Maternity and Women's Health Care 13th Edition Lowdermilk Test
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, Maternity and Women's Health Care 13th Edition Lowdermilk Test ud ud ud ud ud ud ud ud
Chapter 01: 21st Century Maternity and Women’s Health Nursing Lowdermilk:
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Maternity & Women’s Health Care, 12th Edition
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MULTIPLE CHOICE ud
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-weight (LBW)
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infant, which factor is the most important for the nurse to consider?
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a. African-American race ud
b. Cigarette smoking ud
c. Poor nutritional status ud ud
d. Limited maternal education ud ud
ANS: A u d
The rise in the overall LBW rates were due to increases in LBW births to non-Hispanic black
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women (13.35%) and Hispanic women (7.21%); non-Hispanic black infants are almost
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twice as likely as non-Hispanic white infants to be of LBW and to die in the first year of life..
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
Race is a nonmodifiable risk factor. Cigarette smoking is an important factor in potential infant
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mortality rates, but it is not the most important. Additionally, smoking is a modifiable risk
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
factor. Poor nutrition is an important factor in potential infant mortality rates, but it is not the
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most important. Additionally, nutritional status is a modifiable risk factor. Maternal
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education is an important factor in potential infant mortality rates, but it is not the most
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important. Additionally, maternal education is a modifiable risk factor.
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PTS: 1 DIF: Cognitive Level: Understand ud ud
TOP: Nursing Process: Assessment
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MSC: Client Needs: HealtN PrRoS
hU mI ioG
otN nT
uanBd.MCaO
inM
dtenance, Antepartum Care
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2. A 23-year-old African-American woman is pregnant with her first child. Based on current
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statistics for infant mortality, which intervention is most important for the nurse to include
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in the client’s plan of care?
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a. Perform a nutrition assessment. ud ud ud
b. Refer the woman to a social worker. ud ud ud ud ud ud
c. Advise the woman to see an obstetrician, not a midwife. ud ud ud ud ud ud ud ud ud
d. Explain to the woman the importance of keeping her prenatal care appointments. ud ud ud ud ud ud ud ud ud ud ud
ANS: D u d
Consistent prenatal care is the best method of preventing or controlling risk factors
ud ud ud ud ud ud ud ud ud ud ud ud
associated with infant mortality. Nutritional status is an important modifiable risk factor, but it
ud ud ud ud ud ud ud ud ud ud ud ud ud ud
is not the most important action a nurse should take in this situation. The client may need
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
assistance from a social worker at some time during her pregnancy, but a referral to a social
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
worker is not the most important aspect the nurse should address at this time. If the woman
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
has identifiable high-risk problems, then her health care may need to be provided by a
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
physician. However, it cannot be assumed that all African-American women have high-risk
ud ud ud ud ud ud ud ud ud ud ud ud
issues. In addition, advising the woman to see an obstetrician is not the most important
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
aspect on which the nurse should focus at this time, and it is not appropriate for a nurse to
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
advise or manage the type of care a client is to receive.
ud ud ud ud ud ud ud ud ud ud ud ud
PTS: 1 DIF: Cognitive Level: Understand ud ud
TOP: Nursing Process: Planning
ud ud ud
, Maternity and Women's Health Care 13th Edition Lowdermilk Test ud ud ud ud ud ud ud ud
MSC: Client Needs: Health Promotion and Maintenance
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3. The nurses working at a newly established birthing center have begun to compare their
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performance in providing maternal-newborn care against clinical standards. This
ud ud ud ud ud ud ud ud ud
comparison process is most commonly known as what?
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a. Best practices network ud ud
b. Clinicalbenchmarking ud
c. Outcomes-orientedpracNtiU ceR S ud
d. Evidence-based practice ud
ANS: C u d
Outcomes-oriented practice measures the effectiveness of the interventions and quality of ud ud ud ud ud ud ud ud ud ud
care against benchmarks or standards. The term best practice refers to a program or service
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
that has been recognized for its excellence. Clinical benchmarking is a process used to
ud ud ud ud ud ud ud ud ud ud ud ud ud ud
compare one’s own performance against the performance of the best in an area of service.
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
The term evidence-based practice refers to the provision of care based on evidence gained
ud ud ud ud ud ud ud ud ud ud ud ud ud ud
through research and clinical trials.
ud ud ud ud ud
PTS: 1 DIF: CognitiveLevel:Understand ud ud
TOP: Nursing Process: Evaluation
ud ud ud
MSC: Client Needs: Safe and Effective Care Environment
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4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
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assessment of a 21-year-old Hispanic client with limited English proficiency. Which
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intervention is the most important for the nurse to implement?
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a. Use maternity jargon to enable the client to become familiar with these terms.
ud ud ud ud ud ud ud ud ud ud ud ud
b. Speak quickly and efficiently to expedite the visit.
ud ud ud ud ud ud ud
c. Provide the client with handouts. ud ud ud ud
d. Assess whether the client understands the discussion.
ud ud ud ud ud ud
ANS: D u d
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
ud ud ud ud ud ud ud ud ud ud ud ud
evaluating whether the client understands the discussion. Speaking slowly and clearly and
ud ud ud ud ud ud ud ud ud ud ud ud
focusing on what is important will increase understanding. Most client education materials
ud ud ud ud ud ud ud ud ud ud ud ud
are written at a level too high for the average adult and may not be useful for a client with
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
limited English proficiency.
ud ud ud
PTS: 1 DIF: CognitiveLevel:Apply ud ud
TOP: Nursing Process: Implementation
ud ud ud
MSC: Client Needs: Health Promotion and Maintenance
u d ud ud ud ud ud
5. Which statement best exemplifies contemporary maternity nursing?
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a. Use of midwives for all vaginal deliveries
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b. Family-centered care ud
c. Free-standing birth clinics ud ud
d. Physician-drivencare ud
udANS: B u d
, Maternity and Women's Health Care 13th Edition Lowdermilk Test ud ud ud ud ud ud ud ud
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, ud ud ud ud ud ud ud ud ud ud
partners, grandparents, and siblings may be present for the birth and participate in activities
ud ud ud ud ud ud ud ud ud ud ud ud ud ud
such as cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal
ud ud ud ud ud ud ud ud ud ud ud ud ud
deliveries. Free-standing clinics are an example of alternative birth options. Contemporary
ud ud ud ud ud ud ud ud ud ud ud
maternity nursing is driven by the relationship between nurses and their clients.
ud ud ud ud ud ud ud ud ud ud ud ud
PTS: 1 DIF: Cognitive Level: Understand ud ud
TOP: Nursing Process: Planning
ud ud ud
MSC: Client Needs: Health Promotion and Maintenance
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6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby girl after being in
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labor for 43 hours. The baby died 3 days later from sepsis. On what grounds could the
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
woman have a legitimate legal case for negligence?
ud ud ud ud ud ud ud ud
a. Inexperienced maternity nurse was assigned to care for the client. ud ud ud ud ud ud ud ud ud
b. Client was past her due date by 3 days. ud ud ud ud ud ud ud ud
c. Standard of care was not met. ud ud ud ud ud
d. Client refused electronic fetal monitoring. ud ud ud ud
ANS: C u d
Not meeting the standard of care is a legitimate factor for a case of negligence. An
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
inexperienced maternity nurse would need to display competency before being assigned to
ud ud ud ud ud ud ud ud ud ud ud ud
care for clients on his or her own. This client may have been past her due date; however, a
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
term pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is the
ud ud ud ud ud ud ud ud ud ud ud ud ud ud
standard of care, the client has the right to refuse treatment. This refusal is not a case for
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
negligence, but informed consent should be properly obtained, and the client should have
ud ud ud ud ud ud ud ud ud ud ud ud ud
signed an against medical advice form when refusing any treatment that is within the
ud ud ud ud ud ud ud ud ud ud ud ud ud ud
standard of care.
ud ud ud
PTS: 1 DIF: CognitiveLevel:Analyze ud ud
TOP: Nursing Process: Implementation
ud ud ud
MSC: Client Needs: Safe and Effective Care Environment
u d ud ud ud ud ud ud
7. When the nurse is unsure how to perform a client care procedure that is high risk and low
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volume, his or her best action in this situation would be what?
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a. Ask another nurse. ud ud
b. Discuss the procedure with the client’s physician. ud ud ud ud ud ud
c. Look up the procedure in a nursing textbook. ud ud ud ud ud ud ud
d. First consult the agency procedure manual ud ud ud ud ud
ANS: D u d
Following the agency’s policies and procedures manual is always best when seeking
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information on correct client procedures. These policies should reflect the current standards
ud ud ud ud ud ud ud ud ud ud ud ud
of care and the individual state’s guidelines. Each nurse is responsible for his or her own
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
practice. Relying on another nurse may not always be a safe practice. Each nurse is obligated
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
to follow the standards of care for safe client care delivery. Physicians are responsible for
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
their own client care activity. Nurses may follow safe orders from physicians, but they are
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
also responsible for the activities that they, as nurses, are to carry out. Information provided
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
in a nursing textbook is basic information for general knowledge. Furthermore, the
ud ud ud ud ud ud ud ud ud ud ud ud
information in a textbook may not reflect the current standard of care or the individual state
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
or hospital policies.
ud ud ud
ud ud ud ud ud ud ud ud
Maternityand ud ud
Women's Health ud
Care13th u
d u
d
Edition
u
d ud
LowdermilkTest ud
Bank
, Maternity and Women's Health Care 13th Edition Lowdermilk Test ud ud ud ud ud ud ud ud
Chapter 01: 21st Century Maternity and Women’s Health Nursing Lowdermilk:
ud ud ud ud ud ud ud ud ud
Maternity & Women’s Health Care, 12th Edition
ud ud ud ud ud ud ud
MULTIPLE CHOICE ud
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-weight (LBW)
ud ud ud ud ud ud ud ud ud ud ud ud ud
infant, which factor is the most important for the nurse to consider?
ud ud ud ud ud ud ud ud ud ud ud ud
a. African-American race ud
b. Cigarette smoking ud
c. Poor nutritional status ud ud
d. Limited maternal education ud ud
ANS: A u d
The rise in the overall LBW rates were due to increases in LBW births to non-Hispanic black
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
women (13.35%) and Hispanic women (7.21%); non-Hispanic black infants are almost
ud ud ud ud ud ud ud ud ud ud ud
twice as likely as non-Hispanic white infants to be of LBW and to die in the first year of life..
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
Race is a nonmodifiable risk factor. Cigarette smoking is an important factor in potential infant
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
mortality rates, but it is not the most important. Additionally, smoking is a modifiable risk
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
factor. Poor nutrition is an important factor in potential infant mortality rates, but it is not the
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
most important. Additionally, nutritional status is a modifiable risk factor. Maternal
ud ud ud ud ud ud ud ud ud ud ud
education is an important factor in potential infant mortality rates, but it is not the most
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
important. Additionally, maternal education is a modifiable risk factor.
ud ud ud ud ud ud ud ud ud
PTS: 1 DIF: Cognitive Level: Understand ud ud
TOP: Nursing Process: Assessment
ud ud ud
MSC: Client Needs: HealtN PrRoS
hU mI ioG
otN nT
uanBd.MCaO
inM
dtenance, Antepartum Care
u d u d u d u d u d
2. A 23-year-old African-American woman is pregnant with her first child. Based on current
ud ud ud ud ud ud ud ud ud ud ud ud
statistics for infant mortality, which intervention is most important for the nurse to include
ud ud ud ud ud ud ud ud ud ud ud ud ud ud
in the client’s plan of care?
ud ud ud ud ud ud
a. Perform a nutrition assessment. ud ud ud
b. Refer the woman to a social worker. ud ud ud ud ud ud
c. Advise the woman to see an obstetrician, not a midwife. ud ud ud ud ud ud ud ud ud
d. Explain to the woman the importance of keeping her prenatal care appointments. ud ud ud ud ud ud ud ud ud ud ud
ANS: D u d
Consistent prenatal care is the best method of preventing or controlling risk factors
ud ud ud ud ud ud ud ud ud ud ud ud
associated with infant mortality. Nutritional status is an important modifiable risk factor, but it
ud ud ud ud ud ud ud ud ud ud ud ud ud ud
is not the most important action a nurse should take in this situation. The client may need
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
assistance from a social worker at some time during her pregnancy, but a referral to a social
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
worker is not the most important aspect the nurse should address at this time. If the woman
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
has identifiable high-risk problems, then her health care may need to be provided by a
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
physician. However, it cannot be assumed that all African-American women have high-risk
ud ud ud ud ud ud ud ud ud ud ud ud
issues. In addition, advising the woman to see an obstetrician is not the most important
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
aspect on which the nurse should focus at this time, and it is not appropriate for a nurse to
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
advise or manage the type of care a client is to receive.
ud ud ud ud ud ud ud ud ud ud ud ud
PTS: 1 DIF: Cognitive Level: Understand ud ud
TOP: Nursing Process: Planning
ud ud ud
, Maternity and Women's Health Care 13th Edition Lowdermilk Test ud ud ud ud ud ud ud ud
MSC: Client Needs: Health Promotion and Maintenance
u d ud ud ud ud ud
3. The nurses working at a newly established birthing center have begun to compare their
ud ud ud ud ud ud ud ud ud ud ud ud ud
performance in providing maternal-newborn care against clinical standards. This
ud ud ud ud ud ud ud ud ud
comparison process is most commonly known as what?
ud ud ud ud ud ud ud ud
a. Best practices network ud ud
b. Clinicalbenchmarking ud
c. Outcomes-orientedpracNtiU ceR S ud
d. Evidence-based practice ud
ANS: C u d
Outcomes-oriented practice measures the effectiveness of the interventions and quality of ud ud ud ud ud ud ud ud ud ud
care against benchmarks or standards. The term best practice refers to a program or service
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
that has been recognized for its excellence. Clinical benchmarking is a process used to
ud ud ud ud ud ud ud ud ud ud ud ud ud ud
compare one’s own performance against the performance of the best in an area of service.
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
The term evidence-based practice refers to the provision of care based on evidence gained
ud ud ud ud ud ud ud ud ud ud ud ud ud ud
through research and clinical trials.
ud ud ud ud ud
PTS: 1 DIF: CognitiveLevel:Understand ud ud
TOP: Nursing Process: Evaluation
ud ud ud
MSC: Client Needs: Safe and Effective Care Environment
u d ud ud ud ud ud ud
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial
ud ud ud ud ud ud ud ud ud ud ud ud ud ud
assessment of a 21-year-old Hispanic client with limited English proficiency. Which
ud ud ud ud ud ud ud ud ud ud ud
intervention is the most important for the nurse to implement?
ud ud ud ud ud ud ud ud ud ud
a. Use maternity jargon to enable the client to become familiar with these terms.
ud ud ud ud ud ud ud ud ud ud ud ud
b. Speak quickly and efficiently to expedite the visit.
ud ud ud ud ud ud ud
c. Provide the client with handouts. ud ud ud ud
d. Assess whether the client understands the discussion.
ud ud ud ud ud ud
ANS: D u d
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
ud ud ud ud ud ud ud ud ud ud ud ud
evaluating whether the client understands the discussion. Speaking slowly and clearly and
ud ud ud ud ud ud ud ud ud ud ud ud
focusing on what is important will increase understanding. Most client education materials
ud ud ud ud ud ud ud ud ud ud ud ud
are written at a level too high for the average adult and may not be useful for a client with
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
limited English proficiency.
ud ud ud
PTS: 1 DIF: CognitiveLevel:Apply ud ud
TOP: Nursing Process: Implementation
ud ud ud
MSC: Client Needs: Health Promotion and Maintenance
u d ud ud ud ud ud
5. Which statement best exemplifies contemporary maternity nursing?
ud ud ud ud ud ud
a. Use of midwives for all vaginal deliveries
ud ud ud ud ud ud
b. Family-centered care ud
c. Free-standing birth clinics ud ud
d. Physician-drivencare ud
udANS: B u d
, Maternity and Women's Health Care 13th Edition Lowdermilk Test ud ud ud ud ud ud ud ud
Contemporary maternity nursing focuses on the family’s needs and desires. Fathers, ud ud ud ud ud ud ud ud ud ud
partners, grandparents, and siblings may be present for the birth and participate in activities
ud ud ud ud ud ud ud ud ud ud ud ud ud ud
such as cutting the baby’s umbilical cord. Both midwives and physicians perform vaginal
ud ud ud ud ud ud ud ud ud ud ud ud ud
deliveries. Free-standing clinics are an example of alternative birth options. Contemporary
ud ud ud ud ud ud ud ud ud ud ud
maternity nursing is driven by the relationship between nurses and their clients.
ud ud ud ud ud ud ud ud ud ud ud ud
PTS: 1 DIF: Cognitive Level: Understand ud ud
TOP: Nursing Process: Planning
ud ud ud
MSC: Client Needs: Health Promotion and Maintenance
u d ud ud ud ud ud
6. A 38-year-old Hispanic woman vaginally delivered a 9-pound, 6-ounce baby girl after being in
ud ud ud ud ud ud ud ud ud ud ud ud ud
labor for 43 hours. The baby died 3 days later from sepsis. On what grounds could the
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
woman have a legitimate legal case for negligence?
ud ud ud ud ud ud ud ud
a. Inexperienced maternity nurse was assigned to care for the client. ud ud ud ud ud ud ud ud ud
b. Client was past her due date by 3 days. ud ud ud ud ud ud ud ud
c. Standard of care was not met. ud ud ud ud ud
d. Client refused electronic fetal monitoring. ud ud ud ud
ANS: C u d
Not meeting the standard of care is a legitimate factor for a case of negligence. An
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
inexperienced maternity nurse would need to display competency before being assigned to
ud ud ud ud ud ud ud ud ud ud ud ud
care for clients on his or her own. This client may have been past her due date; however, a
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
term pregnancy often goes beyond 40 weeks of gestation. Although fetal monitoring is the
ud ud ud ud ud ud ud ud ud ud ud ud ud ud
standard of care, the client has the right to refuse treatment. This refusal is not a case for
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
negligence, but informed consent should be properly obtained, and the client should have
ud ud ud ud ud ud ud ud ud ud ud ud ud
signed an against medical advice form when refusing any treatment that is within the
ud ud ud ud ud ud ud ud ud ud ud ud ud ud
standard of care.
ud ud ud
PTS: 1 DIF: CognitiveLevel:Analyze ud ud
TOP: Nursing Process: Implementation
ud ud ud
MSC: Client Needs: Safe and Effective Care Environment
u d ud ud ud ud ud ud
7. When the nurse is unsure how to perform a client care procedure that is high risk and low
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
volume, his or her best action in this situation would be what?
ud ud ud ud ud ud ud ud ud ud ud ud
a. Ask another nurse. ud ud
b. Discuss the procedure with the client’s physician. ud ud ud ud ud ud
c. Look up the procedure in a nursing textbook. ud ud ud ud ud ud ud
d. First consult the agency procedure manual ud ud ud ud ud
ANS: D u d
Following the agency’s policies and procedures manual is always best when seeking
ud ud ud ud ud ud ud ud ud ud ud
information on correct client procedures. These policies should reflect the current standards
ud ud ud ud ud ud ud ud ud ud ud ud
of care and the individual state’s guidelines. Each nurse is responsible for his or her own
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
practice. Relying on another nurse may not always be a safe practice. Each nurse is obligated
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
to follow the standards of care for safe client care delivery. Physicians are responsible for
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
their own client care activity. Nurses may follow safe orders from physicians, but they are
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
also responsible for the activities that they, as nurses, are to carry out. Information provided
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
in a nursing textbook is basic information for general knowledge. Furthermore, the
ud ud ud ud ud ud ud ud ud ud ud ud
information in a textbook may not reflect the current standard of care or the individual state
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud
or hospital policies.
ud ud ud
