The charge nurse is reviewing an incident with a staff nurse in which an older client was injured after a fall. Which statement made by the nurse would require immediate intervention by the charge nurse?
1. "The client fell during shift report."
2. "The client fell after getting up from the chair."
3. "The client was instructed to call if they needed help out of bed."
4. "The client was trying to reach for their walker to get to the bathroom."
4. "The client was trying to reach for their walker to get to the bathroom."
Explanation: 1. A client falling during shift report does not indicate the nurse's performance of care contributed to the client's fall.
2. The client that fell after getting up from a chair does not require the charge nurse to immediately intervene because this is not the fault of the nurse or related to the performance of the nurse.
3. A client that is instructed to call if they needed help getting up out of bed does not indicate the nurse's performance of care contributed to the client's fall.
4. The client that was unable to reach their assistive device necessary to use for safe ambulation indicates that the client's environment was unsafe.
You might also like to view...
Which remark by a nurse demonstrates the use of critical thinking?
a. "I just let my thoughts flow." b. "My mind is made up. Why listen further?" c. "I play and replay a situation, like using instant replay." d. "I think about what other information I need before proceeding."
After a completing a home visit, which of the following would be the priority action for the nurse?
a. Submit the insurance and other third-party payer forms correctly. b. Call the family and determine their satisfaction with the visit. c. Complete the documentation and discuss questions beyond the nurse's expertise with a consultant. d. Order the necessary supplies and equipment for the return visit.
Bloody drainage is:
a. Purulent drainage b. Serosanguineous drainage c. Serous drainage d. Sanguineous drainage
The child weighs 1 lb 4 oz. Convert this weight to kg: ________. (Round to the nearest hundredth)
Fill in the blank(s) with the appropriate word(s).