Maternity and Women's Health Care 13th Edition Lowdermilk Tes
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t
, Maternity and Women's Health Care 13th Edition Lowdermilk Tes
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t
Chapter 01: 21st Century Maternity and Women’s Health Nursin
wl wl wl wl wl wl wl wl
gLowdermilk: Maternity & Women’s Health Care, 13th Edition
lw wl wl wl wl wl wl wl
MULTIPLE CHOICE wl
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 wl
b. Cigarette smoking wl
c. Poor nutritional status wl wl
d. Limited maternal education wl wl
ANS: A w l
The rise in the overall LBW rates were due to increases in LBW births to non-
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
Hispanic black women (13.35%) and Hispanic women (7.21%); non-
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Hispanic black infants are almost twice as likely as non-
wl wl wl wl wl wl wl wl wl
Hispanic white infants to be of LBW and to die in the first year of life.. Race is a nonmo
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
difiable risk factor. Cigarette smoking is an important factor inpotential infant mortality ra
wl wl wl wl wl wl wl wl wl lw wl wl wl
tes, but it is not the most important. Additionally, smoking is a modifiable risk factor. P
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
oor nutrition is an important factor in potential infant mortality rates, but it is not the mo
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
st important. Additionally, nutritional status is a modifiable risk factor. Maternal educatio
wl wl wl wl wl wl wl wl wl wl wl
n is an important factor in potential infant mortality rates, but it is not the most importan
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
t. Additionally, maternal education is a modifiable risk factor.
wl wl wl wl wl wl wl wl
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: wl wl lw
Nursing Process: Assessment wl wl
MSC: Client Needs: HealtN
hUPrRoS
mI
wlwlwl ioG
otN nTanBd.MCaO
inM
tenance, Antepartum Care
wl wl wl wl
2. A 23-year-old African-
wl wl
American woman is pregnant with her first child. Based on currentstatistics for infant
wl wl wl wl wl wl wl wl wl wl lw wl wl wl
mortality, which intervention is most important for the nurse to includein the client’s pl
wl wl wl wl wl wl wl wl wl wl lw wl wl wl
an of care?
wl wl
a. Perform a nutrition assessment. wl wl wl
b. Refer the woman to a social worker. wl wl wl wl wl wl
c. Advise the woman to see an obstetrician, not a midwife.
wl wl wl wl wl wl wl wl wl
d. Explain to the woman the importance of keeping her prenatal care appointments.
wl wl wl wl wl wl wl wl wl wl wl
ANS: D w l
Consistent prenatal care is the best method of preventing or controlling risk factors assoc
wl wl wl wl wl wl wl wl wl wl wl wl wl
iated with infant mortality. Nutritional status is an important modifiable risk factor, butit is
wl wl wl wl wl wl wl wl wl wl wl wl lw wl
not the most important action a nurse should take in this situation. The client may need
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl lw
assistance from a social worker at some time during her pregnancy, but a referral to a so
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
cialworker is not the most important aspect the nurse should address at this time. If the
lw wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
woman has identifiable high- wl wl wl
risk problems, then her health care may need to be provided by a physician. However, it
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl w
cannot be assumed that all African-American women have high-
l wl wl wl wl wl wl wl wl
riskissues. In addition, advising the woman to see an obstetrician is not the most importa
lw wl wl wl wl wl wl wl wl wl wl wl wl wl wl
nt aspect on which the nurse should focus at this time, and it is not appropriate for a nur
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
se to advise or manage the type of care a client is to receive.
wl wl wl wl wl wl wl wl wl wl wl wl wl
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: wl wl lw
Nursing Process: Planning wl wl
, Maternity and Women's Health Care 13th Edition Lowdermilk Tes
wl wl wl wl wl wl wl wl
t
MSC: Client Needs: Health Promotion and Maintenance
wl wl wl wl wl wl
3. The nurses working at a newly established birthing center have begun to compare th
wl wl wl wl wl wl wl wl wl wl wl wl wl
eirperformance in providing maternal-
lw wl wl wl
newborn care against clinical standards. This comparison process is most commonl
wl wl wl wl wl wl wl wl wl wl
y known as what?
wl wl wl
a. Best practices network wl wl
b. Clinical benchmarking wl
c. Outcomes-oriented pracNtiU
ceRS wl
d. Evidence-based practice wl
ANS: C w l
Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care again
wl wl wl wl wl wl wl wl wl wl wl wl
st benchmarks or standards. The term best practice refers to a program or servicethat has
wl wl wl wl wl wl wl wl wl wl wl wl wl lw wl wl
been recognized for its excellence. Clinical benchmarking is a process used to compare o
wl wl wl wl wl wl wl wl wl wl wl wl wl
ne’s own performance against the performance of the best in an area of service. The ter
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
m evidence-
wl
based practice refers to the provision of care based on evidence gainedthrough research a
wl wl wl wl wl wl wl wl wl wl wl lw wl wl
nd clinical trials.
wl wl
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: wl wl lw
Nursing Process: Evaluation wl wl
MSC: Client Needs: Safe and Effective Care Environment
wl wl wl wl wl wl wl
4. During a prenatal intake interview, the nurse is in the process of obtaining an init
wl wl wl wl wl wl wl wl wl wl wl wl wl wl
ial assessment of a 21-year-
wl wl wl wl
old Hispanic client with limited English proficiency. Whichintervention is the mos
wl wl wl wl wl wl wl lw wl wl wl
t important for the nurse to implement?
wl wl wl wl wl wl
a. Use maternity jargon to enable the client to become familiar with these terms.
wl wl wl wl wl wl wl wl wl wl wl wl
b. Speak quickly and efficiently to expedite the visit.
wl wl wl wl wl wl wl
c. Provide the client with handouts. wl wl wl wl
d. Assess whether the client understands the discussion.
wl wl wl wl wl wl
ANS: D w l
Nurses contribute to health literacy by using simple, common words, avoiding jargon, a
wl wl wl wl wl wl wl wl wl wl wl wl
ndevaluating whether the client understands the discussion. Speaking slowly and clearl
lw wl wl wl wl wl wl wl wl wl wl
y andfocusing on what is important will increase understanding. Most client education m
wl lw wl wl wl wl wl wl wl wl wl wl wl
aterialsare written at a level too high for the average adult and may not be useful for a
lw wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
client withlimited English proficiency.
wl lw wl wl
PTS: 1 DIF:
Cognitive Level: ApplyTOP: wl wl lw
Nursing Process: Implementation wl wl
MSC: Client Needs: Health Promotion and Maintenance
wl wl wl wl wl wl
5. Which statement best exemplifies contemporary maternity nursing?
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a. Use of midwives for all vaginal deliveries
wl wl wl wl wl wl
b. Family-centered care wl
c. Free-standing birth clinics wl wl
d. Physician-
driven careANS: B wl lw w l
, Maternity and Women's Health Care 13th Edition Lowdermilk Tes
wl wl wl wl wl wl wl wl
t
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, part
wl wl wl wl wl wl wl wl wl wl wl
ners, grandparents, and siblings may be present for the birth and participate in activitiessu
wl wl wl wl wl wl wl wl wl wl wl wl wl lw
ch as cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal d
wl wl wl wl wl wl wl wl wl wl wl wl wl
eliveries. Free- wl
standing clinics are an example of alternative birth options. Contemporarymaternity nursi
wl wl wl wl wl wl wl wl wl w
l wl
ng is driven by the relationship between nurses and their clients.
wl wl wl wl wl wl wl wl wl wl
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: wl wl lw
Nursing Process: Planning wl wl
MSC: Client Needs: Health Promotion and Maintenance
wl wl wl wl wl wl
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-
wl wl wl wl wl wl wl wl
ounce baby girl after beingin labor for 43 hours. The baby died 3 days later from sepsis.
wl wl wl wl lw wl wl wl wl wl wl wl wl wl wl wl wl w
On what grounds could the woman have a legitimate legal case for negligence?
l wl wl wl wl wl wl wl wl wl wl wl wl
a. Inexperienced maternity nurse was assigned to care for the client. wl wl wl wl wl wl wl wl wl
b. Client was past her due date by 3 days. wl wl wl wl wl wl wl wl
c. Standard of care was not met. wl wl wl wl wl
d. Client refused electronic fetal monitoring. wl wl wl wl
ANS: C w l
Not meeting the standard of care is a legitimate factor for a case of negligence. An ine
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
xperienced maternity nurse would need to display competency before being assigned toc
wl wl wl wl wl wl wl wl wl wl wl lw
are for clients on his or her own. This client may have been past her due date; however
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
, aterm pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring i
wl lw wl wl wl wl wl wl wl wl wl wl wl wl
s thestandard of care, the client has the right to refuse treatment. This refusal is not a c
wl lw wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
ase for negligence, but informed consent should be properly obtained, and the client sh
wl wl wl wl wl wl wl wl wl wl wl wl wl
ould have signed an against medical advice form when refusing any treatment that is w
wl wl wl wl wl wl wl wl wl wl wl wl wl wl
ithin the standard of care.
wl wl wl wl
PTS: 1 DIF:
Cognitive Level: AnalyzeTOP: wl wl lw
Nursing Process: Implementation wl wl
MSC: Client Needs: Safe and Effective Care Environment
wl wl wl wl wl wl wl
7. When the nurse is unsure how to perform a client care procedure that is high risk and l
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
owvolume, his or her best action in this situation would be what?
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a. Ask another nurse. wl wl
b. Discuss the procedure with the client’s physician. wl wl wl wl wl wl
c. Look up the procedure in a nursing textbook.wl wl wl wl wl wl wl
d. First consult the agency procedure manual
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ANS: D w l
Following the agency’s policies and procedures manual is always best when seeking info
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rmation on correct client procedures. These policies should reflect the current standardsof
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care and the individual state’s guidelines. Each nurse is responsible for his or her own p
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
ractice. Relying on another nurse may not always be a safe practice. Each nurse is oblig
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
ated to follow the standards of care for safe client care delivery. Physicians are responsib
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le for their own client care activity. Nurses may follow safe orders from physicians, but
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
they are also responsible for the activities that they, as nurses, are to carry out. Informati
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
on provided in a nursing textbook is basic information for general knowledge.Furthermore
wl wl wl wl wl wl wl wl wl wl wl lw
, the information in a textbook may not reflect the current standard of care or the individ
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
ual state or hospital policies.
wl wl wl wl
wl wl wl wl wl wl wl wl
t
, Maternity and Women's Health Care 13th Edition Lowdermilk Tes
wl wl wl wl wl wl wl wl
t
Chapter 01: 21st Century Maternity and Women’s Health Nursin
wl wl wl wl wl wl wl wl
gLowdermilk: Maternity & Women’s Health Care, 13th Edition
lw wl wl wl wl wl wl wl
MULTIPLE CHOICE wl
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-
wl wl wl wl wl wl wl wl wl wl wl wl
weight (LBW)infant, which factor is the most important for the nurse to consider?
wl lw wl wl wl wl wl wl wl wl wl wl wl
a. African-American race wl
b. Cigarette smoking wl
c. Poor nutritional status wl wl
d. Limited maternal education wl wl
ANS: A w l
The rise in the overall LBW rates were due to increases in LBW births to non-
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
Hispanic black women (13.35%) and Hispanic women (7.21%); non-
wl wl wl wl wl wl wl wl
Hispanic black infants are almost twice as likely as non-
wl wl wl wl wl wl wl wl wl
Hispanic white infants to be of LBW and to die in the first year of life.. Race is a nonmo
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
difiable risk factor. Cigarette smoking is an important factor inpotential infant mortality ra
wl wl wl wl wl wl wl wl wl lw wl wl wl
tes, but it is not the most important. Additionally, smoking is a modifiable risk factor. P
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
oor nutrition is an important factor in potential infant mortality rates, but it is not the mo
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
st important. Additionally, nutritional status is a modifiable risk factor. Maternal educatio
wl wl wl wl wl wl wl wl wl wl wl
n is an important factor in potential infant mortality rates, but it is not the most importan
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
t. Additionally, maternal education is a modifiable risk factor.
wl wl wl wl wl wl wl wl
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: wl wl lw
Nursing Process: Assessment wl wl
MSC: Client Needs: HealtN
hUPrRoS
mI
wlwlwl ioG
otN nTanBd.MCaO
inM
tenance, Antepartum Care
wl wl wl wl
2. A 23-year-old African-
wl wl
American woman is pregnant with her first child. Based on currentstatistics for infant
wl wl wl wl wl wl wl wl wl wl lw wl wl wl
mortality, which intervention is most important for the nurse to includein the client’s pl
wl wl wl wl wl wl wl wl wl wl lw wl wl wl
an of care?
wl wl
a. Perform a nutrition assessment. wl wl wl
b. Refer the woman to a social worker. wl wl wl wl wl wl
c. Advise the woman to see an obstetrician, not a midwife.
wl wl wl wl wl wl wl wl wl
d. Explain to the woman the importance of keeping her prenatal care appointments.
wl wl wl wl wl wl wl wl wl wl wl
ANS: D w l
Consistent prenatal care is the best method of preventing or controlling risk factors assoc
wl wl wl wl wl wl wl wl wl wl wl wl wl
iated with infant mortality. Nutritional status is an important modifiable risk factor, butit is
wl wl wl wl wl wl wl wl wl wl wl wl lw wl
not the most important action a nurse should take in this situation. The client may need
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl lw
assistance from a social worker at some time during her pregnancy, but a referral to a so
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
cialworker is not the most important aspect the nurse should address at this time. If the
lw wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
woman has identifiable high- wl wl wl
risk problems, then her health care may need to be provided by a physician. However, it
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl w
cannot be assumed that all African-American women have high-
l wl wl wl wl wl wl wl wl
riskissues. In addition, advising the woman to see an obstetrician is not the most importa
lw wl wl wl wl wl wl wl wl wl wl wl wl wl wl
nt aspect on which the nurse should focus at this time, and it is not appropriate for a nur
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
se to advise or manage the type of care a client is to receive.
wl wl wl wl wl wl wl wl wl wl wl wl wl
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: wl wl lw
Nursing Process: Planning wl wl
, Maternity and Women's Health Care 13th Edition Lowdermilk Tes
wl wl wl wl wl wl wl wl
t
MSC: Client Needs: Health Promotion and Maintenance
wl wl wl wl wl wl
3. The nurses working at a newly established birthing center have begun to compare th
wl wl wl wl wl wl wl wl wl wl wl wl wl
eirperformance in providing maternal-
lw wl wl wl
newborn care against clinical standards. This comparison process is most commonl
wl wl wl wl wl wl wl wl wl wl
y known as what?
wl wl wl
a. Best practices network wl wl
b. Clinical benchmarking wl
c. Outcomes-oriented pracNtiU
ceRS wl
d. Evidence-based practice wl
ANS: C w l
Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care again
wl wl wl wl wl wl wl wl wl wl wl wl
st benchmarks or standards. The term best practice refers to a program or servicethat has
wl wl wl wl wl wl wl wl wl wl wl wl wl lw wl wl
been recognized for its excellence. Clinical benchmarking is a process used to compare o
wl wl wl wl wl wl wl wl wl wl wl wl wl
ne’s own performance against the performance of the best in an area of service. The ter
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
m evidence-
wl
based practice refers to the provision of care based on evidence gainedthrough research a
wl wl wl wl wl wl wl wl wl wl wl lw wl wl
nd clinical trials.
wl wl
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: wl wl lw
Nursing Process: Evaluation wl wl
MSC: Client Needs: Safe and Effective Care Environment
wl wl wl wl wl wl wl
4. During a prenatal intake interview, the nurse is in the process of obtaining an init
wl wl wl wl wl wl wl wl wl wl wl wl wl wl
ial assessment of a 21-year-
wl wl wl wl
old Hispanic client with limited English proficiency. Whichintervention is the mos
wl wl wl wl wl wl wl lw wl wl wl
t important for the nurse to implement?
wl wl wl wl wl wl
a. Use maternity jargon to enable the client to become familiar with these terms.
wl wl wl wl wl wl wl wl wl wl wl wl
b. Speak quickly and efficiently to expedite the visit.
wl wl wl wl wl wl wl
c. Provide the client with handouts. wl wl wl wl
d. Assess whether the client understands the discussion.
wl wl wl wl wl wl
ANS: D w l
Nurses contribute to health literacy by using simple, common words, avoiding jargon, a
wl wl wl wl wl wl wl wl wl wl wl wl
ndevaluating whether the client understands the discussion. Speaking slowly and clearl
lw wl wl wl wl wl wl wl wl wl wl
y andfocusing on what is important will increase understanding. Most client education m
wl lw wl wl wl wl wl wl wl wl wl wl wl
aterialsare written at a level too high for the average adult and may not be useful for a
lw wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
client withlimited English proficiency.
wl lw wl wl
PTS: 1 DIF:
Cognitive Level: ApplyTOP: wl wl lw
Nursing Process: Implementation wl wl
MSC: Client Needs: Health Promotion and Maintenance
wl wl wl wl wl wl
5. Which statement best exemplifies contemporary maternity nursing?
wl wl wl wl wl wl
a. Use of midwives for all vaginal deliveries
wl wl wl wl wl wl
b. Family-centered care wl
c. Free-standing birth clinics wl wl
d. Physician-
driven careANS: B wl lw w l
, Maternity and Women's Health Care 13th Edition Lowdermilk Tes
wl wl wl wl wl wl wl wl
t
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, part
wl wl wl wl wl wl wl wl wl wl wl
ners, grandparents, and siblings may be present for the birth and participate in activitiessu
wl wl wl wl wl wl wl wl wl wl wl wl wl lw
ch as cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal d
wl wl wl wl wl wl wl wl wl wl wl wl wl
eliveries. Free- wl
standing clinics are an example of alternative birth options. Contemporarymaternity nursi
wl wl wl wl wl wl wl wl wl w
l wl
ng is driven by the relationship between nurses and their clients.
wl wl wl wl wl wl wl wl wl wl
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: wl wl lw
Nursing Process: Planning wl wl
MSC: Client Needs: Health Promotion and Maintenance
wl wl wl wl wl wl
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-
wl wl wl wl wl wl wl wl
ounce baby girl after beingin labor for 43 hours. The baby died 3 days later from sepsis.
wl wl wl wl lw wl wl wl wl wl wl wl wl wl wl wl wl w
On what grounds could the woman have a legitimate legal case for negligence?
l wl wl wl wl wl wl wl wl wl wl wl wl
a. Inexperienced maternity nurse was assigned to care for the client. wl wl wl wl wl wl wl wl wl
b. Client was past her due date by 3 days. wl wl wl wl wl wl wl wl
c. Standard of care was not met. wl wl wl wl wl
d. Client refused electronic fetal monitoring. wl wl wl wl
ANS: C w l
Not meeting the standard of care is a legitimate factor for a case of negligence. An ine
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
xperienced maternity nurse would need to display competency before being assigned toc
wl wl wl wl wl wl wl wl wl wl wl lw
are for clients on his or her own. This client may have been past her due date; however
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
, aterm pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring i
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s thestandard of care, the client has the right to refuse treatment. This refusal is not a c
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ase for negligence, but informed consent should be properly obtained, and the client sh
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ould have signed an against medical advice form when refusing any treatment that is w
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ithin the standard of care.
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PTS: 1 DIF:
Cognitive Level: AnalyzeTOP: wl wl lw
Nursing Process: Implementation wl wl
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 l
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owvolume, his or her best action in this situation would be what?
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a. Ask another nurse. wl wl
b. Discuss the procedure with the client’s physician. wl wl wl wl wl wl
c. Look up the procedure in a nursing textbook.wl wl wl wl wl wl wl
d. First consult the agency procedure manual
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ANS: D w l
Following the agency’s policies and procedures manual is always best when seeking info
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rmation on correct client procedures. These policies should reflect the current standardsof
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care and the individual state’s guidelines. Each nurse is responsible for his or her own p
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ractice. Relying on another nurse may not always be a safe practice. Each nurse is oblig
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ated to follow the standards of care for safe client care delivery. Physicians are responsib
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le for their own client care activity. Nurses may follow safe orders from physicians, but
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they are also responsible for the activities that they, as nurses, are to carry out. Informati
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on provided in a nursing textbook is basic information for general knowledge.Furthermore
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, the information in a textbook may not reflect the current standard of care or the individ
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ual state or hospital policies.
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