A student nurse was discussing the subject of incident reports. All of the statements made by the student were accurate until she said:
1. "Incident reports are to be completed in the event of an unusual occurrence or an accident."
2. "An incident report should be completed according to agency policy, including notification of the supervisor and designated personnel."
3. "A copy of the incident report should be filed as part of the involved patient's chart."
4. "An incident report should include what happened, who was involved, witnesses to the event, and treatment provided."
ANS: 3
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You are treating a black Muslim man who has long-standing diabetes and recently had a mild stroke from which he is recuperating. Which of the following would be an example of culturally sensitive nursing care?
a. Inform him that while he is in the hospital, he must eat whatever is brought to him and take the insulin given him b. Discuss his diet with him, asking him if he has any special needs c. Request that the pharmacy send only nonpork insulin for him d. Both B and C
The nurse has initiated measures to promote suppuration of a carbuncle. Which assessment would indicate that these measures have been successful?
a. The area is erythematous and scaly. b. The area has begun to drain exudate. c. The area is not erythematous or edematous. d. The area has stopped draining exudate.
Which assessment finding is most important in determining nursing care for a client with acute glomerulonephritis?
A) Presence of albumin in the urine B) Dark smoky colored urine C) Blurred vision D) Peripheral edema
The nurse sees on the cardiorespiratory monitor that the patient's cardiac rhythm has changed from normal sinus rhythm to ventricular fibrillation. The nurse knows that the most effective means of converting this rhythm is:
a. CPR. b. defibrillation. c. oxygen. d. precordial thump.