Solutions 2025 A+Graded,Pass
Guaranteed.
1. Identify safety concerns in the clinical setting.:ANS
Aspiration falls
injuries
seizures
Suicide/Self Harm
Pressure Injury-
Infection risks
2. Identify patient specific risks (ex. Falls, Pressure Injuries, Aspiration) and
determine interventions and precautions.:ANS falls/injuries: at risk= ABCS,
a=age over 85 y/o-B=bone health, fracture risk or history of osteoporosis, steroid use, etc. )-C= coagulation (antico-
agulants)-S= surgery: wishing the last 14 days
-Failure to communicate changes in assessments/interventions
-Failure to implement and document prevention interventionsUnclear/incomplete handottsInsuflcient/unclear safety
instructions
-Pt or family confusion related to nurse's teaching
-Assuming its only important to teach patient
-Education that fails to be individualized
,-Pressure injuries: Immobility, lack of sensory perception, poor nutrition and hydration, medical conditions attecting
blood flow, diabetes
-Preventions: turn pt. every 2 hours, do not use lotion in high-risk areas, do skin assessments frequently, promote
adequate hydration and nutrition, keep pressure points ott of mattress
Aspiration: Older adult, stroke, inettective airway clearance, dementia, impaired mental status, seizures, dental prob-
lems
Prevention: avoid distractions, make sure foods are small and easy to chew, eat and drink slowly, sit up straight when
eating or drinking if possible
3. Identify precautions to prevent the transmission of infections agents::ANS
*Standard precautions = (hand hygiene, gloves)
•- Contact = (Gown, gloves) ex. C-Ditt
, Transmission-based precautions:
- Droplet = ( Mask) ex. Meningitis, influenza, COVID-19 (Note: Influenza and COVID-19 can
become airborne during some procedures)
- Airborne (N95 mask) ex. TB
4. Analyze an inpatient unit RN's responsibility and priorities when receiving a
patient from the emergency department.:ANS -Understand patho behind admitting diagnosis
and evaluate accordingly
-Review assessment for appropriate admission to the unit
-Clarify issues that are unclear
-Welcome and communicate with the patient
-Begin admission procedures
--assessment, history, safety screening
-orientation to the room and unit, assessment of IV access and meds running
5. Analyze the assessment of risk for injurious falls and ways to minimize risk of
injury related to falls.:ANS ABCS!
•-A=Age > 85 y/o
- B = Bone health (Fx risk or history - osteopororsis, bone mets, steroid use)
- C = Coagulation (coagulopathy or on anticoagulant medications)
- S = Surgery (within 14 days)
RISKS =
-Failure to communicate changes in assessments/interventions
-Failure to implement and document prevention interventions
-Unclear/incomplete handottsInsuflcient or unclear safety instructionsPt or family confusion related to nurse's teaching
-Assuming it is only important to teach patient Education that fails to be individualized
6. Use effective hand-off communication in the patient care setting.:ANS The
transfer of information during transitions in care across the continuum
nIncludes an opportunity to ask questions, clarify, and confirm