When the nurse is unsure about how to perform a patient care ...

[Shelles]

When the nurse is unsure about how to perform a patient care procedure, the best action would be to:
 
  a. Ask another nurse.
  b. Discuss the procedure with the patient's physician.
  c. Look up the procedure in a nursing textbook.
  d. Consult the agency procedure manual and follow the guidelines for the procedure.

Question 2

A 23-year-old African-American woman is pregnant with her first child. Based on the statistics for infant mortality, which plan is most important for the nurse to implement?
 
  a. Perform a nutrition assessment.
  b. Refer the woman to a social worker.
  c. Advise the woman to see an obstetrician, not a midwife.
  d. Explain to the woman the importance of keeping her prenatal care appointments.

[yifu223]

Answer to Question 1

ANS: D
It is always best to follow the agency's policies and procedures manual when seeking information on correct patient procedures. These policies should reflect the current standards of care and state guidelines. Each nurse is responsible for her own practice. Relying on another nurse may not always be safe practice. Each nurse is obligated to follow the standards of care for safe client care delivery. Physicians are responsible for their own client care activity. Nurses may follow safe orders from physicians, but they are also responsible for the activities that they as nurses are to carry out. Information provided in a nursing textbook is basic information for general knowledge. Furthermore, the information in a textbook may not reflect the current standard of care or individual state or hospital policies.

Answer to Question 2

ANS: D
Consistent prenatal care is the best method of preventing or controlling risk factors associated with infant mortality. Nutritional status is an important modifiable risk factor, but a nutrition assessment is not the most important action a nurse should take in this situation. The patient may need assistance from a social worker at some time during her pregnancy, but a referral to a social worker is not the most important aspect the nurse should address at this time. If the woman has identifiable high-risk problems, her health care may need to be provided by a physician. However, it cannot be assumed that all African-American women have high-risk issues. In addition, advising the woman to see an obstetrician is not the most important aspect on which the nurse should focus at this time, and it is not appropriate for a nurse to advise or manage the type of care a patient is to receive.

[Shelles]

Excellent

[irishcancer18]

TYSM