A nurse asks the manager why the nursing staff seems to have the bulk of the responsibility for preventing errors in patient care. The manager explains that the primary reason nurses are best situated to recognize and prevent errors is because they
a. are leaders on the health care team.
b. have refined communication skills.
c. interact with patients so frequently.
d. provide the majority of risky care.
C
Nurses interact with patients on a frequent basis and so are positioned to prevent medical errors as much as 90% of the time.
Nurses should play a leadership role in all patient care situations, but this is not the best answer for this question because in many work environments, nurses still take a subservient role.
Nurses are taught communication skills in nursing school, but nurses and other health care providers are taught to communicate in very different ways.
Nurses do provide some care that is considered risky, such as medication administration, but physicians often provide the riskiest care, such as operations and invasive procedures.
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The nurse is obtaining a history from an older male client with benign prostatic hypertrophy (BPH) experiencing urinary retention. Which question is the most important to include in the assessment?
1. "Do you take any medications?" 2. "Have you experienced pain with urination?" 3. "Are you experiencing erectile dysfunction?" 4. "Are you urinating more than 8 times in 24 hours?"
A 14-year-old with cystic fibrosis suddenly becomes noncompliant with the medication regime. The intervention by the nurse that would most likely improve compliance is to:
1. Give the child a computer-animated game that presents information on the management of cystic fibrosis. 2. Arrange for the physician to sit down and talk to the child about the risks related to noncompliance with medications. 3. Set up a meeting with some older teens with cystic fibrosis who have been managing their disease effectively. 4. Discuss with the child's parents the privileges that can be taken away, such as a cell phone, if compliance fails to improve.
What term is used to describe the use of a drug when it is not advisable?
a. Contraindication b. Classification c. Indication d. Side effect