A hospital's risk-management team provides the nursing staff with an in-service about incident reports. The in-service should include which of the following pieces of information? Select all that apply
1. An incident report always involves the patient.
2. Incident reports are part of the patient's medical record.
3. A medication error should be documented on an incident report.
4. A patient, visitor, or employee injury should be documented on an incident report.
5. An incident report is used to document out-of-the-ordinary things that happen in a health-care facility.
ANS: 3, 4, 5
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The nurse is assisting to prepare a nursing care plan for a patient with continuous IVs. The goal of IV therapy is to:
1. promote and maintain fluid and electrolyte balance. 2. promote drug blood levels when the patient is able to take liquid medication by mouth. 3. promote oxygen and carbon dioxide homeostasis. 4. balance plasma acidity levels.
A nurse prepares to administer a scheduled dose of verapamil (Calan) to a patient with atrial flutter. The nurse records a heart rate of 92 and a blood pressure of 110/76 . In light of these findings, the nurse should
a. administer the dose as prescribed. b. withhold the drug and notify the prescriber. c. recheck the vital signs in 30 minutes and then administer the dose. d. administer IV calcium gluconate.
For a long-term care resident, a restrictive diet could decrease quality of life. When should restrictive diets be used in long-term care facilities?
A) When a resident has decreased intake and weight loss B) For hospice care C) When a significant improvement in health can be expected D) For one week a month
Which patient described below most needs an advocate?
a. A 68-year-old female patient who tells you that she always relies on her husband to decide what is best b. An 80-year-old patient who states, "Why do people talk over my head as if I was a child?" c. A 4-year-old patient whose mother visits each evening but goes home to care for her other two children each night d. A 36-year-old patient who states, "I really wish this surgery wasn't necessary. I want to look at my other choices, again."