Safe and Effective Care Environment Flashcards
6 cards from real RN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Safe and Effective Care Environment flashcards as text
A nurse is preparing to administer a blood transfusion. Which action is the most important safety check before beginning the infusion?
Answer: Verify the blood product with another licensed nurse at the bedside using two patient identifiers
Two-nurse verification of blood product compatibility using two patient identifiers (name and date of birth or medical record number) is the critical safety step to prevent transfusion reactions.
A nurse is preparing to insert a urinary catheter. Which action is essential to prevent catheter-associated urinary tract infection (CAUTI)?
Answer: Maintain a closed drainage system and secure the catheter to the thigh
A closed drainage system prevents bacteria from ascending into the bladder; catheter securement prevents movement that introduces microorganisms.
Which transmission-based precaution is required for a patient admitted with active pulmonary tuberculosis?
Answer: Airborne precautions with a negative-pressure room and N95 respirator
Pulmonary TB is transmitted via airborne droplet nuclei; a negative-pressure room and NIOSH-approved N95 respirator are required to prevent nosocomial transmission.
A nurse receives a verbal telephone order from a physician. Which action best ensures patient safety?
Answer: Read the order back to the physician to confirm accuracy before ending the call
Reading back verbal or telephone orders and receiving confirmation from the prescriber is the Joint Commission-required 'read-back' safety standard to prevent medication errors.
A nurse is preparing to administer medication through a nasogastric tube. Which action must be performed first?
Answer: Verify tube placement by checking pH of aspirate and assessing tube markings
Confirming NG tube placement before each use prevents inadvertent pulmonary instillation; checking aspirate pH and tube length markings are the evidence-based methods.
Which patient is at highest risk for a pressure injury?
Answer: An 80-year-old patient with diabetes, incontinence, and limited mobility on bedrest
Advanced age, diabetes (impaired circulation and healing), incontinence (moisture), and immobility are the highest-risk factors for pressure injury development per the Braden Scale.