderstandingTOP: Integrated Process: Teaching/Learning KEY: Client safety
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MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
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Control
3. A nurse is caring for a postoperative client on the surgical unit. The client9s blood p
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ressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the
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nurse take first?
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a. Call the Rapid Response Team.
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b. Document and continue to monitor. yc yc yc yc
c. Notify the primary health care provider.
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d. Repeat the blood pressure in 15 minutes.
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- ANSWER- A
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The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
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cbefore they suffer either respiratory or cardiac arrest. Since the client has manifested a significa
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nt change, the nurse would call the RRT. Changes in blood pressure, mental status, heart rate,
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temperature, oxygen saturation, and last 2 hours9 urine output are particularly significant and ar
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e part of the Modified Early Warning System guide. Documentation is vital, but the nurse mus
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t do more than document. The primary health care provider would be notified, but this is not
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more important than calling the RRT. The client9s blood pressure would be reassessed freque
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ntly, but the priority is getting the rapid care to the client.
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DIF: Applying
TOP: Integrated Process: Communication and Documentation KEY: Rapid Respon
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se Team (RRT), Clinical judgment
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MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
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, 3
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4. A nurse wishes to provide client-
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centered care in all interactions. Which action by the nurse
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best demonstrates this concept?
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a. Assesses for cultural influences affecting health care.
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b. Ensures that all the client9s basic needs are met.
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c. Tells the client and family about all upcoming tests.
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d. Thoroughly orients the client and family to the room. yc yc yc yc yc yc yc yc
- ANSWER- A
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Showing respect for the client and family9s preferences and needs is essential to ensure a holisti
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c or <whole-
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person= approach to care. By assessing the effect of the client9s culture on health care, this nu
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rse is practicing client-
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focused care. Providing for basic needs does not demonstrate this competence. Simply telling t
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he client about all upcoming tests is not providing empowering education. Orienting the client
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and family to the room is an important safety measure, but not directly related to demonstratin
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g client-centered care.
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DIF: UnderstandingTOP: Integrated Process: Culture and Spirituality KEY: Client- yc yc yc yc yc yc yc yc
centered care, Culture MSC: Client Needs Category: Psychosocial Integrity
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5. A client is going to be admitted for a scheduled surgical procedure. Which action doe
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s the nurse explain is the most important thing the client can do to protect against errors?
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a. Bring a list of all medications and what they are for.
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b. Keep the provider9s phone number by the telephone.
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c. Make sure that all providers wash hands before entering the room.
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d. Write down the name of each caregiver who comes in the room.
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- ANSWER- A
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Medication reconciliation is a formal process in which the client9s actual current medications ar
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e compared to the prescribed medications at the time of admission, transfer, or discharge. This
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National client Safety Goal is important to reduce medication errors. The client would not ha
yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc
ve to be responsible for providers washing their hands, and even if the client does so, this is t
yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc
oo narrow to be the most important action to prevent errors. Keeping the provider9s phone nu
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mber nearby and documenting everyone who enters the room also do not guarantee safety.
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DIF: Applying
TOP: Integrated Process: Teaching/Learning KEY: Client safety, Informatics
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MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
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Control
SURGICAL NURSING CONCEPTS FOR
INTERPROFESSIONAL COLLABORATIVE CARE 10TH
EDITION BY DONNA D. IGNATAVICIUS FULL
TESTBANK ALL CHAPTERS 1-69|| LATEST AND
COMPLETE UPDATE GRADED A+
, 1|P a ge
yc yc yc yc yc yc
TEST BANK FOR IGNATAVICIUS MEDICAL SURGICAyc yc yc yc yc
L NURSING CONCEPTS FOR INTERPROFESSIONAL C
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OLLABORATIVE CARE 10TH EDITION BY DONNA D. IG yc yc yc yc yc yc yc
NATAVICIUS FULL TESTBANK ALL CHAPTERS 1- yc yc yc yc yc
69|| LATEST AND COMPLETE UPDATE GRADED A+
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Chapter 01: Overview of Professional Nursing Concepts for Medical-
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Surgical Nursing yc
MULTIPLE CHOICE yc
1. A new nurse is working with a preceptor on a medical-
yc yc yc yc yc yc yc yc yc yc
surgical unit. The preceptor advises the new nurse that which is the priority when worki
yc yc yc yc yc yc yc yc yc yc yc yc yc yc
ng as a professional nurse?
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a. Attending to holistic client needs yc yc yc yc
b. Ensuring client safety yc yc
c. Not making medication errors
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d. Providing client-focused care yc yc
- ANSWER- B
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All actions are appropriate for the professional nurse. However, ensuring client safety is the pr
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iority. Health care errors have been widely reported for 25 years, many of which result in client
yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc
injury, death, and increased health care costs. There are several national and international orga
yc yc yc yc yc yc yc yc yc yc yc yc yc
nizations that have either recommended or mandated safety initiatives.
yc yc yc yc yc yc yc yc
Every nurse has the responsibility to guard the client9s safety. The other actions are importa
yc yc yc yc yc yc yc yc yc yc yc yc yc yc
nt for quality nursing, but they are not as vital as providing safety. Not making medication e
yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc
rrors does provide safety, but is too narrow in scope to be the best answer.
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DIF:
UnderstandingTOP: Integrated Process: Nursing Process: Intervention KEY: Client
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yc safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
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Control
2. A nurse is orienting a new client and family to the medical-
yc yc yc yc yc yc yc yc yc yc yc
surgical unit. What information does the nurse provide to best help the client promote
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his or her own safety?
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a. Encourage the client and family to be active partners. yc yc yc yc yc yc yc yc
, 2|P a ge
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b. Have the client monitor hand hygiene in caregivers.
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c. Offer the family the opportunity to stay with the client.
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d. Tell the client to always wear his or her armband.
yc yc yc yc yc yc yc yc yc
- ANSWER- A
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Each action could be important for the client or family to perform. However, encouraging the c
yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc
lient to be active in his or her health care as a safety partner is the most critical. The other acti
yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc
ons are very limited in scope and do not provide the broad protection that being active and invo
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lved does. yc
DIF: UnderstandingTOP: Integrated Process: Teaching/Learning KEY: Client safety
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MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
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Control
3. A nurse is caring for a postoperative client on the surgical unit. The client9s blood p
yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc
ressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the
yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc
nurse take first?
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a. Call the Rapid Response Team.
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b. Document and continue to monitor. yc yc yc yc
c. Notify the primary health care provider.
yc yc yc yc yc
d. Repeat the blood pressure in 15 minutes.
yc yc yc yc yc yc
- ANSWER- A
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The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
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cbefore they suffer either respiratory or cardiac arrest. Since the client has manifested a significa
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nt change, the nurse would call the RRT. Changes in blood pressure, mental status, heart rate,
yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc
temperature, oxygen saturation, and last 2 hours9 urine output are particularly significant and ar
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e part of the Modified Early Warning System guide. Documentation is vital, but the nurse mus
yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc
t do more than document. The primary health care provider would be notified, but this is not
yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc
more important than calling the RRT. The client9s blood pressure would be reassessed freque
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ntly, but the priority is getting the rapid care to the client.
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DIF: Applying
TOP: Integrated Process: Communication and Documentation KEY: Rapid Respon
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se Team (RRT), Clinical judgment
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MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
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, 3
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4. A nurse wishes to provide client-
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centered care in all interactions. Which action by the nurse
yc yc yc yc yc yc yc yc yc
best demonstrates this concept?
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a. Assesses for cultural influences affecting health care.
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b. Ensures that all the client9s basic needs are met.
yc yc yc yc yc yc yc yc
c. Tells the client and family about all upcoming tests.
yc yc yc yc yc yc yc yc
d. Thoroughly orients the client and family to the room. yc yc yc yc yc yc yc yc
- ANSWER- A
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Showing respect for the client and family9s preferences and needs is essential to ensure a holisti
yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc
c or <whole-
yc yc
person= approach to care. By assessing the effect of the client9s culture on health care, this nu
yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc
rse is practicing client-
yc yc yc
focused care. Providing for basic needs does not demonstrate this competence. Simply telling t
yc yc yc yc yc yc yc yc yc yc yc yc yc
he client about all upcoming tests is not providing empowering education. Orienting the client
yc yc yc yc yc yc yc yc yc yc yc yc yc yc
and family to the room is an important safety measure, but not directly related to demonstratin
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g client-centered care.
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DIF: UnderstandingTOP: Integrated Process: Culture and Spirituality KEY: Client- yc yc yc yc yc yc yc yc
centered care, Culture MSC: Client Needs Category: Psychosocial Integrity
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5. A client is going to be admitted for a scheduled surgical procedure. Which action doe
yc yc yc yc yc yc yc yc yc yc yc yc yc yc
s the nurse explain is the most important thing the client can do to protect against errors?
yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc
a. Bring a list of all medications and what they are for.
yc yc yc yc yc yc yc yc yc yc
b. Keep the provider9s phone number by the telephone.
yc yc yc yc yc yc yc
c. Make sure that all providers wash hands before entering the room.
yc yc yc yc yc yc yc yc yc yc
d. Write down the name of each caregiver who comes in the room.
yc yc yc yc yc yc yc yc yc yc yc
- ANSWER- A
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Medication reconciliation is a formal process in which the client9s actual current medications ar
yc yc yc yc yc yc yc yc yc yc yc yc yc
e compared to the prescribed medications at the time of admission, transfer, or discharge. This
yc yc yc yc yc yc yc yc yc yc yc yc yc yc
National client Safety Goal is important to reduce medication errors. The client would not ha
yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc
ve to be responsible for providers washing their hands, and even if the client does so, this is t
yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc
oo narrow to be the most important action to prevent errors. Keeping the provider9s phone nu
yc yc yc yc yc yc yc yc yc yc yc yc yc yc yc
mber nearby and documenting everyone who enters the room also do not guarantee safety.
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DIF: Applying
TOP: Integrated Process: Teaching/Learning KEY: Client safety, Informatics
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MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
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Control
