An acute care nurse is teaching a group of newly licensed nurses about The Joint Commission's National Patient Safety Goals. Which of the following information should the nurse include in the teaching?

Compile a list of the client's current medications to compare with new medications.

Label syringes, but not medicine cups or basins, during a procedure.

Use one client identifier for treatments, care, and services.

Perform a daily assessment of wounds using the Braden scale.

Answer and Explanation

The Correct Answer is A

A. Compile a list of the client's current medications to compare with new medications. Medication reconciliation is a key component of The Joint Commission's National Patient Safety Goals. It helps prevent medication errors by ensuring that all medications are reviewed and documented.
B. Label syringes, but not medicine cups or basins, during a procedure. All medications and solutions should be labeled to prevent medication errors, including those in syringes, medicine cups, and basins. Not labeling all items can lead to confusion and errors.
C. Use one client identifier for treatments, care, and services. Using at least two identifiers (e.g., name and date of birth) is recommended to ensure correct patient identification and reduce the risk of errors.
D. Perform a daily assessment of wounds using the Braden scale. The Braden scale is used for assessing pressure ulcer risk, not for daily wound assessment. While regular assessment of wounds is important, the Braden scale is not the correct tool for this purpose.

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Correct Answer is D

Explanation

A. Elevated blood pressure This is not a common manifestation of a UTI in older adults.
B. Decreased heart rate This is not associated with UTIs.
C. Report of epigastric pain Epigastric pain is more related to gastrointestinal issues.
D. Mental confusion Older adults with UTIs often present with mental confusion or altered mental status, rather than the classic symptoms seen in younger individuals.

A. The provider should sign the advance directives before it is valid." B. The health care proxy is required to approve the client's wishes listed in advance directives." C. "The health care proxy can add additional treatments to the advance directives." D. "Advance directives should be documented in the client's medical record."

Correct Answer is D

Explanation

A. "The provider should sign the advance directives before it is valid." This statement is incorrect. Advance directives are valid once they are signed by the client, not the provider. The provider's signature is not required.
B. "The health care proxy is required to approve the client's wishes listed in advance directives." This statement is incorrect. The health care proxy does not have the authority to approve or alter the client's wishes. The proxy is responsible for ensuring that the client's wishes are followed as documented in the advance directives.
C. "The health care proxy can add additional treatments to the advance directives." This statement is incorrect. The health care proxy cannot add or change treatments listed in the advance directives. Their role is to make decisions based on the existing directives.
D. "Advance directives should be documented in the client's medical record." This statement is correct. Advance directives should be documented in the client's medical record to ensure that all healthcare providers are aware of and can adhere to the client's wishes.

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An acute care nurse is teaching a group of newly licensed nurses about The Joint Commission's National Patient Safety Goals. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

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