A nurse is working in a health facility that creates a culture of ...

[hbsimmons88]

A nurse is working in a health facility that creates a culture of safety. Which behavior will the nurse use in this type of facility?
 
  a. Find blame when problems occur.
  b. Reprimand co-workers when a mistake is made.
  c. Maximize adverse events.
  d. Focus on performance improvement ef-forts.

Question 2

The nurse is performing an assessment of a client diagnosed with excess fluid volume due to renal failure. Which of the following assessment data is the nurse likely to find?
 
  A) Hypotension
  B) Feeble pulse
  C) Crackles
  D) Drowsiness

[Benayers]

Answer to Question 1

D
These types of organizations foster a patient-centered safety culture by continually focusing on performance improvement efforts, risk-management findings, and safety reports to design a safe work environment. Health care organizations strive to create a culture of safety, one that consis-tently minimizes, not maximizes, adverse events despite carrying out complex and hazardous work. A culture of safety requires the determination to achieve consistently safe operations and a blame-free environment in which individuals can report errors without fear or reprimand.

Answer to Question 2

C
Feedback:
Crackles are the most important sign found in excess fluid volume. The client has the nursing diagnosis of excess fluid volume. The signs of increased fluid volume are adventitious lung sounds, a bounding pulse, and high blood pressure; therefore, a diagnosis of hypotension or feeble pulse would be incorrect. Consciousness may become impaired at later stages when the fluid shift starts. The adventitious lung sounds indicate excess fluid volume.

[hbsimmons88]

Excellent

[nanny]

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