Author Question: A graduate nurse has attended a lecture regarding risk management and makes the decision to reduce ... (Read 55 times)

vHAUNG6011 · **on:** Jul 22, 2018

A graduate nurse has attended a lecture regarding risk management and makes the decision to reduce risks by:

1. Avoiding a lawsuit by not discussing errors made.
2. Storing unused equipment in the halls of the unit.
3. Purchasing liability insurance.
4. Questioning every order that the physician writes.

Question 2

A client is receiving intravenous fluids postoperatively following cardiac surgery. The nurse plans to explain to the family that nursing assessments will focus on which potential postoperative complication?

1. Fluid volume deficit
2. Fluid volume excess
3. Liver failure
4. Seizure activity

meow1234 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3. Purchasing liability insurance.

Rationale:
A large part of risk management is entails reducing cost related to lawsuits. The nurse is best protected by purchasing personal liability insurance. Risk management also entails analyzing errors to determine causes and changing policy to reduce more errors. Nurses should report all errors in an effort to assist in the campaign to reduce medical errors. Storing unused equipment in the hall serves to eliminate risk of contamination, but could increase the risk due to injury. The nurse does not need to question every order that a physician writes; the nurse is responsible only to question orders that may injure clients.

Answer to Question 2

2. Fluid volume excess

Rationale:
Antidiuretic hormone (ADH) and aldosterone levels are commonly increased following the stress response before, during, and immediately after surgery. This increase leads to sodium and water retention. Adding more fluids intravenously can cause a fluid volume excess and stress upon the heart and circulatory system. A fluid volume deficit would not occur with the administration of intravenous fluids. Liver failure is not anticipated related to postoperative intravenous fluid administration. Seizure activity would more commonly be associated with electrolyte imbalances.