Author Question: A nurse is a member of clinic's health and safety committee, and strategies for enhancing client and ... (Read 26 times)

newyorker26 · **on:** Jul 22, 2018

A nurse is a member of clinic's health and safety committee, and strategies for enhancing client and worker safety are being considered. How can the committee best implement the strategy of mistake-proofing?

A) ordering new oxygen tubing that cannot be inadvertently connected to a medical air port
B) placing reminders on all of the medication carts prompting nurses to the rights of medication administration
C) providing supplementary education to nurses about safe client transfers
D) assigning one nurse to administer all of the medication on a unit rather than dividing the task among the nurses

Question 2

The nurse is caring for a client who has an indwelling urinary catheter. A care bundle is being used to guide the client's catheter care. What are likely elements of the care bundle? Select all that apply.

A) Ensure that the client's meatus is cleansed at least once per day.
B) Evaluate the client's need for the catheter on a daily basis.
C) Irrigate the client's catheter daily to ensure patency.
D) Apply standard precautions when providing catheter care.
E) Replace the catheter every 48 hours to reduce the risk of infection.

hramirez205 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

Ans: A
Feedback:
An example of mistake-proofing is the creation of tubing connections that are not interchangeable. This makes it nearly impossible to commit an error, such as giving a client medical air instead of oxygen. None of the other listed strategies make it physically or logistically impossible to commit an error.

Answer to Question 2

Ans: A, B, D
Feedback:
Care bundles are a short, focused list of essential aspects of care. They most commonly address a safety risk, such as urinary tract infections associated with catheters. Actions such as using standard precautions, cleansing the client's meatus, and evaluating the need for the catheter help reduce the risk. Frequent replacement and irrigation of the catheter are likely to increase the risk of infection, and would be excluded from a care bundle.