Maternity and Women's Health Care 13th Edition Lowdermilk
vv vv vv vv vv vv vv
Test
vv
Maternity and vv vv
Women's Health vv
Care13thEdit v v
ion vv
Lowdermilk Test vv
Bank
, Maternity and Women's Health Care 13th Edition Lowdermilkvv vv vv vv vv vv vv
Test
vv
Chapter 01: 21st Century Maternity and Women’s Health Nursing
vv vv vv vv vv vv vv vv
Lowdermilk: Maternity & Women’s Health Care, 12th Edition
vv vv vv vv vv vv vv vv
MULTIPLE CHOICE vv
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-weight
vv vv vv vv vv vv vv vv vv vv vv vv
(LBW) infant, which factor is the most important for the nurse to consider?
vv vv vv vv vv vv vv vv vv vv vv vv vv
a. African-American race vv
b. Cigarette smoking vv
c. Poor nutritional status vv vv
d. Limited maternal education vv vv
ANS: A v v
The rise in the overall LBW rates were due to increases in LBW births to non-
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
Hispanic black women (13.35%) and Hispanic women (7.21%); non-Hispanic black
vv vv vv vv vv vv vv vv vv
infants are almost twice as likely as non-Hispanic white infants to be of LBW and to
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
die in the first year of life.. Race is a nonmodifiable risk factor. Cigarette smoking is
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
an important factor in potential infant mortality rates, but it is not the most important.
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
Additionally, smoking is a modifiable risk factor. Poor nutrition is an important factor
vv vv vv vv vv vv vv vv vv vv vv vv vv
in potential infant mortality rates, but it is not the most important. Additionally,
vv vv vv vv vv vv vv vv vv vv vv vv vv
nutritional status is a modifiable risk factor. Maternal education is an important factor
vv vv vv vv vv vv vv vv vv vv vv vv vv
in potential infant mortality rates, but it is not the most important. Additionally,
vv vv vv vv vv vv vv vv vv vv vv vv vv
maternal education is a modifiable risk factor.
vv vv vv vv vv vv vv
PTS: 1 DIF: Cognitive Level: Understand vv vv
TOP: Nursing Process: Assessment
vv vv vv
MSC: Client Needs: HealtN PrRoS
hU
v v mI ioG
otN nTanBd.M
CaOinMtenance,
v v v v v v v v Antepartum v v Care
2. A 23-year-old African-American woman is pregnant with her first child. Based on
vv vv vv vv vv vv vv vv vv vv vv
current statistics for infant mortality, which intervention is most important for the
vv vv vv vv vv vv vv vv vv vv vv vv
nurse to include in the client’s plan of care?
vv vv vv vv vv vv vv vv vv
a. Perform a nutrition assessment. vv vv vv
b. Refer the woman to a social worker. vv vv vv vv vv vv
c. Advise the woman to see an obstetrician, not a midwife.
vv vv vv vv vv vv vv vv vv
d. Explain to the woman the importance of keeping her prenatal care appointments.
vv vv vv vv vv vv vv vv vv vv vv
ANS: D v v
Consistent prenatal care is the best method of preventing or controlling risk factors
vv vv vv vv vv vv vv vv vv vv vv vv
associated with infant mortality. Nutritional status is an important modifiable risk factor,
vv vv vv vv vv vv vv vv vv vv vv vv
but it is not the most important action a nurse should take in this situation. The
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
client may need assistance from a social worker at some time during her pregnancy,
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
but a referral to a social worker is not the most important aspect the nurse should
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
address at this time. If the woman has identifiable high-risk problems, then her health
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
care may need to be provided by a physician. However, it cannot be assumed that all
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
African-American women have high-risk issues. In addition, advising the woman to
vv vv vv vv vv vv vv vv vv vv vv
see an obstetrician is not the most important aspect on which the nurse should focus
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
at this time, and it is not appropriate for a nurse to advise or manage the type of
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
care a client is to receive.
vv vv vv vv vv vv
PTS: 1 DIF: Cognitive Level: Understand vv vv
TOP: Nursing Process: Planning
vv vv vv
, Maternity and Women's Health Care 13th Edition Lowdermilk
vv vv vv vv vv vv vv
Test
vv
MSC: Client Needs: Health Promotion and Maintenance
vv vv vv vv vv vv
3. The nurses working at a newly established birthing center have begun to compare
vv vv vv vv vv vv vv vv vv vv vv vv
their performance in providing maternal-newborn care against clinical standards.
vv vv vv vv vv vv vv vv vv
This comparison process is most commonly known as what?
vv vv vv vv vv vv vv vv vv
a. Best practices network vv vv
b. Clinical benchmarking vv
c. Outcomes-oriented pracNtiUceR S vv
d. Evidence-based practice vv
ANS: C v v
Outcomes-oriented practice measures the effectiveness of the interventions and quality vv vv vv vv vv vv vv vv vv
of care against benchmarks or standards. The term best practice refers to a program or
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
service that has been recognized for its excellence. Clinical benchmarking is a process
vv vv vv vv vv vv vv vv vv vv vv vv vv
used to compare one’s own performance against the performance of the best in an
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
area of service. The term evidence-based practice refers to the provision of care
vv vv vv vv vv vv vv vv vv vv vv vv vv
based on evidence gained through research and clinical trials.
vv vv vv vv vv vv vv vv vv
PTS: 1 DIF: Cognitive Level: vv
Understand TOP:
vv Nursing Process: Evaluation vv vv vv
MSC: Client Needs: Safe and Effective Care Environment
vv vv vv vv vv vv vv
4. During a prenatal intake interview, the nurse is in the process of obtaining an
vv vv vv vv vv vv vv vv vv vv vv vv vv
initial assessment of a 21-year-old Hispanic client with limited English
vv vv vv vv vv vv vv vv vv vv
proficiency. Which intervention is the most important for the nurse to
vv vv vv vv vv vv vv vv vv vv vv
implement?
vv
a. Use maternity jargon to enable the client to become familiar with these terms.
vv vv vv vv vv vv vv vv vv vv vv vv
b. Speak quickly and efficiently to expedite the visit.
vv vv vv vv vv vv vv
c. Provide the client with handouts. vv vv vv vv
d. Assess whether the client understands the discussion.
vv vv vv vv vv vv
ANS: D v v
Nurses contribute to health literacy by using simple, common words, avoiding jargon,
vv vv vv vv vv vv vv vv vv vv vv
and evaluating whether the client understands the discussion. Speaking slowly and
vv vv vv vv vv vv vv vv vv vv vv
clearly and focusing on what is important will increase understanding. Most client
vv vv vv vv vv vv vv vv vv vv vv vv
education materials are written at a level too high for the average adult and may
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
not be useful for a client with limited English proficiency.
vv vv vv vv vv vv vv vv vv vv
PTS: 1 DIF: Cognitive Level: Apply vv vv
TOP: Nursing Process: Implementation
vv vv vv
MSC: Client Needs: Health Promotion and Maintenance
vv vv vv vv vv vv
5. Which statement best exemplifies contemporary maternity nursing?
vv vv vv vv vv vv
a. Use of midwives for all vaginal deliveries
vv vv vv vv vv vv
b. Family-centered care vv
c. Free-standing birth clinics vv vv
d. Physician-driven care vv
vv ANS: B v v
, Maternity and Women's Health Care 13th Edition Lowdermilk
vv vv vv vv vv vv vv
Test
vv
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers,
vv vv vv vv vv vv vv vv vv vv
partners, grandparents, and siblings may be present for the birth and participate in
vv vv vv vv vv vv vv vv vv vv vv vv vv
activities such as cutting the baby’s umbilical cord. Both midwives and physicians
vv vv vv vv vv vv vv vv vv vv vv vv
perform vaginal deliveries. Free-standing clinics are an example of alternative birth
vv vv vv vv vv vv vv vv vv vv vv
options. Contemporary maternity nursing is driven by the relationship between nurses
vv vv vv vv vv vv vv vv vv vv vv
and their clients.
vv vv vv
PTS: 1 DIF: Cognitive Level: Understand vv vv
TOP: Nursing Process: Planning
vv vv vv
MSC: Client Needs: Health Promotion and Maintenance
vv vv vv vv vv vv
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby girl after
vv vv vv vv vv vv vv vv vv vv vv
being in labor for 43 hours. The baby died 3 days later from sepsis. On what
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
grounds could the woman have a legitimate legal case for negligence?
vv vv vv vv vv vv vv vv vv vv vv
a. Inexperienced maternity nurse was assigned to care for the client. vv vv vv vv vv vv vv vv vv
b. Client was past her due date by 3 days.vv vv vv vv vv vv vv vv
c. Standard of care was not met. vv vv vv vv vv
d. Client refused electronic fetal monitoring.
vv vv vv vv
ANS: C v v
Not meeting the standard of care is a legitimate factor for a case of negligence. An
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
inexperienced maternity nurse would need to display competency before being assigned
vv vv vv vv vv vv vv vv vv vv vv
to care for clients on his or her own. This client may have been past her due date;
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
however, a term pregnancy often goes beyond 40 weeks of gestation. Although fetal
vv vv vv vv vv vv vv vv vv vv vv vv vv
monitoring is the standard of care, the client has the right to refuse treatment. This
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
refusal is not a case for negligence, but informed consent should be properly
vv vv vv vv vv vv vv vv vv vv vv vv vv
obtained, and the client should have signed an against medical advice form when
vv vv vv vv vv vv vv vv vv vv vv vv vv
refusing any treatment that is within the standard of care.
vv vv vv vv vv vv vv vv vv vv
PTS: 1 DIF: Cognitive Level: Analyze vv vv
TOP: Nursing Process: Implementation
vv vv vv
MSC: Client Needs: Safe and Effective Care Environment
vv vv vv vv vv vv vv
7. When the nurse is unsure how to perform a client care procedure that is high risk
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
and low volume, his or her best action in this situation would be what?
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
a. Ask another nurse. vv vv
b. Discuss the procedure with the client’s physician.
vv vv vv vv vv vv
c. Look up the procedure in a nursing textbook.
vv vv vv vv vv vv vv
d. First consult the agency procedure manual
vv vv vv vv vv
ANS: D v v
Following the agency’s policies and procedures manual is always best when seeking
vv vv vv vv vv vv vv vv vv vv vv
information on correct client procedures. These policies should reflect the current
vv vv vv vv vv vv vv vv vv vv vv
standards of care and the individual state’s guidelines. Each nurse is responsible for
vv vv vv vv vv vv vv vv vv vv vv vv vv
his or her own practice. Relying on another nurse may not always be a safe practice.
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
Each nurse is obligated to follow the standards of care for safe client care delivery.
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
Physicians are responsible for their own client care activity. Nurses may follow safe
vv vv vv vv vv vv vv vv vv vv vv vv vv
orders from physicians, but they are also responsible for the activities that they, as
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
nurses, are to carry out. Information provided in a nursing textbook is basic
vv vv vv vv vv vv vv vv vv vv vv vv vv
information for general knowledge. Furthermore, the information in a textbook may
vv vv vv vv vv vv vv vv vv vv vv
not reflect the current standard of care or the individual state or hospital policies.
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
vv vv vv vv vv vv vv
Test
vv
Maternity and vv vv
Women's Health vv
Care13thEdit v v
ion vv
Lowdermilk Test vv
Bank
, Maternity and Women's Health Care 13th Edition Lowdermilkvv vv vv vv vv vv vv
Test
vv
Chapter 01: 21st Century Maternity and Women’s Health Nursing
vv vv vv vv vv vv vv vv
Lowdermilk: Maternity & Women’s Health Care, 12th Edition
vv vv vv vv vv vv vv vv
MULTIPLE CHOICE vv
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-weight
vv vv vv vv vv vv vv vv vv vv vv vv
(LBW) infant, which factor is the most important for the nurse to consider?
vv vv vv vv vv vv vv vv vv vv vv vv vv
a. African-American race vv
b. Cigarette smoking vv
c. Poor nutritional status vv vv
d. Limited maternal education vv vv
ANS: A v v
The rise in the overall LBW rates were due to increases in LBW births to non-
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
Hispanic black women (13.35%) and Hispanic women (7.21%); non-Hispanic black
vv vv vv vv vv vv vv vv vv
infants are almost twice as likely as non-Hispanic white infants to be of LBW and to
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
die in the first year of life.. Race is a nonmodifiable risk factor. Cigarette smoking is
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
an important factor in potential infant mortality rates, but it is not the most important.
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
Additionally, smoking is a modifiable risk factor. Poor nutrition is an important factor
vv vv vv vv vv vv vv vv vv vv vv vv vv
in potential infant mortality rates, but it is not the most important. Additionally,
vv vv vv vv vv vv vv vv vv vv vv vv vv
nutritional status is a modifiable risk factor. Maternal education is an important factor
vv vv vv vv vv vv vv vv vv vv vv vv vv
in potential infant mortality rates, but it is not the most important. Additionally,
vv vv vv vv vv vv vv vv vv vv vv vv vv
maternal education is a modifiable risk factor.
vv vv vv vv vv vv vv
PTS: 1 DIF: Cognitive Level: Understand vv vv
TOP: Nursing Process: Assessment
vv vv vv
MSC: Client Needs: HealtN PrRoS
hU
v v mI ioG
otN nTanBd.M
CaOinMtenance,
v v v v v v v v Antepartum v v Care
2. A 23-year-old African-American woman is pregnant with her first child. Based on
vv vv vv vv vv vv vv vv vv vv vv
current statistics for infant mortality, which intervention is most important for the
vv vv vv vv vv vv vv vv vv vv vv vv
nurse to include in the client’s plan of care?
vv vv vv vv vv vv vv vv vv
a. Perform a nutrition assessment. vv vv vv
b. Refer the woman to a social worker. vv vv vv vv vv vv
c. Advise the woman to see an obstetrician, not a midwife.
vv vv vv vv vv vv vv vv vv
d. Explain to the woman the importance of keeping her prenatal care appointments.
vv vv vv vv vv vv vv vv vv vv vv
ANS: D v v
Consistent prenatal care is the best method of preventing or controlling risk factors
vv vv vv vv vv vv vv vv vv vv vv vv
associated with infant mortality. Nutritional status is an important modifiable risk factor,
vv vv vv vv vv vv vv vv vv vv vv vv
but it is not the most important action a nurse should take in this situation. The
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
client may need assistance from a social worker at some time during her pregnancy,
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
but a referral to a social worker is not the most important aspect the nurse should
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
address at this time. If the woman has identifiable high-risk problems, then her health
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
care may need to be provided by a physician. However, it cannot be assumed that all
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
African-American women have high-risk issues. In addition, advising the woman to
vv vv vv vv vv vv vv vv vv vv vv
see an obstetrician is not the most important aspect on which the nurse should focus
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
at this time, and it is not appropriate for a nurse to advise or manage the type of
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
care a client is to receive.
vv vv vv vv vv vv
PTS: 1 DIF: Cognitive Level: Understand vv vv
TOP: Nursing Process: Planning
vv vv vv
, Maternity and Women's Health Care 13th Edition Lowdermilk
vv vv vv vv vv vv vv
Test
vv
MSC: Client Needs: Health Promotion and Maintenance
vv vv vv vv vv vv
3. The nurses working at a newly established birthing center have begun to compare
vv vv vv vv vv vv vv vv vv vv vv vv
their performance in providing maternal-newborn care against clinical standards.
vv vv vv vv vv vv vv vv vv
This comparison process is most commonly known as what?
vv vv vv vv vv vv vv vv vv
a. Best practices network vv vv
b. Clinical benchmarking vv
c. Outcomes-oriented pracNtiUceR S vv
d. Evidence-based practice vv
ANS: C v v
Outcomes-oriented practice measures the effectiveness of the interventions and quality vv vv vv vv vv vv vv vv vv
of care against benchmarks or standards. The term best practice refers to a program or
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
service that has been recognized for its excellence. Clinical benchmarking is a process
vv vv vv vv vv vv vv vv vv vv vv vv vv
used to compare one’s own performance against the performance of the best in an
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
area of service. The term evidence-based practice refers to the provision of care
vv vv vv vv vv vv vv vv vv vv vv vv vv
based on evidence gained through research and clinical trials.
vv vv vv vv vv vv vv vv vv
PTS: 1 DIF: Cognitive Level: vv
Understand TOP:
vv Nursing Process: Evaluation vv vv vv
MSC: Client Needs: Safe and Effective Care Environment
vv vv vv vv vv vv vv
4. During a prenatal intake interview, the nurse is in the process of obtaining an
vv vv vv vv vv vv vv vv vv vv vv vv vv
initial assessment of a 21-year-old Hispanic client with limited English
vv vv vv vv vv vv vv vv vv vv
proficiency. Which intervention is the most important for the nurse to
vv vv vv vv vv vv vv vv vv vv vv
implement?
vv
a. Use maternity jargon to enable the client to become familiar with these terms.
vv vv vv vv vv vv vv vv vv vv vv vv
b. Speak quickly and efficiently to expedite the visit.
vv vv vv vv vv vv vv
c. Provide the client with handouts. vv vv vv vv
d. Assess whether the client understands the discussion.
vv vv vv vv vv vv
ANS: D v v
Nurses contribute to health literacy by using simple, common words, avoiding jargon,
vv vv vv vv vv vv vv vv vv vv vv
and evaluating whether the client understands the discussion. Speaking slowly and
vv vv vv vv vv vv vv vv vv vv vv
clearly and focusing on what is important will increase understanding. Most client
vv vv vv vv vv vv vv vv vv vv vv vv
education materials are written at a level too high for the average adult and may
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
not be useful for a client with limited English proficiency.
vv vv vv vv vv vv vv vv vv vv
PTS: 1 DIF: Cognitive Level: Apply vv vv
TOP: Nursing Process: Implementation
vv vv vv
MSC: Client Needs: Health Promotion and Maintenance
vv vv vv vv vv vv
5. Which statement best exemplifies contemporary maternity nursing?
vv vv vv vv vv vv
a. Use of midwives for all vaginal deliveries
vv vv vv vv vv vv
b. Family-centered care vv
c. Free-standing birth clinics vv vv
d. Physician-driven care vv
vv ANS: B v v
, Maternity and Women's Health Care 13th Edition Lowdermilk
vv vv vv vv vv vv vv
Test
vv
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers,
vv vv vv vv vv vv vv vv vv vv
partners, grandparents, and siblings may be present for the birth and participate in
vv vv vv vv vv vv vv vv vv vv vv vv vv
activities such as cutting the baby’s umbilical cord. Both midwives and physicians
vv vv vv vv vv vv vv vv vv vv vv vv
perform vaginal deliveries. Free-standing clinics are an example of alternative birth
vv vv vv vv vv vv vv vv vv vv vv
options. Contemporary maternity nursing is driven by the relationship between nurses
vv vv vv vv vv vv vv vv vv vv vv
and their clients.
vv vv vv
PTS: 1 DIF: Cognitive Level: Understand vv vv
TOP: Nursing Process: Planning
vv vv vv
MSC: Client Needs: Health Promotion and Maintenance
vv vv vv vv vv vv
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby girl after
vv vv vv vv vv vv vv vv vv vv vv
being in labor for 43 hours. The baby died 3 days later from sepsis. On what
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
grounds could the woman have a legitimate legal case for negligence?
vv vv vv vv vv vv vv vv vv vv vv
a. Inexperienced maternity nurse was assigned to care for the client. vv vv vv vv vv vv vv vv vv
b. Client was past her due date by 3 days.vv vv vv vv vv vv vv vv
c. Standard of care was not met. vv vv vv vv vv
d. Client refused electronic fetal monitoring.
vv vv vv vv
ANS: C v v
Not meeting the standard of care is a legitimate factor for a case of negligence. An
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
inexperienced maternity nurse would need to display competency before being assigned
vv vv vv vv vv vv vv vv vv vv vv
to care for clients on his or her own. This client may have been past her due date;
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
however, a term pregnancy often goes beyond 40 weeks of gestation. Although fetal
vv vv vv vv vv vv vv vv vv vv vv vv vv
monitoring is the standard of care, the client has the right to refuse treatment. This
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
refusal is not a case for negligence, but informed consent should be properly
vv vv vv vv vv vv vv vv vv vv vv vv vv
obtained, and the client should have signed an against medical advice form when
vv vv vv vv vv vv vv vv vv vv vv vv vv
refusing any treatment that is within the standard of care.
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PTS: 1 DIF: Cognitive Level: Analyze vv vv
TOP: Nursing Process: Implementation
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MSC: Client Needs: Safe and Effective Care Environment
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7. When the nurse is unsure how to perform a client care procedure that is high risk
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and low volume, his or her best action in this situation would be what?
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a. Ask another nurse. vv vv
b. Discuss the procedure with the client’s physician.
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c. Look up the procedure in a nursing textbook.
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d. First consult the agency procedure manual
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ANS: D v v
Following the agency’s policies and procedures manual is always best when seeking
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information on correct client procedures. These policies should reflect the current
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standards of care and the individual state’s guidelines. Each nurse is responsible for
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his or her own practice. Relying on another nurse may not always be a safe practice.
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Each nurse is obligated to follow the standards of care for safe client care delivery.
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Physicians are responsible for their own client care activity. Nurses may follow safe
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orders from physicians, but they are also responsible for the activities that they, as
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nurses, are to carry out. Information provided in a nursing textbook is basic
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information for general knowledge. Furthermore, the information in a textbook may
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not reflect the current standard of care or the individual state or hospital policies.
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