A nurse providing care for a patient with a recent tracheostomy notes the presence of an ulceration or wound at the tracheotomy site. The nature of the ulceration or wound clearly indicates it has been present for at least several days
The nurse finds no documentation regarding the ulceration or wound since the insertion of the tracheostomy tube 12 days earlier. Each nurse providing care for the patient before this nurse has committed a. negligence. c. a breach in standards of care.
b. assessment failures. d. all of the above.
D
Negligence is the failure to act as an ordinary prudent person would, which, in this case, resulted in a breach of a standard of care related to wound assessment and care. Assessment and implementation failures are related to a failure to assess and analyze a care need, communicate findings to a physician, take appropriate action, and document.
You might also like to view...
A patient is instructed to take diphenhydramine (Benadryl) after an allergic reaction. Which of the following statements by the patient indicates successful teaching concerning the safe and effective use of diphenhydramine?
A) "I will still be able to have my after-dinner drink with this medication." B) "I will eat a diet low in sodium while taking this medication." C) "I should not drive my car after taking this medication." D) "I can take this medication every 2 hours until I feel better."
A woman tells the nurse that her husband abuses her most often when he is intoxicated, just as his father had beaten him and his mother. She states he is always apologetic and remorseful after an incident
She has considered leaving home with her two children but has not been able to bring herself to do so. Which might be reasons this abuse victim does not leave? Select all that apply. a. She has entered the "honeymoon stage.". b. Attempting to leave increases the danger. c. On some level, she really does not want to leave. d. The spouse's positives outweigh the negatives. e. She holds religious beliefs that require her to stay. f. She is dependent on his financial support.
A 35-year-old man is experiencing symptoms of urinary frequency, dysuria, and noticeable urethral discharge. The patient is most likely suffering from:
A) Chronic bacterial prostatitis B) Postprandial hyperglycemia C) Benign prostatic hyperplasia D) Urolithiasis
For a client whose resting pulse rate is 71 beats/min, the nurse would check the client's pulse rate to ensure that during post-MI activities, the client's heart rate does not exceed
a. 89 beats/min. b. 96 beats/min. c. 101 beats/min. d. 112 beats/min.