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