LVN Safe and Effective Care Environment 1 Flashcards
6 cards from real Uncategorized practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 LVN Safe and Effective Care Environment 1 flashcards as text
A nurse is caring for a patient who refuses a prescribed medication. What is the most appropriate initial action?
Answer: Document the refusal and notify the physician
Patients have the right to refuse treatment. The nurse must respect this right, document the refusal thoroughly, and notify the physician so the care plan can be adjusted appropriately.
When applying restraints to a patient, how often must the nurse reassess the patient and document the findings?
Answer: Every 1–2 hours
Restrained patients must be reassessed at least every 1–2 hours to check circulation, skin integrity, comfort, and the continued need for restraints to prevent complications.
A nurse notices a colleague documenting care that was not performed. What is the most appropriate action?
Answer: Confront the colleague privately and report to the charge nurse or supervisor
Falsifying medical records is illegal and unethical. The nurse has a professional and legal obligation to address the issue by speaking with the colleague and reporting it through the proper chain of command.
Which nursing action best prevents a urinary catheter-associated infection (CAUTI)?
Answer: Using aseptic technique during insertion and keeping the system closed
Strict aseptic technique during insertion and maintaining a closed drainage system are the most effective measures for preventing CAUTI by minimizing pathogen entry into the urinary tract.
A nurse is preparing to administer a blood transfusion. Which action must be completed immediately before starting the infusion?
Answer: Verify the blood product with another licensed nurse at the bedside
Before initiating a transfusion, two licensed nurses must independently verify the blood product, patient identification, blood type, and expiration date at the bedside to prevent a potentially fatal transfusion reaction.
A patient is found lying on the floor after a fall. After ensuring the patient's safety, what is the nurse's next priority action?
Answer: Notify the physician and complete an incident report
After stabilizing the patient, the nurse must notify the physician of the fall and complete an incident report to document the event, ensure proper follow-up care, and support facility quality improvement efforts.