Acute - EXAM 1 2022/2023 with 100% correct answers

A client with end-stage lung cancer and metastasis to the brain has been admitted to the medical-surgical unit. After trying all options to provide a safe environment, the nursing staff is required to apply restraints. Which nursing intervention is required for this client? A.Checking the restraints every 1 to 2 hours B.Releasing the restraints at least every 2 hours C.Using chemical sedation instead of restraints D.Using the most restrictive devices to prevent falls B.Releasing the restraints at least every 2 hours Definition of Safety Safety is the ability to keep the patient and staff free from harm and minimize errors in care Definition of The Scope of Safety The scope of safety can be described as: 1- unsafe: possible causing harm or even death 2- safe: to prevent harm or negative outcomes Definition of The Attributes of Safety Best safety practices reduce error and harm through established protocols, memory checklists, and systems such as bar-code medication administration QSEN Competencies Patient-Centered Care: the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for the patient's preferences, values, and needs -cultural competence -family-centered care Teamwork and Collaboration: functioning effectively within nursing and inter-professional team, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care Evidence-Based Practice: the integration of the best current evidence and practices to make decisions about patient care Quality Improvement: a process in which nurses and the inter-professional health care team use indicators (data) to monitor care outcomes and develop solutions to change and improve care. Safety: the ability to keep the patient and staff free from harm and minimize errors in care -critical rescue -action alert -drug alert Informatics & Technology: the access and use of information and electronic technology to communicate, manage knowledge, prevent error, and support decision-making SBAR report Introduce Yourself. Situation: tell the "meat of the situation. Why are you calling? Background: what lead to or relates to the situation Assessment: assessment findings Recommendation: state what is needed/desired outcome Delegation Process of transferring a selected nursing task or activity to a competent UAP The nurse is always accountable for the task/activity delegated Supervision Guidance or direction, evaluation, and follow-up by the nurse to ensure a task/activity is performed appropriately Five Rights of Delegation 1- Right task: within the UAP's scope? 2-Right circumstances: patient care settings and resources are appropriate 3-Right Person: UAP competent? 4-Right communication: clear and concise communication 5-Right supervision: guide, direct, evaluate, and follow-up