Maternity and Women's Health Care 13th Edition Lowdermilk Test
zx zx zx zx zx zx zx zx
, Maternity and Women's Health Care 13th Edition Lowdermilk Test zx zx zx zx zx zx zx zx
Chapter 01: 21st Century Maternity and Women’s Health Nursing
zx zx zx zx zx zx zx zx zx
Lowdermilk: Maternity & Women’s Health Care, 13th Edition
zx zx zx zx zx zx zx
MULTIPLE CHOICE zx
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-
zx zx zx zx zx zx zx zx zx zx zx zx
weight (LBW)infant, which factor is the most important for the nurse to consider?
zx zx zx zx zx zx zx zx zx zx zx zx zx
a. African-American race zx
b. Cigarette smoking zx
c. Poor nutritional status zx zx
d. Limited maternal education zx zx
ANS: A z x
The rise in the overall LBW rates were due to increases in LBW births to non-
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
Hispanic black women (13.35%) and Hispanic women (7.21%); non-
zx zx zx zx zx zx zx zx
Hispanic black infants are almost twice as likely as non-zx zx zx zx zx zx zx zx zx
Hispanic white infants to be of LBW and to die in the first year of life.. Race is a nonmodifia
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
ble risk factor. Cigarette smoking is an important factor inpotential infant mortality rates, but
zx zx zx zx zx zx zx zx zx zx zx zx zx zx z
it is not the most important. Additionally, smoking is a modifiable risk factor. Poor nutritio
x zx zx zx zx zx zx zx zx zx zx zx zx zx zx
n is an important factor in potential infant mortality rates, but it is not the most important. A
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
dditionally, nutritional status is a modifiable risk factor. Maternal education is an important
zx zx zx zx zx zx zx zx zx zx zx zx zx
factor in potential infant mortality rates, but it is not the most important. Additionally, mater
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
nal education is a modifiable risk factor.
zx zx zx zx zx zx
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: zx zx zx
Nursing Process: Assessment zx zx
MSC: Client Needs: HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
zxzxzx inM
tenance, Antepartum Care zx zx zx zx
2. A 23-year-old African-
zx zx
American woman is pregnant with her first child. Based on currentstatistics for infant mort
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
ality, which intervention is most important for the nurse to includein the client’s plan of ca
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
re?
a. Perform a nutrition assessment. zx zx zx
b. Refer the woman to a social worker. zx zx zx zx zx zx
c. Advise the woman to see an obstetrician, not a midwife. zx zx zx zx zx zx zx zx zx
d. Explain to the woman the importance of keeping her prenatal care appointments.
zx zx zx zx zx zx zx zx zx zx zx
ANS: D z x
Consistent prenatal care is the best method of preventing or controlling risk factors associat
zx zx zx zx zx zx zx zx zx zx zx zx zx
ed with infant mortality. Nutritional status is an important modifiable risk factor, butit is not t
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
he most important action a nurse should take in this situation. The client may needassistanc
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
e from a social worker at some time during her pregnancy, but a referral to a socialworker is
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx z
not the most important aspect the nurse should address at this time. If the woman has identif
x zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
iable high- zx
risk problems, then her health care may need to be provided by a physician. However, it can
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
not be assumed that all African-American women have high-
zx zx zx zx zx zx zx zx
riskissues. In addition, advising the woman to see an obstetrician is not the most important a
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
spect on which the nurse should focus at this time, and it is not appropriate for a nurse to ad
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
vise or manage the type of care a client is to receive.
zx zx zx zx zx zx zx zx zx zx zx
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: zx zx zx
Nursing Process: Planning zx zx
, Maternity and Women's Health Care 13th Edition Lowdermilk Test zx zx zx zx zx zx zx zx
MSC: Client Needs: Health Promotion and Maintenance
zx zx zx zx zx zx
3. The nurses working at a newly established birthing center have begun to compare their
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
performance in providing maternal- zx zx zx
newborn care against clinical standards. This comparison process is most commonly k
zx zx zx zx zx zx zx zx zx zx zx
nown as what? zx zx
a. Best practices network zx zx
b. Clinical benchmarking zx
c. Outcomes-oriented pracNtiU
ceRS zx
d. Evidence-based practice zx
ANS: C z x
Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care against
zx zx zx zx zx zx zx zx zx zx zx zx zx
benchmarks or standards. The term best practice refers to a program or servicethat has been r
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
ecognized for its excellence. Clinical benchmarking is a process used to compare one’s own
zx zx zx zx zx zx zx zx zx zx zx zx zx z
performance against the performance of the best in an area of service. The term evidence-
x zx zx zx zx zx zx zx zx zx zx zx zx zx zx
based practice refers to the provision of care based on evidence gainedthrough research and
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
clinical trials. zx
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: zx zx zx
Nursing Process: Evaluation zx zx
MSC: Client Needs: Safe and Effective Care Environment
zx zx zx zx zx zx zx
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
assessment of a 21-year- zx zx zx
old Hispanic client with limited English proficiency. Whichintervention is the most i
zx zx zx zx zx zx zx zx zx zx zx zx
mportant for the nurse to implement? zx zx zx zx zx
a. Use maternity jargon to enable the client to become familiar with these terms.
zx zx zx zx zx zx zx zx zx zx zx zx
b. Speak quickly and efficiently to expedite the visit.
zx zx zx zx zx zx zx
c. Provide the client with handouts. zx zx zx zx
d. Assess whether the client understands the discussion.
zx zx zx zx zx zx
ANS: D z x
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
zx zx zx zx zx zx zx zx zx zx zx zx zx
evaluating whether the client understands the discussion. Speaking slowly and clearly and
zx zx zx zx zx zx zx zx zx zx zx zx
focusing on what is important will increase understanding. Most client education materialsa
zx zx zx zx zx zx zx zx zx zx zx zx
re written at a level too high for the average adult and may not be useful for a client withli
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
mited English proficiency.
zx zx
PTS: 1 DIF:
Cognitive Level: ApplyTOP: zx zx zx
Nursing Process: Implementation zx zx
MSC: Client Needs: Health Promotion and Maintenance
zx zx zx zx zx zx
5. Which statement best exemplifies contemporary maternity nursing?
zx zx zx zx zx zx
a. Use of midwives for all vaginal deliveries
zx zx zx zx zx zx
b. Family-centered care zx
c. Free-standing birth clinics zx zx
d. Physician-
driven careANS: B zx zx z x
, Maternity and Women's Health Care 13th Edition Lowdermilk Test zx zx zx zx zx zx zx zx
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partner zx zx zx zx zx zx zx zx zx zx zx
s, grandparents, and siblings may be present for the birth and participate in activitiessuch as c
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
utting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries.
zx zx zx zx zx zx zx zx zx zx zx zx
Free-
standing clinics are an example of alternative birth options. Contemporarymaternity nursing
zx zx zx zx zx zx zx zx zx zx zx z
is driven by the relationship between nurses and their clients.
x zx zx zx zx zx zx zx zx zx
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: zx zx zx
Nursing Process: Planning zx zx
MSC: Client Needs: Health Promotion and Maintenance
zx zx zx zx zx zx
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-
zx zx zx zx zx zx zx zx
ounce baby girl after beingin labor for 43 hours. The baby died 3 days later from sepsis. On
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
what grounds could the woman have a legitimate legal case for negligence?
zx zx zx zx zx zx zx zx zx zx zx
a. Inexperienced maternity nurse was assigned to care for the client. zx zx zx zx zx zx zx zx zx
b. Client was past her due date by 3 days. zx zx zx zx zx zx zx zx
c. Standard of care was not met. zx zx zx zx zx
d. Client refused electronic fetal monitoring. zx zx zx zx
ANS: C z x
Not meeting the standard of care is a legitimate factor for a case of negligence. An inexper
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
ienced maternity nurse would need to display competency before being assigned tocare for
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
clients on his or her own. This client may have been past her due date; however, aterm pre
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
gnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is thestandard
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
of care, the client has the right to refuse treatment. This refusal is not a case for negligence
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
, but informed consent should be properly obtained, and the client should have signed an a
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
gainst medical advice form when refusing any treatment that is within the standard of care.
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
PTS: 1 DIF:
Cognitive Level: AnalyzeTOP: zx zx zx
Nursing Process: Implementation zx zx
MSC: Client Needs: Safe and Effective Care Environment
zx zx zx zx zx zx zx
7. When the nurse is unsure how to perform a client care procedure that is high risk and lowv
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
olume, his or her best action in this situation would be what?
zx zx zx zx zx zx zx zx zx zx zx
a. Ask another nurse. zx zx
b. Discuss the procedure with the client’s physician. zx zx zx zx zx zx
c. Look up the procedure in a nursing textbook. zx zx zx zx zx zx zx
d. First consult the agency procedure manual zx zx zx zx zx
ANS: D z x
Following the agency’s policies and procedures manual is always best when seeking inform
zx zx zx zx zx zx zx zx zx zx zx zx
ation on correct client procedures. These policies should reflect the current standardsof care
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
and the individual state’s guidelines. Each nurse is responsible for his or her own practice.
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
Relying on another nurse may not always be a safe practice. Each nurse is obligated to follo
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
w the standards of care for safe client care delivery. Physicians are responsible for their own
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
client care activity. Nurses may follow safe orders from physicians, but they are also respo
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
nsible for the activities that they, as nurses, are to carry out. Information provided in a nursin
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
g textbook is basic information for general knowledge.Furthermore, the information in a text
zx zx zx zx zx zx zx zx zx zx zx zx zx
book may not reflect the current standard of care or the individual state or hospital policies.
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
zx zx zx zx zx zx zx zx
, Maternity and Women's Health Care 13th Edition Lowdermilk Test zx zx zx zx zx zx zx zx
Chapter 01: 21st Century Maternity and Women’s Health Nursing
zx zx zx zx zx zx zx zx zx
Lowdermilk: Maternity & Women’s Health Care, 13th Edition
zx zx zx zx zx zx zx
MULTIPLE CHOICE zx
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-
zx zx zx zx zx zx zx zx zx zx zx zx
weight (LBW)infant, which factor is the most important for the nurse to consider?
zx zx zx zx zx zx zx zx zx zx zx zx zx
a. African-American race zx
b. Cigarette smoking zx
c. Poor nutritional status zx zx
d. Limited maternal education zx zx
ANS: A z x
The rise in the overall LBW rates were due to increases in LBW births to non-
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
Hispanic black women (13.35%) and Hispanic women (7.21%); non-
zx zx zx zx zx zx zx zx
Hispanic black infants are almost twice as likely as non-zx zx zx zx zx zx zx zx zx
Hispanic white infants to be of LBW and to die in the first year of life.. Race is a nonmodifia
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
ble risk factor. Cigarette smoking is an important factor inpotential infant mortality rates, but
zx zx zx zx zx zx zx zx zx zx zx zx zx zx z
it is not the most important. Additionally, smoking is a modifiable risk factor. Poor nutritio
x zx zx zx zx zx zx zx zx zx zx zx zx zx zx
n is an important factor in potential infant mortality rates, but it is not the most important. A
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
dditionally, nutritional status is a modifiable risk factor. Maternal education is an important
zx zx zx zx zx zx zx zx zx zx zx zx zx
factor in potential infant mortality rates, but it is not the most important. Additionally, mater
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
nal education is a modifiable risk factor.
zx zx zx zx zx zx
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: zx zx zx
Nursing Process: Assessment zx zx
MSC: Client Needs: HealtN
hUPrRoS
mI ioG
otN nTanBd.MCaO
zxzxzx inM
tenance, Antepartum Care zx zx zx zx
2. A 23-year-old African-
zx zx
American woman is pregnant with her first child. Based on currentstatistics for infant mort
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
ality, which intervention is most important for the nurse to includein the client’s plan of ca
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
re?
a. Perform a nutrition assessment. zx zx zx
b. Refer the woman to a social worker. zx zx zx zx zx zx
c. Advise the woman to see an obstetrician, not a midwife. zx zx zx zx zx zx zx zx zx
d. Explain to the woman the importance of keeping her prenatal care appointments.
zx zx zx zx zx zx zx zx zx zx zx
ANS: D z x
Consistent prenatal care is the best method of preventing or controlling risk factors associat
zx zx zx zx zx zx zx zx zx zx zx zx zx
ed with infant mortality. Nutritional status is an important modifiable risk factor, butit is not t
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
he most important action a nurse should take in this situation. The client may needassistanc
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
e from a social worker at some time during her pregnancy, but a referral to a socialworker is
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx z
not the most important aspect the nurse should address at this time. If the woman has identif
x zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
iable high- zx
risk problems, then her health care may need to be provided by a physician. However, it can
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
not be assumed that all African-American women have high-
zx zx zx zx zx zx zx zx
riskissues. In addition, advising the woman to see an obstetrician is not the most important a
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
spect on which the nurse should focus at this time, and it is not appropriate for a nurse to ad
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
vise or manage the type of care a client is to receive.
zx zx zx zx zx zx zx zx zx zx zx
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: zx zx zx
Nursing Process: Planning zx zx
, Maternity and Women's Health Care 13th Edition Lowdermilk Test zx zx zx zx zx zx zx zx
MSC: Client Needs: Health Promotion and Maintenance
zx zx zx zx zx zx
3. The nurses working at a newly established birthing center have begun to compare their
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
performance in providing maternal- zx zx zx
newborn care against clinical standards. This comparison process is most commonly k
zx zx zx zx zx zx zx zx zx zx zx
nown as what? zx zx
a. Best practices network zx zx
b. Clinical benchmarking zx
c. Outcomes-oriented pracNtiU
ceRS zx
d. Evidence-based practice zx
ANS: C z x
Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care against
zx zx zx zx zx zx zx zx zx zx zx zx zx
benchmarks or standards. The term best practice refers to a program or servicethat has been r
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
ecognized for its excellence. Clinical benchmarking is a process used to compare one’s own
zx zx zx zx zx zx zx zx zx zx zx zx zx z
performance against the performance of the best in an area of service. The term evidence-
x zx zx zx zx zx zx zx zx zx zx zx zx zx zx
based practice refers to the provision of care based on evidence gainedthrough research and
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
clinical trials. zx
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: zx zx zx
Nursing Process: Evaluation zx zx
MSC: Client Needs: Safe and Effective Care Environment
zx zx zx zx zx zx zx
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
assessment of a 21-year- zx zx zx
old Hispanic client with limited English proficiency. Whichintervention is the most i
zx zx zx zx zx zx zx zx zx zx zx zx
mportant for the nurse to implement? zx zx zx zx zx
a. Use maternity jargon to enable the client to become familiar with these terms.
zx zx zx zx zx zx zx zx zx zx zx zx
b. Speak quickly and efficiently to expedite the visit.
zx zx zx zx zx zx zx
c. Provide the client with handouts. zx zx zx zx
d. Assess whether the client understands the discussion.
zx zx zx zx zx zx
ANS: D z x
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
zx zx zx zx zx zx zx zx zx zx zx zx zx
evaluating whether the client understands the discussion. Speaking slowly and clearly and
zx zx zx zx zx zx zx zx zx zx zx zx
focusing on what is important will increase understanding. Most client education materialsa
zx zx zx zx zx zx zx zx zx zx zx zx
re written at a level too high for the average adult and may not be useful for a client withli
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
mited English proficiency.
zx zx
PTS: 1 DIF:
Cognitive Level: ApplyTOP: zx zx zx
Nursing Process: Implementation zx zx
MSC: Client Needs: Health Promotion and Maintenance
zx zx zx zx zx zx
5. Which statement best exemplifies contemporary maternity nursing?
zx zx zx zx zx zx
a. Use of midwives for all vaginal deliveries
zx zx zx zx zx zx
b. Family-centered care zx
c. Free-standing birth clinics zx zx
d. Physician-
driven careANS: B zx zx z x
, Maternity and Women's Health Care 13th Edition Lowdermilk Test zx zx zx zx zx zx zx zx
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partner zx zx zx zx zx zx zx zx zx zx zx
s, grandparents, and siblings may be present for the birth and participate in activitiessuch as c
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
utting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries.
zx zx zx zx zx zx zx zx zx zx zx zx
Free-
standing clinics are an example of alternative birth options. Contemporarymaternity nursing
zx zx zx zx zx zx zx zx zx zx zx z
is driven by the relationship between nurses and their clients.
x zx zx zx zx zx zx zx zx zx
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: zx zx zx
Nursing Process: Planning zx zx
MSC: Client Needs: Health Promotion and Maintenance
zx zx zx zx zx zx
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-
zx zx zx zx zx zx zx zx
ounce baby girl after beingin labor for 43 hours. The baby died 3 days later from sepsis. On
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
what grounds could the woman have a legitimate legal case for negligence?
zx zx zx zx zx zx zx zx zx zx zx
a. Inexperienced maternity nurse was assigned to care for the client. zx zx zx zx zx zx zx zx zx
b. Client was past her due date by 3 days. zx zx zx zx zx zx zx zx
c. Standard of care was not met. zx zx zx zx zx
d. Client refused electronic fetal monitoring. zx zx zx zx
ANS: C z x
Not meeting the standard of care is a legitimate factor for a case of negligence. An inexper
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
ienced maternity nurse would need to display competency before being assigned tocare for
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
clients on his or her own. This client may have been past her due date; however, aterm pre
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
gnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is thestandard
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of care, the client has the right to refuse treatment. This refusal is not a case for negligence
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, but informed consent should be properly obtained, and the client should have signed an a
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gainst medical advice form when refusing any treatment that is within the standard of care.
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PTS: 1 DIF:
Cognitive Level: AnalyzeTOP: zx zx zx
Nursing Process: Implementation zx zx
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 and lowv
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olume, his or her best action in this situation would be what?
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a. Ask another nurse. zx zx
b. Discuss the procedure with the client’s physician. zx zx zx zx zx zx
c. Look up the procedure in a nursing textbook. zx zx zx zx zx zx zx
d. First consult the agency procedure manual zx zx zx zx zx
ANS: D z x
Following the agency’s policies and procedures manual is always best when seeking inform
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ation on correct client procedures. These policies should reflect the current standardsof care
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and the individual state’s guidelines. Each nurse is responsible for his or her own practice.
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Relying on another nurse may not always be a safe practice. Each nurse is obligated to follo
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w the standards of care for safe client care delivery. Physicians are responsible for their own
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client care activity. Nurses may follow safe orders from physicians, but they are also respo
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nsible for the activities that they, as nurses, are to carry out. Information provided in a nursin
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g textbook is basic information for general knowledge.Furthermore, the information in a text
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book may not reflect the current standard of care or the individual state or hospital policies.
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