5 Implementing Care and Escalating Concerns Free Online FlashCards

What should a nurse verify before implementing an intervention?

Check that the intervention is appropriate for the patient and within your role, competence, orders, and facility policy.

What should you do if an order is unclear or seems unsafe?

Pause and clarify the order; do not guess or proceed with an order that seems unsafe.

What safety checks may be needed before giving medication?

Confirm the patient’s identity and allergies, verify the order and relevant parameters, and use the equipment correctly.

How should a nurse respond when a patient may be unstable?

Address immediate threats first and get help early. Do not delay an urgent call to complete a nonessential assessment or routine task.

What does each part of SBAR communicate?

Situation: what is happening now? Background: relevant context. Assessment: observations and concern. Recommendation/request: the response or help needed.

What information makes a clinical concern report specific?

State objective findings, trends, relevant actions already taken, and the patient’s response.

What should the request in an SBAR report make clear?

Make the needed response or help explicit so the report is actionable.

How can a nurse confirm an important instruction was understood?

Use a check-back to confirm important instructions.

Who can speak up about a patient-safety concern?

Anyone on the care team can speak up about a safety concern.

Why are new restlessness and worsening vital-sign trends concerning after surgery?

New restlessness with a rising heart rate, falling blood pressure, and decreasing oxygen saturation is concerning for deterioration, especially as a worsening trend.

What immediate support steps are described for a worsening patient?

Stay with the patient, call for assistance, and activate the rapid-response system if its criteria are met or the patient is worsening.

How should a nurse evaluate a patient's response after an intervention?

Reassess relevant cues and compare them with the patient’s baseline and the intended outcome to determine whether the patient improved, stayed the same, or deteriorated.