Maternity and Women's Health Care 13th Edition Lowdermilk Tes
+j +j +j +j +j +j +j +j
t
, Maternity and Women's Health Care 13th Edition Lowdermilk Tes
+j +j +j +j +j +j +j +j
t
Chapter 01: 21st Century Maternity and Women’s Health Nursing
+j +j +j +j +j +j +j +j j+
Lowdermilk: Maternity & Women’s Health Care, 13th Edition
+j +j +j +j +j +j +j
MULTIPLE CHOICE +j
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-
+j +j +j +j +j +j +j +j +j +j +j +j
weight (LBW)infant, which factor is the most important for the nurse to consider?
+j +
j +j +j +j +j +j +j +j +j +j +j +j
a. African-American race +j
b. Cigarette smoking +j
c. Poor nutritional status +j +j
d. Limited maternal education +j +j
ANS: A + j
The rise in the overall LBW rates were due to increases in LBW births to non-
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
Hispanic black women (13.35%) and Hispanic women (7.21%); non-
+j +j +j +j +j +j +j +j
Hispanic black infants are almost twice as likely as non-
+j +j +j +j +j +j +j +j +j
Hispanic white infants to be of LBW and to die in the first year of life.. Race is a nonmodif
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
iable risk factor. Cigarette smoking is an important factor inpotential infant mortality rates,
+j +j +j +j +j +j +j +j +j +
j +j +j +j +j
but it is not the most important. Additionally, smoking is a modifiable risk factor. Poor nut
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
rition is an important factor in potential infant mortality rates, but it is not the most import
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
ant. Additionally, nutritional status is a modifiable risk factor. Maternal education is an im
+j +j +j +j +j +j +j +j +j +j +j +j +j
portant factor in potential infant mortality rates, but it is not the most important. Additional
+j +j +j +j +j +j +j +j +j +j +j +j +j +j
ly, maternal education is a modifiable risk factor.
+j +j +j +j +j +j +j
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: +j +j +
j
Nursing Process: Assessment +j +j
MSC: Client Needs: HealtN
hUPrRoS
mI ioG
otN nT
+j+j+j anBd.MCaO
inM
tenance, Antepartum Care +j +j +j +j
2. A 23-year-old African-
+j +j
American woman is pregnant with her first child. Based on currentstatistics for infant mo
+j +j +j +j +j +j +j +j +j +j +
j +j +j +j
rtality, which intervention is most important for the nurse to includein the client’s plan of
+j +j +j +j +j +j +j +j +j +j +
j +j +j +j +j
care?
+j
a. Perform a nutrition assessment. +j +j +j
b. Refer the woman to a social worker. +j +j +j +j +j +j
c. Advise the woman to see an obstetrician, not a midwife.+j +j +j +j +j +j +j +j +j
d. Explain to the woman the importance of keeping her prenatal care appointments.
+j +j +j +j +j +j +j +j +j +j +j
ANS: D + j
Consistent prenatal care is the best method of preventing or controlling risk factors associa
+j +j +j +j +j +j +j +j +j +j +j +j +j
ted with infant mortality. Nutritional status is an important modifiable risk factor, butit is not
+j +j +j +j +j +j +j +j +j +j +j +j +
j +j +j
the most important action a nurse should take in this situation. The client may needassista
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +
j
nce from a social worker at some time during her pregnancy, but a referral to a socialwork
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +
j
er is not the most important aspect the nurse should address at this time. If the woman has
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
identifiable high- +j
risk problems, then her health care may need to be provided by a physician. However, it c
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
annot be assumed that all African-American women have high-
+j +j +j +j +j +j +j +j
riskissues. In addition, advising the woman to see an obstetrician is not the most important
+
j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
aspect on which the nurse should focus at this time, and it is not appropriate for a nurse to
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
advise or manage the type of care a client is to receive.
+j +j +j +j +j +j +j +j +j +j +j +j
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: +j +j +
j
Nursing Process: Planning +j +j
, Maternity and Women's Health Care 13th Edition Lowdermilk Tes
+j +j +j +j +j +j +j +j
t
MSC: Client Needs: Health Promotion and Maintenance
+j +j +j +j +j +j
3. The nurses working at a newly established birthing center have begun to compare thei
+j +j +j +j +j +j +j +j +j +j +j +j +j
rperformance in providing maternal-
+
j +j +j +j
newborn care against clinical standards. This comparison process is most commonly
+j +j +j +j +j +j +j +j +j +j +j
known as what? +j +j
a. Best practices network +j +j
b. Clinical benchmarking +j
c. Outcomes-oriented pracNtiU
ceRS +j
d. Evidence-based practice +j
ANS: C + j
Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care against
+j +j +j +j +j +j +j +j +j +j +j +j
benchmarks or standards. The term best practice refers to a program or servicethat has bee
+j +j +j +j +j +j +j +j +j +j +j +j +j +
j +j +j
n recognized for its excellence. Clinical benchmarking is a process used to compare one’s
+j +j +j +j +j +j +j +j +j +j +j +j +j +j
own performance against the performance of the best in an area of service. The term evide
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
nce-
based practice refers to the provision of care based on evidence gainedthrough research an
+j +j +j +j +j +j +j +j +j +j +j +
j +j +j
d clinical trials.
+j +j
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: +j +j +
j
Nursing Process: Evaluation +j +j
MSC: Client Needs: Safe and Effective Care Environment
+j +j +j +j +j +j +j
4. During a prenatal intake interview, the nurse is in the process of obtaining an initia
+j +j +j +j +j +j +j +j +j +j +j +j +j +j
l assessment of a 21-year-
+j +j +j +j
old Hispanic client with limited English proficiency. Whichintervention is the most
+j +j +j +j +j +j +j +
j +j +j +j +
important for the nurse to implement?
j +j +j +j +j +j
a. Use maternity jargon to enable the client to become familiar with these terms.
+j +j +j +j +j +j +j +j +j +j +j +j
b. Speak quickly and efficiently to expedite the visit.
+j +j +j +j +j +j +j
c. Provide the client with handouts. +j +j +j +j
d. Assess whether the client understands the discussion.
+j +j +j +j +j +j
ANS: D + j
Nurses contribute to health literacy by using simple, common words, avoiding jargon, an
+j +j +j +j +j +j +j +j +j +j +j +j
devaluating whether the client understands the discussion. Speaking slowly and clearly a
+
j +j +j +j +j +j +j +j +j +j +j +j
ndfocusing on what is important will increase understanding. Most client education materi
+
j +j +j +j +j +j +j +j +j +j +j +j
alsare written at a level too high for the average adult and may not be useful for a client
+
j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
withlimited English proficiency.
+
j +j +j
PTS: 1 DIF:
Cognitive Level: ApplyTOP: +j +j +
j
Nursing Process: Implementation +j +j
MSC: Client Needs: Health Promotion and Maintenance
+j +j +j +j +j +j
5. Which statement best exemplifies contemporary maternity nursing?
+j +j +j +j +j +j
a. Use of midwives for all vaginal deliveries
+j +j +j +j +j +j
b. Family-centered care +j
c. Free-standing birth clinics +j +j
d. Physician-
driven careANS: B +j +
j + j
, Maternity and Women's Health Care 13th Edition Lowdermilk Tes+j +j +j +j +j +j +j +j
t
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partne
+j +j +j +j +j +j +j +j +j +j +j
rs, grandparents, and siblings may be present for the birth and participate in activitiessuch a
+j +j +j +j +j +j +j +j +j +j +j +j +j +
j +j
s cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliver
+j +j +j +j +j +j +j +j +j +j +j +j
ies. Free- +j
standing clinics are an example of alternative birth options. Contemporarymaternity nursin
+j +j +j +j +j +j +j +j +j +
j +j
g is driven by the relationship between nurses and their clients.
+j +j +j +j +j +j +j +j +j +j
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: +j +j +
j
Nursing Process: Planning +j +j
MSC: Client Needs: Health Promotion and Maintenance
+j +j +j +j +j +j
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-
+j +j +j +j +j +j +j +j
ounce baby girl after beingin labor for 43 hours. The baby died 3 days later from sepsis. O
+j +j +j +j +
j +j +j +j +j +j +j +j +j +j +j +j +j +j
n what grounds could the woman have a legitimate legal case for negligence?
+j +j +j +j +j +j +j +j +j +j +j +j
a. Inexperienced maternity nurse was assigned to care for the client. +j +j +j +j +j +j +j +j +j
b. Client was past her due date by 3 days. +j +j +j +j +j +j +j +j
c. Standard of care was not met. +j +j +j +j +j
d. Client refused electronic fetal monitoring. +j +j +j +j
ANS: C + j
Not meeting the standard of care is a legitimate factor for a case of negligence. An inexp
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
erienced maternity nurse would need to display competency before being assigned tocare
+j +j +j +j +j +j +j +j +j +j +j +
j +j
for clients on his or her own. This client may have been past her due date; however, ater
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +
j
m pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is thest
+j +j +j +j +j +j +j +j +j +j +j +j +j +
j
andard of care, the client has the right to refuse treatment. This refusal is not a case for n
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
egligence, but informed consent should be properly obtained, and the client should have
+j +j +j +j +j +j +j +j +j +j +j +j +j
signed an against medical advice form when refusing any treatment that is within the sta
+j +j +j +j +j +j +j +j +j +j +j +j +j +j
ndard of care. +j +j
PTS: 1 DIF:
Cognitive Level: AnalyzeTOP: +j +j +
j
Nursing Process: Implementation +j +j
MSC: Client Needs: Safe and Effective Care Environment
+j +j +j +j +j +j +j
7. When the nurse is unsure how to perform a client care procedure that is high risk and lo
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
wvolume, his or her best action in this situation would be what?
+
j +j +j +j +j +j +j +j +j +j +j +j
a. Ask another nurse. +j +j
b. Discuss the procedure with the client’s physician. +j +j +j +j +j +j
c. Look up the procedure in a nursing textbook.+j +j +j +j +j +j +j
d. First consult the agency procedure manual
+j +j +j +j +j
ANS: D + j
Following the agency’s policies and procedures manual is always best when seeking infor
+j +j +j +j +j +j +j +j +j +j +j +j
mation on correct client procedures. These policies should reflect the current standardsof c
+j +j +j +j +j +j +j +j +j +j +j +
j +j
are and the individual state’s guidelines. Each nurse is responsible for his or her own pract
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
ice. Relying on another nurse may not always be a safe practice. Each nurse is obligated to
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
follow the standards of care for safe client care delivery. Physicians are responsible for th
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
eir own client care activity. Nurses may follow safe orders from physicians, but they are al
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
so responsible for the activities that they, as nurses, are to carry out. Information provided
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
in a nursing textbook is basic information for general knowledge.Furthermore, the informati
+j +j +j +j +j +j +j +j +j +
j +j +j
on in a textbook may not reflect the current standard of care or the individual state or hosp
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
ital policies. +j
+j +j +j +j +j +j +j +j
t
, Maternity and Women's Health Care 13th Edition Lowdermilk Tes
+j +j +j +j +j +j +j +j
t
Chapter 01: 21st Century Maternity and Women’s Health Nursing
+j +j +j +j +j +j +j +j j+
Lowdermilk: Maternity & Women’s Health Care, 13th Edition
+j +j +j +j +j +j +j
MULTIPLE CHOICE +j
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-
+j +j +j +j +j +j +j +j +j +j +j +j
weight (LBW)infant, which factor is the most important for the nurse to consider?
+j +
j +j +j +j +j +j +j +j +j +j +j +j
a. African-American race +j
b. Cigarette smoking +j
c. Poor nutritional status +j +j
d. Limited maternal education +j +j
ANS: A + j
The rise in the overall LBW rates were due to increases in LBW births to non-
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
Hispanic black women (13.35%) and Hispanic women (7.21%); non-
+j +j +j +j +j +j +j +j
Hispanic black infants are almost twice as likely as non-
+j +j +j +j +j +j +j +j +j
Hispanic white infants to be of LBW and to die in the first year of life.. Race is a nonmodif
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
iable risk factor. Cigarette smoking is an important factor inpotential infant mortality rates,
+j +j +j +j +j +j +j +j +j +
j +j +j +j +j
but it is not the most important. Additionally, smoking is a modifiable risk factor. Poor nut
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
rition is an important factor in potential infant mortality rates, but it is not the most import
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
ant. Additionally, nutritional status is a modifiable risk factor. Maternal education is an im
+j +j +j +j +j +j +j +j +j +j +j +j +j
portant factor in potential infant mortality rates, but it is not the most important. Additional
+j +j +j +j +j +j +j +j +j +j +j +j +j +j
ly, maternal education is a modifiable risk factor.
+j +j +j +j +j +j +j
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: +j +j +
j
Nursing Process: Assessment +j +j
MSC: Client Needs: HealtN
hUPrRoS
mI ioG
otN nT
+j+j+j anBd.MCaO
inM
tenance, Antepartum Care +j +j +j +j
2. A 23-year-old African-
+j +j
American woman is pregnant with her first child. Based on currentstatistics for infant mo
+j +j +j +j +j +j +j +j +j +j +
j +j +j +j
rtality, which intervention is most important for the nurse to includein the client’s plan of
+j +j +j +j +j +j +j +j +j +j +
j +j +j +j +j
care?
+j
a. Perform a nutrition assessment. +j +j +j
b. Refer the woman to a social worker. +j +j +j +j +j +j
c. Advise the woman to see an obstetrician, not a midwife.+j +j +j +j +j +j +j +j +j
d. Explain to the woman the importance of keeping her prenatal care appointments.
+j +j +j +j +j +j +j +j +j +j +j
ANS: D + j
Consistent prenatal care is the best method of preventing or controlling risk factors associa
+j +j +j +j +j +j +j +j +j +j +j +j +j
ted with infant mortality. Nutritional status is an important modifiable risk factor, butit is not
+j +j +j +j +j +j +j +j +j +j +j +j +
j +j +j
the most important action a nurse should take in this situation. The client may needassista
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +
j
nce from a social worker at some time during her pregnancy, but a referral to a socialwork
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +
j
er is not the most important aspect the nurse should address at this time. If the woman has
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
identifiable high- +j
risk problems, then her health care may need to be provided by a physician. However, it c
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
annot be assumed that all African-American women have high-
+j +j +j +j +j +j +j +j
riskissues. In addition, advising the woman to see an obstetrician is not the most important
+
j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
aspect on which the nurse should focus at this time, and it is not appropriate for a nurse to
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
advise or manage the type of care a client is to receive.
+j +j +j +j +j +j +j +j +j +j +j +j
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: +j +j +
j
Nursing Process: Planning +j +j
, Maternity and Women's Health Care 13th Edition Lowdermilk Tes
+j +j +j +j +j +j +j +j
t
MSC: Client Needs: Health Promotion and Maintenance
+j +j +j +j +j +j
3. The nurses working at a newly established birthing center have begun to compare thei
+j +j +j +j +j +j +j +j +j +j +j +j +j
rperformance in providing maternal-
+
j +j +j +j
newborn care against clinical standards. This comparison process is most commonly
+j +j +j +j +j +j +j +j +j +j +j
known as what? +j +j
a. Best practices network +j +j
b. Clinical benchmarking +j
c. Outcomes-oriented pracNtiU
ceRS +j
d. Evidence-based practice +j
ANS: C + j
Outcomes-
oriented practice measures the effectiveness of the interventions and quality of care against
+j +j +j +j +j +j +j +j +j +j +j +j
benchmarks or standards. The term best practice refers to a program or servicethat has bee
+j +j +j +j +j +j +j +j +j +j +j +j +j +
j +j +j
n recognized for its excellence. Clinical benchmarking is a process used to compare one’s
+j +j +j +j +j +j +j +j +j +j +j +j +j +j
own performance against the performance of the best in an area of service. The term evide
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
nce-
based practice refers to the provision of care based on evidence gainedthrough research an
+j +j +j +j +j +j +j +j +j +j +j +
j +j +j
d clinical trials.
+j +j
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: +j +j +
j
Nursing Process: Evaluation +j +j
MSC: Client Needs: Safe and Effective Care Environment
+j +j +j +j +j +j +j
4. During a prenatal intake interview, the nurse is in the process of obtaining an initia
+j +j +j +j +j +j +j +j +j +j +j +j +j +j
l assessment of a 21-year-
+j +j +j +j
old Hispanic client with limited English proficiency. Whichintervention is the most
+j +j +j +j +j +j +j +
j +j +j +j +
important for the nurse to implement?
j +j +j +j +j +j
a. Use maternity jargon to enable the client to become familiar with these terms.
+j +j +j +j +j +j +j +j +j +j +j +j
b. Speak quickly and efficiently to expedite the visit.
+j +j +j +j +j +j +j
c. Provide the client with handouts. +j +j +j +j
d. Assess whether the client understands the discussion.
+j +j +j +j +j +j
ANS: D + j
Nurses contribute to health literacy by using simple, common words, avoiding jargon, an
+j +j +j +j +j +j +j +j +j +j +j +j
devaluating whether the client understands the discussion. Speaking slowly and clearly a
+
j +j +j +j +j +j +j +j +j +j +j +j
ndfocusing on what is important will increase understanding. Most client education materi
+
j +j +j +j +j +j +j +j +j +j +j +j
alsare written at a level too high for the average adult and may not be useful for a client
+
j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
withlimited English proficiency.
+
j +j +j
PTS: 1 DIF:
Cognitive Level: ApplyTOP: +j +j +
j
Nursing Process: Implementation +j +j
MSC: Client Needs: Health Promotion and Maintenance
+j +j +j +j +j +j
5. Which statement best exemplifies contemporary maternity nursing?
+j +j +j +j +j +j
a. Use of midwives for all vaginal deliveries
+j +j +j +j +j +j
b. Family-centered care +j
c. Free-standing birth clinics +j +j
d. Physician-
driven careANS: B +j +
j + j
, Maternity and Women's Health Care 13th Edition Lowdermilk Tes+j +j +j +j +j +j +j +j
t
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, partne
+j +j +j +j +j +j +j +j +j +j +j
rs, grandparents, and siblings may be present for the birth and participate in activitiessuch a
+j +j +j +j +j +j +j +j +j +j +j +j +j +
j +j
s cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal deliver
+j +j +j +j +j +j +j +j +j +j +j +j
ies. Free- +j
standing clinics are an example of alternative birth options. Contemporarymaternity nursin
+j +j +j +j +j +j +j +j +j +
j +j
g is driven by the relationship between nurses and their clients.
+j +j +j +j +j +j +j +j +j +j
PTS: 1 DIF:
Cognitive Level: UnderstandTOP: +j +j +
j
Nursing Process: Planning +j +j
MSC: Client Needs: Health Promotion and Maintenance
+j +j +j +j +j +j
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-
+j +j +j +j +j +j +j +j
ounce baby girl after beingin labor for 43 hours. The baby died 3 days later from sepsis. O
+j +j +j +j +
j +j +j +j +j +j +j +j +j +j +j +j +j +j
n what grounds could the woman have a legitimate legal case for negligence?
+j +j +j +j +j +j +j +j +j +j +j +j
a. Inexperienced maternity nurse was assigned to care for the client. +j +j +j +j +j +j +j +j +j
b. Client was past her due date by 3 days. +j +j +j +j +j +j +j +j
c. Standard of care was not met. +j +j +j +j +j
d. Client refused electronic fetal monitoring. +j +j +j +j
ANS: C + j
Not meeting the standard of care is a legitimate factor for a case of negligence. An inexp
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
erienced maternity nurse would need to display competency before being assigned tocare
+j +j +j +j +j +j +j +j +j +j +j +
j +j
for clients on his or her own. This client may have been past her due date; however, ater
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +
j
m pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is thest
+j +j +j +j +j +j +j +j +j +j +j +j +j +
j
andard of care, the client has the right to refuse treatment. This refusal is not a case for n
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
egligence, but informed consent should be properly obtained, and the client should have
+j +j +j +j +j +j +j +j +j +j +j +j +j
signed an against medical advice form when refusing any treatment that is within the sta
+j +j +j +j +j +j +j +j +j +j +j +j +j +j
ndard of care. +j +j
PTS: 1 DIF:
Cognitive Level: AnalyzeTOP: +j +j +
j
Nursing Process: Implementation +j +j
MSC: Client Needs: Safe and Effective Care Environment
+j +j +j +j +j +j +j
7. When the nurse is unsure how to perform a client care procedure that is high risk and lo
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
wvolume, his or her best action in this situation would be what?
+
j +j +j +j +j +j +j +j +j +j +j +j
a. Ask another nurse. +j +j
b. Discuss the procedure with the client’s physician. +j +j +j +j +j +j
c. Look up the procedure in a nursing textbook.+j +j +j +j +j +j +j
d. First consult the agency procedure manual
+j +j +j +j +j
ANS: D + j
Following the agency’s policies and procedures manual is always best when seeking infor
+j +j +j +j +j +j +j +j +j +j +j +j
mation on correct client procedures. These policies should reflect the current standardsof c
+j +j +j +j +j +j +j +j +j +j +j +
j +j
are and the individual state’s guidelines. Each nurse is responsible for his or her own pract
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
ice. Relying on another nurse may not always be a safe practice. Each nurse is obligated to
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
follow the standards of care for safe client care delivery. Physicians are responsible for th
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
eir own client care activity. Nurses may follow safe orders from physicians, but they are al
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
so responsible for the activities that they, as nurses, are to carry out. Information provided
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
in a nursing textbook is basic information for general knowledge.Furthermore, the informati
+j +j +j +j +j +j +j +j +j +
j +j +j
on in a textbook may not reflect the current standard of care or the individual state or hosp
+j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j +j
ital policies. +j
