The patient was in bed with all side rails up. During the night, the patient tried to get up to go to the bathroom and fell while trying to climb over the side rails
After meeting the patient's needs and assessing that the patient was not harmed, what step should the nurse take (if any)?
a. Complete an incident report and put it in the medical record.
b. Chart what happened and state that an incident report has been filled out.
c. Do nothing because the patient was not harmed.
d. Document what happened in the patient record without mentioning the incident report.
D
Document in the patient's record an objective description of what you observed and follow-up actions taken without reference to the incident report. Incident reports are not a part of the permanent medical record but are an important source of risk management data for identifying and addressing the causes of errors made in health care organizations. You complete the report even if an injury does not occur or is not apparent.
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Decision making is a critical thinking process for
1. Choosing the best actions to meet a desired goal 2. Collecting data 3. Making assumptions 4. Finding conclusions 5.
To assist the nurse in evaluating the patient's hydration status, assessment would include
a. orthostatic hypotension and neck vein filling. b. pupil checks and Kernig sign. c. Chvostek and Trousseau signs. d. S4 gallop and edema.
A client is complaining of episodes of intense fear without any identifiable basis. During the episodes the client says he experiences shortness of breath and palpitations
The population health nurse should suspect that this client is experiencing which disorder? 1. Panic disorder. 2. Bipolar disorder. 3. Schizophrenia. 4. Borderline personality disorder.
Which of the following does not apply to qualitative research?
A. Data are often words and pictures. B. use of inductive methods C. ends with statistical report D. involves direct and personal contact with subjects