Maternity and Women's Health Care 13th Edition Lowdermilk Test
F# F# F# F# F# F# F# zx
, Maternity and Women's Health Care 13th Edition Lowdermilk Test F# F# F# F# F# F# F# zx
Chapter 01: 21st Century Maternity andWomen’s HealthNursing Lowdermi
F# F# F# F# F# F
# F# F
# F#
lk: Maternity & Women’s Health Care, 13th Edition
F# F# F# F# F# F# F#
MULTIPLE CHOICE F#
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-
F# F# F# F# F# F# F# F# F# F# F# F#
weight (LBW) infant, which factor is the most important forthe nurse to consider?
F# zx F# F# F# F# F# F# F# F# F# F# F#
a. African-American race zx
b. Cigarette smoking F#
c. Poor nutritional status F# F#
d. Limited maternal education zx F#
ANS: A F # F #
The rise in the overall LBW rates were due to increases in LBW births to non-
F# F# F# F# F# F# F# F# F# F# F# F# F# F# F#
Hispanic black women (13.35%) and Hispanic women (7.21%); non-
F# F# F# F# F# F# F# F #
Hispanic black infants are almost twice as likely as non-F# F# F# F# F# F# F# F# F#
Hispanic white infants to be of LBW and to die in the first year of life.. Race is a nonmodifia
F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F#
ble risk factor. Cigarette smoking is an important factor in potential infant mortality rates, but i
F# F# F# F# F# F# F# F# F# zx F# F# F# F# F#
t is not the most important. Additionally, smoking is a modifiable risk factor. Poor nutritio
F# F# F# F# F# F# F# F# F# zx F# F# F# F# F#
n is an important factor in potential infant mortality rates, but it is not the most important. A
F# F# zx F# F# F# F# F# F# F# F# F# F# F# F# zx F# F
dditionally, nutritional status is a modifiable risk factor. Maternal education is an importan
# F# F# F# F# F# F# F# F# F# F# F# F#
t factor in potential infant mortality rates, but it is not the most important. Additionally, mate
F# F# zx F# F# F# F# F# zx F# F# F# F# F# F#
r nal education is a modifiable risk factor.
F# F# F# F# F# F# F#
PTS: 1 DIF:
CognitiveLevel: UnderstandTOP: F
# F# zx
Nursing Process: Assessment F# F#
MSC: Client Needs: HealtNhUPrRoS
mI ioG
otN nTanBd.MCaO
F # F # inM
tenance, Antepartum Care F # F # F # F#
2. A 23-year-old African-
F# F#
American woman is pregnant with her first child. Based on current statistics for infant mort
F# F# F# F# F# F# F# F# F# F# zx F# F# F# F#
ality, which intervention is most important for the nurse to include in the client’s plan of ca
F# F# F# F# F# F# F# F# F# F# zx F# F# F# F# F# F#
re?
a. Perform a nutrition assessment. zx zx F#
b. Refer the woman to a social worker. F# F# F# F# F# F#
c. Advisethe woman to see an obstetrician, not a midwife. F
# F# F# F# F# F# F# F# F#
d. Explain to the woman the importance of keeping her prenatal care appointments.
F# F# F# F# F# F# F# F# F# F# F#
ANS: D F #
Consistent prenatal care is the best method of preventing or controlling risk factors associat
F# F# F# F# F# F# F# F# F# F# F# F# F# F#
ed with infant mortality. Nutritional status is an important modifiable risk factor, butit is not t
zx F# F# F# F# F# F# F# zx zx F# F# F# F# F# F#
he most important action a nurse should take in this situation. The client may need assistanc
F# F# F# F# F# F# F# F# F# F# F# F# F# F# zx F
e from a social worker at some time during her pregnancy, but a referral to a socialworker is
# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F#
not the most important aspect the nurse should address at this time. If the woman has identi
F# F# F# F# zx F# F# F# zx F# F# F# F# F# F# F# F#
f iable high-
F# F#
risk problems, then her health care may need to be provided by a physician. However, it can
F# F# F# F# F# F# F# zx F# F# F# F# F# F# F# F# F#
not be assumed that all African-American women have high-
F# F# F# F# F# F# F# F#
risk issues. In addition, advising the woman to see an obstetrician is not the most important a s
zx F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F#
pect on which the nurse should focus at this time, and it is not appropriate for a nurse to ad
F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F#
vise or manage the type of care a client is to receive.
F# F# F# F# F# F# F# F# F # F# F#
PTS: 1 DIF:
CognitiveLevel: UnderstandTOP: Nursi F# F# zx F#
ng Process: Planning
F# F#
, Maternity and Women's Health Care 13th Edition Lowdermilk Test F# F# F# F# F# F# F# zx
MSC: Client Needs: Health Promotion and Maintenance
F# F# F# F# F# F#
3. The nurses working at a newlyestablished birthing center have begun to compare their p
F# F# F# F# zx F
# F# F# F# F# F# F# F# F#
erformance in providing maternal- F# F# F#
newborn care against clinical standards. This comparison process is most commonlyk now
F# F# F# F# F# F# F# F# F# F# #F F#
n as what?
F# F#
a. Best practices network F# F#
b. Clinical benchmarking F#
c. Outcomes-oriented pracNtiU ceR S F#
d. Evidence-based practice F#
ANS: C F #
Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care against
F# F# F# F# F# F# F# F# F# F# F# F# F
benchmarks or standards. Theterm best practice refers to aprogram or service that has been r e
# F# F# F# F# zx F# F# F# F# F# F# F# zx F# F# F# F#
cognized for its excellence. Clinical benchmarking is a process used to compare one’s own p
F# F# F# F# F# F# F# F# F# F# F# F# F# F#
erformance against the performance of the best in an area of service. The term evidence-
F# F# F# F# F# F# F# F# F# F# F# F# F# F#
based practice refers to the provision of care based on evidence gained through research and
F# F# F# F# F# F# F# F# F# F# F# zx F# F# F#
clinical trials. F#
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: F# F# zx
Nursing Process: Evaluation F# F#
MSC: Client Needs: Safe and Effective Care Environment
F# F# F# F# F# F# F#
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
F# F# F# F# F# F# F# F# F# F# F# F# F# F# F#
assessment of a 21-year- F# F# F#
old Hispanic client with limited English proficiency. Whichintervention is the most i mportan
F# F# F# zx F# F# F# zx F# F# F# zxF# F#
t for the nurse to implement?
F# F# F# F# F#
a. Use maternityjargon to enable the client to become familiar with these terms.
F# F
# F# F# F# F# F# F# F# F# F# F#
b. Speak quickly and efficientlyto expedite the visit. F# F# F# F
# F# F# F#
c. Provide the client with handouts. zx F# F# F#
d. Assess whether the client understands the discussion. F# F# F# F# F# F#
ANS: D F #
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
F# F# F# F# F# F# F# F# F# F# F# F# zxF
#evaluating whether the client understands the discussion. Speaking slowly and clearly and
F# F# F# F# F# F# F# F# F# F# F# zx
focusing on what is important will increase understanding. Most client education materials
F # F# F# F# F# zx F# F# F# F# F# F# zx
a re written at a level too high for the average adult and may not be useful for a client with
F# F# zx F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# zx
li mited English proficiency.
F# F# zx
PTS: 1 DIF:
Cognitive Level: ApplyTOP: F# F#
Nursing Process: Implementation F# F#
MSC: Client Needs: Health Promotion and Maintenance
F# F# F# F# F# F#
5. Which statement best exemplifies contemporarymaternitynursing?
F# F# F# F# F
# F
#
a. Useof midwives for all vaginal deliveries
F# F# F# F# F# F#
b. Family-centered care F#
c. Free-standing birth clinics F# zx
d. Physician-
driven careANS: F# F #
B
, Maternity and Women's Health Care 13th Edition Lowdermilk Test F# F# F# F# F# F# F# zx
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partner F# F# F# F# F# F# F# F# F# F# F# F#
s, grandparents, and siblings may be present for the birth and participate in activitiessuch as c
F# F# F# F# F# F# F# F# F# zx F# F# zx zx F# F# F#
utting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries.
F# F# F# F# F# F# F# F# F# F# F# F
Free-
#
standing clinics are an example of alternative birth options. Contemporarymaternity nursing
F# F# F# F# F# F# F# F# F# F# F#
is driven by the relationship between nurses and their clients.
F# F# F# F# F# F# F# F# F#
PTS: 1 DIF:
CognitiveLevel: UnderstandTOP: F
# F# zx
Nursing Process: Planning F# F#
MSC: Client Needs: Health Promotion and Maintenance
F# F# F# F# F# F#
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-
F# F# F# F# F# F# F# F#
ounce baby girl after beingin labor for 43 hours. The baby died 3 days later from sepsis. On
F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F#
what grounds could the woman have a legitimate legal case for negligence?
F# F# F# F# F# F# F# F# F# F# F#
a. Inexperienced maternity nursewas assigned to care for the client. F# F# F# F# F# F# F# F# F#
b. Client was past her due date by3 days. F# F# F# F# F# F# #F F#
c. Standard ofcare was not met. F# F# F# F# F#
d. Client refused electronic fetal monitoring. F# F# F# F#
ANS: C F #
Not meeting the standard of care is a legitimate factor for a case of negligence. An inexper
F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F#
ienced maternity nurse would need to display competency before being assigned tocare for
zx F# F# F# F# F# F# F# F# F# F# F# F#
clients on his or her own. This client may have been past her due date; however, a term pre
F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# zx F# F#
gnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is thestandard
F# F# F# F# F# F# F# F# F# F# F# F# F#
of care, the client has the right to refuse treatment. This refusal is not a case for negligence
F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F#
, but informed consent should be properly obtained, and the client should have signed an a
F# F# zx F# F# F# F# F# F# F# F# F# F# F# F# F#
gainst medical advice form when refusing any treatment that is within the standard ofcare.
F# F# F# F# F# F# F# F# F# F# zx F# zx F
#
PTS: 1 DIF:
Cognitive Level: AnalyzeTOP: F# F#
Nursing Process: Implementation F# F#
MSC: Client Needs: Safe and Effective Care Environment
F# F# F# F# zx F# F#
7. When the nurse is unsure how to perform a client care procedurethat is high risk and lowv
F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F#
olume, his or her best action in this situation would be what?
F# F# F# F# F# F# F# F# F# F# F#
a. Ask another nurse. F# F#
b. Discuss the procedure with the client’s physician. F# F# F# F# F# F#
c. Look up the procedure in a nursing textbook. F# F# F# F# F# F# F#
d. First consult the agency procedure manual F# F# F# F# F#
ANS: D F #
Following the agency’s policies and procedures manual is always best when seeking inform
F# F# F# F# F# F# F# F# F# F# F# F# F#
ation on correct client procedures. These policies should reflect the current standardsof care
F# zx F# F# F# F# F# F# F# F# F# F# F#
and the individual state’s guidelines. Each nurse is responsible for his or her own practice.
F# F# F# F# F# F# F# F# F# F# F# F# F# F# F#
Relying on another nurse may not always be a safe practice. Each nurse is obligated to follo
zx F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F
w the standards of care for safe client care delivery. Physicians are responsible for their own
# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F#
client care activity. Nurses may follow safe orders from physicians, but they are also respo
F# F# F# F# F# F# F# F# zx F# F# F# F# F# F#
nsible for the activities that they, as nurses, are to carry out. Information provided in a nursin
F# F# F# F# F# F# F# F# F# F# F# F# F# F# zx F# F#
g textbook is basic information for general knowledge.Furthermore, the information in a text
F# zx F# F# F# F# F# F# F# F# F# F# F#
book may not reflect the current standard of care or the individual state or hospital policies.
F# F# F# F# F# F# F# F# F# F# F# F# F# F# F#
F# F# F# F# F# F# F# zx
, Maternity and Women's Health Care 13th Edition Lowdermilk Test F# F# F# F# F# F# F# zx
Chapter 01: 21st Century Maternity andWomen’s HealthNursing Lowdermi
F# F# F# F# F# F
# F# F
# F#
lk: Maternity & Women’s Health Care, 13th Edition
F# F# F# F# F# F# F#
MULTIPLE CHOICE F#
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-
F# F# F# F# F# F# F# F# F# F# F# F#
weight (LBW) infant, which factor is the most important forthe nurse to consider?
F# zx F# F# F# F# F# F# F# F# F# F# F#
a. African-American race zx
b. Cigarette smoking F#
c. Poor nutritional status F# F#
d. Limited maternal education zx F#
ANS: A F # F #
The rise in the overall LBW rates were due to increases in LBW births to non-
F# F# F# F# F# F# F# F# F# F# F# F# F# F# F#
Hispanic black women (13.35%) and Hispanic women (7.21%); non-
F# F# F# F# F# F# F# F #
Hispanic black infants are almost twice as likely as non-F# F# F# F# F# F# F# F# F#
Hispanic white infants to be of LBW and to die in the first year of life.. Race is a nonmodifia
F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F#
ble risk factor. Cigarette smoking is an important factor in potential infant mortality rates, but i
F# F# F# F# F# F# F# F# F# zx F# F# F# F# F#
t is not the most important. Additionally, smoking is a modifiable risk factor. Poor nutritio
F# F# F# F# F# F# F# F# F# zx F# F# F# F# F#
n is an important factor in potential infant mortality rates, but it is not the most important. A
F# F# zx F# F# F# F# F# F# F# F# F# F# F# F# zx F# F
dditionally, nutritional status is a modifiable risk factor. Maternal education is an importan
# F# F# F# F# F# F# F# F# F# F# F# F#
t factor in potential infant mortality rates, but it is not the most important. Additionally, mate
F# F# zx F# F# F# F# F# zx F# F# F# F# F# F#
r nal education is a modifiable risk factor.
F# F# F# F# F# F# F#
PTS: 1 DIF:
CognitiveLevel: UnderstandTOP: F
# F# zx
Nursing Process: Assessment F# F#
MSC: Client Needs: HealtNhUPrRoS
mI ioG
otN nTanBd.MCaO
F # F # inM
tenance, Antepartum Care F # F # F # F#
2. A 23-year-old African-
F# F#
American woman is pregnant with her first child. Based on current statistics for infant mort
F# F# F# F# F# F# F# F# F# F# zx F# F# F# F#
ality, which intervention is most important for the nurse to include in the client’s plan of ca
F# F# F# F# F# F# F# F# F# F# zx F# F# F# F# F# F#
re?
a. Perform a nutrition assessment. zx zx F#
b. Refer the woman to a social worker. F# F# F# F# F# F#
c. Advisethe woman to see an obstetrician, not a midwife. F
# F# F# F# F# F# F# F# F#
d. Explain to the woman the importance of keeping her prenatal care appointments.
F# F# F# F# F# F# F# F# F# F# F#
ANS: D F #
Consistent prenatal care is the best method of preventing or controlling risk factors associat
F# F# F# F# F# F# F# F# F# F# F# F# F# F#
ed with infant mortality. Nutritional status is an important modifiable risk factor, butit is not t
zx F# F# F# F# F# F# F# zx zx F# F# F# F# F# F#
he most important action a nurse should take in this situation. The client may need assistanc
F# F# F# F# F# F# F# F# F# F# F# F# F# F# zx F
e from a social worker at some time during her pregnancy, but a referral to a socialworker is
# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F#
not the most important aspect the nurse should address at this time. If the woman has identi
F# F# F# F# zx F# F# F# zx F# F# F# F# F# F# F# F#
f iable high-
F# F#
risk problems, then her health care may need to be provided by a physician. However, it can
F# F# F# F# F# F# F# zx F# F# F# F# F# F# F# F# F#
not be assumed that all African-American women have high-
F# F# F# F# F# F# F# F#
risk issues. In addition, advising the woman to see an obstetrician is not the most important a s
zx F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F#
pect on which the nurse should focus at this time, and it is not appropriate for a nurse to ad
F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F#
vise or manage the type of care a client is to receive.
F# F# F# F# F# F# F# F# F # F# F#
PTS: 1 DIF:
CognitiveLevel: UnderstandTOP: Nursi F# F# zx F#
ng Process: Planning
F# F#
, Maternity and Women's Health Care 13th Edition Lowdermilk Test F# F# F# F# F# F# F# zx
MSC: Client Needs: Health Promotion and Maintenance
F# F# F# F# F# F#
3. The nurses working at a newlyestablished birthing center have begun to compare their p
F# F# F# F# zx F
# F# F# F# F# F# F# F# F#
erformance in providing maternal- F# F# F#
newborn care against clinical standards. This comparison process is most commonlyk now
F# F# F# F# F# F# F# F# F# F# #F F#
n as what?
F# F#
a. Best practices network F# F#
b. Clinical benchmarking F#
c. Outcomes-oriented pracNtiU ceR S F#
d. Evidence-based practice F#
ANS: C F #
Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care against
F# F# F# F# F# F# F# F# F# F# F# F# F
benchmarks or standards. Theterm best practice refers to aprogram or service that has been r e
# F# F# F# F# zx F# F# F# F# F# F# F# zx F# F# F# F#
cognized for its excellence. Clinical benchmarking is a process used to compare one’s own p
F# F# F# F# F# F# F# F# F# F# F# F# F# F#
erformance against the performance of the best in an area of service. The term evidence-
F# F# F# F# F# F# F# F# F# F# F# F# F# F#
based practice refers to the provision of care based on evidence gained through research and
F# F# F# F# F# F# F# F# F# F# F# zx F# F# F#
clinical trials. F#
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: F# F# zx
Nursing Process: Evaluation F# F#
MSC: Client Needs: Safe and Effective Care Environment
F# F# F# F# F# F# F#
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
F# F# F# F# F# F# F# F# F# F# F# F# F# F# F#
assessment of a 21-year- F# F# F#
old Hispanic client with limited English proficiency. Whichintervention is the most i mportan
F# F# F# zx F# F# F# zx F# F# F# zxF# F#
t for the nurse to implement?
F# F# F# F# F#
a. Use maternityjargon to enable the client to become familiar with these terms.
F# F
# F# F# F# F# F# F# F# F# F# F#
b. Speak quickly and efficientlyto expedite the visit. F# F# F# F
# F# F# F#
c. Provide the client with handouts. zx F# F# F#
d. Assess whether the client understands the discussion. F# F# F# F# F# F#
ANS: D F #
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
F# F# F# F# F# F# F# F# F# F# F# F# zxF
#evaluating whether the client understands the discussion. Speaking slowly and clearly and
F# F# F# F# F# F# F# F# F# F# F# zx
focusing on what is important will increase understanding. Most client education materials
F # F# F# F# F# zx F# F# F# F# F# F# zx
a re written at a level too high for the average adult and may not be useful for a client with
F# F# zx F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# zx
li mited English proficiency.
F# F# zx
PTS: 1 DIF:
Cognitive Level: ApplyTOP: F# F#
Nursing Process: Implementation F# F#
MSC: Client Needs: Health Promotion and Maintenance
F# F# F# F# F# F#
5. Which statement best exemplifies contemporarymaternitynursing?
F# F# F# F# F
# F
#
a. Useof midwives for all vaginal deliveries
F# F# F# F# F# F#
b. Family-centered care F#
c. Free-standing birth clinics F# zx
d. Physician-
driven careANS: F# F #
B
, Maternity and Women's Health Care 13th Edition Lowdermilk Test F# F# F# F# F# F# F# zx
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partner F# F# F# F# F# F# F# F# F# F# F# F#
s, grandparents, and siblings may be present for the birth and participate in activitiessuch as c
F# F# F# F# F# F# F# F# F# zx F# F# zx zx F# F# F#
utting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliveries.
F# F# F# F# F# F# F# F# F# F# F# F
Free-
#
standing clinics are an example of alternative birth options. Contemporarymaternity nursing
F# F# F# F# F# F# F# F# F# F# F#
is driven by the relationship between nurses and their clients.
F# F# F# F# F# F# F# F# F#
PTS: 1 DIF:
CognitiveLevel: UnderstandTOP: F
# F# zx
Nursing Process: Planning F# F#
MSC: Client Needs: Health Promotion and Maintenance
F# F# F# F# F# F#
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-
F# F# F# F# F# F# F# F#
ounce baby girl after beingin labor for 43 hours. The baby died 3 days later from sepsis. On
F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F# F#
what grounds could the woman have a legitimate legal case for negligence?
F# F# F# F# F# F# F# F# F# F# F#
a. Inexperienced maternity nursewas assigned to care for the client. F# F# F# F# F# F# F# F# F#
b. Client was past her due date by3 days. F# F# F# F# F# F# #F F#
c. Standard ofcare was not met. F# F# F# F# F#
d. Client refused electronic fetal monitoring. F# F# F# F#
ANS: C F #
Not meeting the standard of care is a legitimate factor for a case of negligence. An inexper
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ienced maternity nurse would need to display competency before being assigned tocare for
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clients on his or her own. This client may have been past her due date; however, a term pre
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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 ofcare.
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#
PTS: 1 DIF:
Cognitive Level: AnalyzeTOP: F# F#
Nursing Process: Implementation F# F#
MSC: Client Needs: Safe and Effective Care Environment
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7. When the nurse is unsure how to perform a client care procedurethat 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. F# F#
b. Discuss the procedure with the client’s physician. F# F# F# F# F# F#
c. Look up the procedure in a nursing textbook. F# F# F# F# F# F# F#
d. First consult the agency procedure manual F# F# F# F# F#
ANS: D F #
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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