Acute - EXAM 1 with 100% Verified Questions and Answers Graded A+

Acute - EXAM 1 with 100% Verified Questions and Answers Graded A+ A client with end-stage lung cancer and metastasis to the brain has been admitted to the medicalsurgical unit. After trying all options to provide a safe environment, the nursing staff is required to apply restraints. Which nursing intervention is required for this client? A.Checking the restraints every 1 to 2 hours B.Releasing the restraints at least every 2 hours C.Using chemical sedation instead of restraints D.Using the most restrictive devices to prevent falls - CORRECT ANSWER B.Releasing the restraints at least every 2 hours Definition of Safety - CORRECT ANSWER Safety is the ability to keep the patient and staff free from harm and minimize errors in care Definition of The Scope of Safety - CORRECT ANSWER The scope of safety can be described as: 1- unsafe: possible causing harm or even death 2- safe: to prevent harm or negative outcomes Definition of The Attributes of Safety - CORRECT ANSWER Best safety practices reduce error and harm through established protocols, memory checklists, and systems such as bar-code medication administration QSEN Competencies - CORRECT ANSWER Patient-Centered Care: the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for the patient's preferences, values, and needs -cultural competence -family-centered care Teamwork and Collaboration: functioning effectively within nursing and inter-professional team, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care Evidence-Based Practice: the integration of the best current evidence and practices to make decisions about patient care Quality Improvement: a process in which nurses and the inter-professional health care team use indicators (data) to monitor care outcomes and develop solutions to change and improve care. Safety: the ability to keep the patient and staff free from harm and minimize errors in care -critical rescue -action alert -drug alert Informatics & Technology: the access and use of information and electronic technology to communicate, manage knowledge, prevent error, and support decision-making SBAR report - CORRECT ANSWER Introduce Yourself. Situation: tell the "meat of the situation. Why are you calling? Background: what lead to or relates to the situation Assessment: assessment findings Recommendation: state what is needed/desired outcome Delegation - CORRECT ANSWER Process of transferring a selected nursing task or activity to a competent UAP The nurse is always accountable for the task/activity delegated Supervision - CORRECT ANSWER Guidance or direction, evaluation, and follow-up by the nurse to ensure a task/activity is performed appropriately