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