A registered nurse is caring for a patient 2 days after a colon resection. The patient called for assistance to go to the bathroom. Instead of waiting for help, the patient decided to get up without help. The patient fell but was not injured
After contacting the patient's primary health care provider, which action should the nurse take next? a. Nothing; the patient was not injured.
b. Call the ethics committee.
c. Submit an incident report.
d. Insist that the patient have a radiograph done.
C
When there is a deviation from the standard of care, such as a patient or visitor falls or an error is made, a nurse makes specific documentation of the event or incident in the form of an occurrence/incident report. The nurse should complete an occurrence report when anything unusual happens that could potentially cause harm to a patient, visitor, or employee. Just because the patient was not injured does not mean the report can be neglected. The health care provider orders follow-up care or treatment when necessary, not the nurse. The ethics committee is involved in ethical dilemmas, not occurrence/incident reports.
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1. 46 2. 45 or 47 3. 22 or 24 4. 21
Factors associated with increased risk of prostate cancer include:
a. African descent. b. cigarette smoking. c. a low-fat diet. d. alcoholism.
You are participating in end-of-shift report when a patient approaches the group of nurses, looks at a co-worker and loudly states, "You are all nasty
You are talking about me again, aren't you?" and proceeds to throw a cup of water at the group. You respond with the following statement or action: A) "It is not appropriate to approach us in that manner. I will meet with you after our report is complete." B) "You think we're talking about you? We are giving report. We talk about all patients at this time." C) Do nothing and ignore the patient. D) Call an assist code and have the patient placed in quiet room for a period of time.
The nurse needs to obtain a throat culture. In order to obtain this type of specimen, the nurse would:
a. Give the swab to the child and instruct the child to swab the throat b. Swab throat while the child opens the mouth and says "ah" c. Use a suction catheter to obtain a sterile specimen d. Swab throat with a tongue depressor