A student nurse is learning about client safety.
The student nurse should recognize that which of the following is true regarding client safety and prevention of harm?

Medical errors are not the result of poorly coordinated care.

Medication errors are intentional.

As many as 50% of adverse drug events are preventable.

Hand-off errors are not causes of adverse events.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Medical errors are frequently the result of poorly coordinated care, often stemming from communication breakdowns, fragmented systems, and lack of clear protocols among healthcare providers and departments. Scientific evidence consistently links systemic failures in care coordination to an increased incidence of adverse events and medical errors. Optimizing coordination across the healthcare continuum is a key strategy for enhancing patient safety.

Choice B rationale

Medication errors are almost universally unintentional. They arise from various factors including miscalculations, transcription errors, improper administration techniques, or miscommunication. While negligence can play a role, the vast majority of medication errors are not deliberate acts. Healthcare systems focus on developing robust error prevention strategies to minimize the likelihood of these unintended events through process improvements and technology.

Choice C rationale

As many as 50% of adverse drug events (ADEs) are preventable. This high percentage underscores the importance of implementing evidence-based strategies, such as medication reconciliation, barcode medication administration, clinical decision support systems, and thorough patient education. Many ADEs result from predictable drug-drug interactions, incorrect dosages, or allergies that could be intercepted with proactive interventions and careful monitoring.

Choice D rationale

Hand-off errors are a significant cause of adverse events. Poor communication during transitions of care, such as shift changes or patient transfers, can lead to critical information being omitted, misunderstood, or miscommunicated. This can result in delayed diagnoses, inappropriate treatments, or medication errors, highlighting the need for standardized and effective hand-off protocols to ensure patient safety and continuity of care.

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Correct Answer is B

Explanation

Choice A rationale

Wearing tight-fitting clothing can constrict blood flow and potentially damage the fistula, which is a surgically created arteriovenous connection essential for hemodialysis access. Protecting the fistula from trauma and pressure is crucial for maintaining its patency and function, ensuring efficient dialysis treatment. This statement indicates good understanding.

Choice B rationale

Sleeping on the graft site can compromise blood flow and potentially damage the graft, similar to a fistula. However, taking a blood pressure on the graft arm is contraindicated as it can cause excessive pressure, lead to thrombosis, or damage the graft, risking its patency and integrity. This statement indicates a need for further education.

Choice C rationale

Redness or swelling at the access site can be signs of infection or inflammation, which are serious complications in dialysis clients. Prompt reporting to the healthcare provider is essential for early diagnosis and intervention, preventing more severe systemic infections or loss of the access site. This statement indicates good understanding.

Choice D rationale

Many medications, especially water-soluble ones, are dialyzed out of the body during hemodialysis. Therefore, it is often recommended to take certain medications after dialysis to ensure their full therapeutic effect and prevent their removal during the treatment. This statement indicates good understanding.

Correct Answer is ["1.5"]

Explanation

Step 1 is: Calculate the number of tablets needed. 7.5 mg ÷ (5 mg/tablet) = 1.5 tablets.

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A student nurse is learning about client safety. The student nurse should recognize that which of the following is true regarding client safety and prevention of harm?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client about hemodialysis treatment. The nurse should recognize that which client statement indicates the need for further education?

Correct Answer is B

Explanation

A patient is prescribed Coumadin (warfarin) for anticoagulation therapy. The patient's INR (International Normalized Ratio) is 2.5 and the desired range is 2-3. The medication order is for Coumadin 7.5 mg daily at 6 pm and comes in 5 mg tablets. How many tablets should the nurse administer?

Correct Answer is ["1.5"]

Explanation

The nurse manager is negotiating a conflict between the staff nurses and nursing assistants. The nurse manager talked to everyone involved and created a list of the main issues. Which step in the negotiation process does this best describe?

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A student nurse is learning about client safety.
The student nurse should recognize that which of the following is true regarding client safety and prevention of harm?