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