Level: Advanced
Difficulty: Hard
Subtopic: Bias and confounding
NCLEX: The nurse reviewing a unit quality dashboard is being evaluated for evidence-based practice and bias and confound…
Statistics or evidence-based practice Management of Care
Case Study
The nurse reviewing a unit quality dashboard is being evaluated for evidence-based practice and bias and confounding. Assessment data include a guideline recommends chlorhexidine bathing for central-line infection prevention. Which nursing action is the priority to keep the client safe?
Question
A. Leave the client alone to promote independence while finishing charting.
B. Apply the first intervention in the policy manual without a current assessment.
C. Apply restraints without assessing less restrictive safety options first.
D. Stay with the client, remove immediate hazards, reassess, and escalate per facility safety protocol.
B. Apply the first intervention in the policy manual without a current assessment.
C. Apply restraints without assessing less restrictive safety options first.
D. Stay with the client, remove immediate hazards, reassess, and escalate per facility safety protocol.
Rationale
Correct answer: D. Stay with the client, remove immediate hazards, reassess, and escalate per facility safety protocol.
Rationale: Client safety requires direct assessment, hazard reduction, and timely escalation rather than assumptions, abandonment, or policy-only actions.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.
Rationale: Client safety requires direct assessment, hazard reduction, and timely escalation rather than assumptions, abandonment, or policy-only actions.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.