The charge nurse is beginning rounds after attending morning report. Which clients should the nurse be concerned for developing a never event? (Select all that apply.)
1. Client with hemophilia receiving Factor replacement transfusions
2. Client recovering from a stroke with foul-smelling urine in a catheter drainage bag
3. Client recovering from total knee replacement surgery complaining of right calf pain
4. Client with heart failure being fitted for a C-pap mask for use at home for sleep apnea
5. Client with renal failure with a newly diagnosed stage III pressure ulcer on the left heel
Correct Answer: 2, 3, 5
The Centers for Medicare and Medicaid Services (CMS) issued a ruling to deny reimbursement of federal funds to pay for services by physicians and hospitals for treatment of never events, which are preventable errors, injuries, and infections. These events include urinary tract infections, deep vein thrombosis, and pressure ulcers. The client with hemophilia and the client being fitted for a device to prevent sleep apnea are less at risk for developing a never event.
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Touch, to a great degree, is culturally determined. When providing care for a patient who belongs to a Hispanic culture, which of the following may be considered inappropriate in a health care setting?
A) Grandmothers helping in the care of pediatric patients. B) Patients asking questions of health care providers. C) Health care information being given to a female member of the family. D) Males participating in health care activities.
A client with a brain tumor is complaining of a headache upon awakening. Which nursing action would the nurse take first?
A) Elevate the head of the bed. B) Complete a head-to-toe assessment. C) Administer morning dose of anticonvulsant. D) Administer Percocet as ordered.
A patient has been receiving treatment for status epilepticus for the last 20 minutes
What will the nurse prepare to implement to help the patient at this time? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Prepare for emergency intubation. 2. Insert an indwelling urinary catheter. 3. Monitor body temperature. 4. Obtain an order for a bedside electroencephalogram. 5. Insert an intravenous access line.
At what point in the life of a group lasting 12 sessions should confidentiality be explained and discussed?
A. At the first session B. During session 4, as the working phase begins C. During session 12, as the group terminates D. At the time each client is interviewed so as not to waste group time