Development of which complication is considered a never event?
a. Fever
b. Atelectasis
c. Pressure ulcer
d. Thrombophlebitis
ANS: C
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A client jumped out of a window on the second floor of the hospital and sustained a spinal cord injury that resulted in the inability to have upper and lower extremity sensation
What type of documentation by the nurse would be appropriate in this situation? A) "The client must have been depressed and wanted to commit suicide." B) "I saw the client get ready to jump and was unable to get to him fast enough." C) "Client observed standing on the window ledge; asked client to come down and proceeded to enter the room, and client jumped through the glass." D) "The previous shift should have notified the physician that the patient was suicidal."
A patient has been admitted for removal of a cataract from her left eye with an IOL implant. What must the nurse do before taking this patient to the operating room?
A) Answer all the patient's questions before going to the operating room B) Use active identification with a second identifier to validate you have the right patient C) Mark the area over the eye that is to be operated on so you don't operate on the wrong eye D) Make sure the patient is well sedated before entering the operating room
A person currently in an abusive relationship tells a nurse, "My partner is really sorry for hitting me and wants to come back and be part of the family again.". The nurse should provide which intervention?
a. Share with the patient that abusers seldom voluntarily stop abusing. b. Encourage the patient to demand the abuser seek psychiatric help. c. Advise the patient to focus on minimizing the abuse if the relationship continues. d. Inform the partner that any physical abuse will certainly be reported to the police.
A client is scheduled for a hemoglobin A1c laboratory test. The nurse explains to the client that this test monitors:
1. the percentage of glucagon in the blood. 2. the level of hemoglobin over time. 3. the percentage of glucose present in the blood. 4. the level of glucose over time.