National Standard 3 is paramount to safety in the perioperative setting as activities associated with it are at the core of surgical practice. Which statement below best describes activities associated with Standard 3?
a. This Standard is about medication safety, and relates to how nurses handle and administer medications to patients, as well as how controlled drugs such as opioids, narcotics and sedatives are securely managed to prevent misuse.
b. This Standard focuses on correct patient identification processes and ensuring accurate procedure matching to reduce wrong site surgery.
c. This Standard describes how clinicians respond to a deteriorating patient in a structured, consistent and timely manner to reduce adverse events.
d. This Standard covers the concepts of aseptic technique, standard and transmission-based precautions, antimicrobial stewardship, environmental cleaning, and the reprocessing and sterilisation of surgical instruments.
ANS: D
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While teaching a patient to self-administer insulin, the patient asks the nurse, "Why are you telling me to rotate my sites when I inject the insulin? If I use the same area for injection every day, it will probably cause me less pain."
The nurse's best response is: A) "Injecting insulin into the same area causes scarring and delays the absorption of the drug." B) "That is a great question and researchers are investigating the possibility of patients using the same site for insulin injection in the future." C) "Until you are comfortable with self-administering insulin, feel free to inject in the same area, as it will cause you less discomfort." D) "Injecting insulin into the same area does not affect the way your body absorbs the drug, but can lead to dimpling of the skin."
When is nursing assessment most complete?
1. When insight is gained through an assessment of individual needs before the needs of the family 2. When insight is gained through an assessment of the family needs before the needs of the individual 3. When insight is gained through an assessment of the needs of the individual and family simultaneously 4. When insight is gained through an individual-nurse-family relationship with consideration of the surrounding community
Which documentation of a patient's behavior best demonstrates a nurse's observations?
a. Isolates self from others. Frequently fell asleep during group. Vital signs stable. b. Calmer; more cooperative. Participated actively in group. No evidence of psychotic thinking. c. Appeared to hallucinate. Frequently increased volume on television, causing conflict with others. d. Wore four layers of clothing. States, "I need protection from evil bacteria trying to pierce my skin."
Which laboratory test result will indicate to the nurse that the client had a secondary immune response?
1. Elevated IgE higher than IgA 2. Elevated IgG higher than IgM 3. Elevated IgM higher than IgG 4. Elevated IgA higher than IgE