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.
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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Related Questions
Correct Answer is C
Explanation
A. Increase dietary intake of fats. While fats can help lubricate the intestines, increasing fat intake is not a primary recommendation for managing constipation. Focusing on fiber and fluid intake is more effective.
B. Reduce intake of fluids. Reducing fluid intake can worsen constipation. Adequate hydration is essential to soften stool and promote regular bowel movements.
C. Increase fiber gradually each day. Increasing fiber intake gradually helps prevent constipation. Fiber adds bulk to the stool and helps it move more easily through the digestive tract. A gradual increase prevents gas and bloating that can occur with a sudden high intake of fiber.
D. Reduce dietary intake of probiotics. Probiotics can actually aid in maintaining a healthy digestive system and can help with bowel regularity. Reducing them is not recommended for managing constipation.
Correct Answer is B
Explanation
A. Draw up the formula into a syringe. This step is premature and should be done after confirming the tube placement and checking for residual volume.
B. Determine the pH level of gastric contents. Checking the pH level of gastric contents helps confirm the placement of the nasogastric tube in the stomach, which is crucial before administering feedings or medications to prevent aspiration.
C. Flush the nasogastric tube with 30 mL of water. Flushing is important but should be done after confirming tube placement.
D. Measure the total volume of gastric residual. Measuring residual volume is important but should be done after confirming tube placement.
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