In an effort to ensure the safety of all patients, the nurse should incorporate which of these practices according to the Joint Commission’s National Patient Safety Goals?
The nurse should use one identifier each time she is giving the patient medications
The nurse should not be concerned about suicide in geriatric populations at all
The nurse should instruct the UAP (unlicensed assistive personnel) to use extra caution when caring for a patient who takes medications to thin their blood
The nurse should instruct the UAP to avoid turning and repositioning an elderly patient who is at risk for pressure ulcers during the night so that the patient might sleep better
The Correct Answer is A
Choice A reason: The Joint Commission’s National Patient Safety Goals emphasize using at least two patient identifiers when administering medications or treatments to ensure accuracy and prevent errors. Using only one identifier increases risk of mistakes. This practice directly supports patient safety.
Choice B reason: Suicide risk must be considered across all populations, including geriatric patients. Ignoring suicide risk in older adults is unsafe and violates safety standards.
Choice C reason: While caution is important when caring for patients on anticoagulants, this is not a specific Joint Commission safety goal. It is part of general nursing vigilance but not a mandated safety practice.
Choice D reason: Avoiding repositioning to allow sleep increases risk of pressure ulcers and is unsafe. The Joint Commission emphasizes prevention of harm, including pressure injury prevention, so this practice contradicts safety goals.
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Correct Answer is B
Explanation
Choice A reason: IV push medications are outside the scope of practice for LPNs in most states. These require RN-level training and responsibility due to the risk of rapid adverse reactions.
Choice B reason: Administering oral narcotics is within the scope of practice for LPNs. They are trained to safely administer oral medications, monitor for side effects, and document administration.
Choice C reason: Starting blood transfusions is typically restricted to RNs due to the need for advanced assessment and monitoring for transfusion reactions. LPNs may assist but not initiate transfusions.
Choice D reason: Teaching nursing students is outside the scope of LPN practice. Nurse educators are typically RNs with advanced degrees.
Correct Answer is ["A","B","C"]
Explanation
Choice A reason: Bathing enhances patient comfort by relieving feelings of uncleanliness, refreshing the body, and promoting relaxation. It also supports dignity and psychological well-being, especially for patients who have been unable to perform hygiene independently.
Choice B reason: Bathing stimulates circulation through gentle massage and movement of extremities during the process. Warm water dilates blood vessels, improving blood flow and oxygen delivery to tissues. This is particularly beneficial for immobile patients at risk of pressure injuries.
Choice C reason: Bathing cleanses the skin by removing sweat, oils, dead cells, and microorganisms. This reduces the risk of infection, prevents odor, and maintains skin integrity. Proper cleansing is essential for patients with wounds, catheters, or compromised immunity.
Choice D reason: Bathing does not reduce the need for oral care. Oral hygiene is a separate aspect of patient care that prevents dental disease, halitosis, and aspiration pneumonia. Bathing addresses skin and systemic comfort, not oral health.
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