The nurse observes her colleague administering the wrong medication to a patient. The colleague states, "I am glad it was only Tylenol, so there won't be any adverse effects and I won't have to report it
" What is the most appropriate action for the nurse who hears this comment to take? a. Report the incident to the physician.
b. No action should be taken, as it is the colleague's decision to report the incident.
c. Tell the colleague that an incident form must be completed.
d. Report the incident to the provincial or territorial registering body.
C
Feedback
A Reporting the incident to the patient's physician is not an appropriate action.
B Taking no action is not an appropriate response.
C Whistleblowing (i.e., reporting a colleague's errors, incompetence, unsafe or negligent practice, or patient abuse) is one of the most difficult things a nurse has to do to ensure safe, compassionate, competent, and ethical care. If the other nurse has not filled out the incident report, then the nurse who hears this comment should do so.
D Reporting the incident to the provincial or territorial registering body is not an appropriate action.
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The wound care nurse is assessing a non-healing leg wound on a patient recently admitted for uncontrolled diabetes. The nurse organizes the data using Gordon's Functional Health Pattern of:
a. nutrition and metabolism. b. activity and exercise. c. sleep and rest. d. elimination.
The nurse is caring for a patient who has a history of congestive heart failure. The nurse includes the diagnosis fluid volume excess in the patient's care plan. Which goal statement has the highest priority for the patient and nurse?
a. The patient's lung sounds will remain clear. b. The patient will have urine output of at least 30 mL/hr. c. The patient will verbalize understanding of fluid restrictions. d. The patient's pitting pedal edema will resolve within 72 hours.
The nurse is preparing a patient for a procedure. The patient has signed a consent form, but states, "I don't really know anything about this procedure
I wonder if there is something else I could do instead?" How should the nurse proceed? 1. Continue with the preparation as consent may not be revoked. 2. Have the patient document the question in writing since the original consent was written. 3. Stop the preparation as the patient can revoke consent at any time. 4. Try to convince the patient to go through with the procedure.
Describe the actions of and give an example of replacement electrolytes and fluids.
What will be an ideal response?