Question

When showering a patient, which of the following actions should the nurse take to ensure patient safety?

Answer 1

Correct Answers:

Assess the water temperature before allowing the patient to shower.

Rationale :

♦Ensuring the safety of patients during hygiene care includes assessing for risks like thermal injury.

♦Before a patient showers, the nurse must assess the water temperature to confirm it is within a safe and comfortable range (typically 37.8–40.6°C or 100–105°F).

♦This is especially important for clients with decreased sensation, cognitive impairments, or mobility issues, who may not perceive excessive heat or coolness, placing them at risk for burns or chills.

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Answer 2

Correct Answers:

Quality

Rationale :

✅In pain assessment, the PQRST mnemonic is used to gather detailed information.

✅The “Q” refers to Quality, which involves asking the client to describe what the pain feels like (e.g., sharp, dull, burning).

✅Understanding the quality of pain helps in identifying underlying pathology and guides appropriate interventions.

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Answer 3

Correct Answers:

Adherence to infection control protocols

Rationale :

🤞Patient safety is a foundational nursing priority.

🤞Adhering to infection control protocols—including hand hygiene, PPE use, isolation precautions, and environmental cleaning—is essential for preventing hospital-acquired infections (HAIs).

🤞These protocols reduce morbidity, mortality, and costs, and are a cornerstone of quality healthcare delivery.

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Answer 4

Correct Answers:

Turn the client to the side.

Rationale :

⏺For unconscious clients, the nurse must turn the client to the side-lying (lateral) position during oral care to prevent aspiration of secretions or fluids.

⏺This position allows drainage and reduces the risk of pneumonia or airway obstruction.

⏺Oral care maintains mucosal integrity and helps prevent ventilator-associated complications in dependent clients.

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Answer 5

Correct Answers:

Critical pathways result in better client outcomes at a reduced cost.

Rationale :

▶Critical pathways, also known as clinical pathways or care maps, are standardized multidisciplinary care plans developed using evidence-based best practices.

▶Their purpose is to streamline care delivery, reduce variation, and optimize outcomes for patients with specific conditions.

▶By promoting timely, coordinated, and efficient care, they help minimize unnecessary interventions and resource use, which in turn lowers healthcare costs while improving patient recovery and satisfaction.

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Answer 6

Correct Answers:

Encouraging regular exercise and physical activity

Rationale :

🟣Exercise is a cornerstone of fall prevention, particularly in older adults.

🟣Regular physical activity improves strength, coordination, balance, and flexibility, all of which are vital in maintaining postural control and reducing the risk of falls.

🟣It also contributes to cardiovascular fitness, cognitive function, and mood stability, which indirectly support safety.

🟣 Fall prevention programs often include balance training and resistance exercises, especially for those with existing mobility concerns.

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Answer 7

Correct Answers:

Ondansetron 4 mg IV bolus for nausea and vomiting

Rationale :

In PIE charting, the "I" stands for Intervention, which includes any nursing action taken to manage a client problem.
Administering ondansetron IV is a therapeutic intervention aimed at resolving nausea and vomiting.
It reflects the nurse’s active response to the patient's report, demonstrating critical thinking and direct clinical management.
Recording this ensures continuity of care and fulfills documentation standards.

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Answer 8

Correct Answers:

Coordinates all healthcare client has received into one platform

Rationale :

🔴Electronic Health Records (EHRs) are designed to integrate all patient data—including diagnostics, medications, progress notes, and history—into a single, secure, digital system accessible by authorized care providers.

🔴This coordination enhances communication among healthcare team members, improves decision-making, and reduces duplication of services.

🔴Centralizing patient information leads to safer and more efficient care.

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Answer 9

Correct Answers:

Hold the cane on the opposite side of the affected leg.

Rationale :

✅The proper use of a cane involves holding it on the stronger (unaffected) side, which allows the cane to support body weight when the weaker leg moves forward.

✅This technique improves balance and gait mechanics, reducing strain and risk of falls.

✅The sequence should be: move the cane and affected leg together, followed by the unaffected leg.

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Answer 10

Correct Answers:

To improve patient outcomes and quality of care

Rationale :

🔵Evidence-Based Practice (EBP) is a systematic approach that integrates the best current evidence, clinical expertise, and patient values to make decisions about patient care.

🔵It ensures that nurses are providing safe, effective, and up-to-date care, rather than relying on tradition or routine.

🔵The ultimate goal of EBP is to enhance patient outcomes, reduce errors, and provide high-quality, individualized nursing interventions.

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RN NURS 117 Fundamentals

No.

1 : When showering a patient, which of the following actions should the nurse take to ensure patient safety?

2 : A nurse is caring for a client who reports abdominal pain. The nurse asks the client to describe what the pain feels like. The nurse is using which of the following components of the PQRST mnemonic?

3 : Which of the following is an essential component of patient safety in healthcare settings?

4 : A nurse is performing oral care for a client who is unconscious. Which of the following actions should the nurse take?

5 : A charge nurse is teaching a newly licensed nurse about the use of critical pathways. Which of the following should the charge nurse include?

6 : What is an important strategy for fall prevention in older adults?

7 : A nurse is documenting in a client's health record using the problem-intervention-evaluation charting model (PIE).Which of the following information should be included in the intervention component?

8 : A nurse is teaching a client about the benefits of an electronic health record. Which of the following information should the nurse include in the teaching?

9 : What is the correct way to use a cane while walking?

10 : What is the purpose of evidence-based practice (EBP) in nursing?

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