Responding to a code called in the psychiatric unit where she works, a staff nurse finds that a patient has committed suicide. The staff nurse correctly identifies this as a:
a. benchmark incident.
b. quality improvement issue.
c. performance breach.
d. sentinel event.
D
A sentinel event is an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof.
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Which of the following assessment findings of a newly admitted 30-year-old male client would be most likely to cause his physician to suspect polyarteritis nodosa?
A) The man's blood work indicates polycythemia (elevated red cell levels) and leukocytosis (elevated white cells). B) The man's blood pressure is 178/102, and he has abnormal liver function tests. C) The man is acutely short of breath, and his oxygen saturation is 87%. D) The man's temperature is 101.9 °F, and he is diaphoretic (heavily sweating).
Which information should be included in the teaching care plan for a patient with tuberculosis (TB) in order to reduce the transmission of the disease?
A) TB is spread through sexual contact. B) Transmission occurs from sharing utensils of a person with TB. C) TB is transmitted by inhaling droplets from a person with TB. D) TB can spread through breaks in the skin.
The parent of a 4-year-old brings the child to the clinic and tells the nurse the child's abdomen is distended. After a complete examination, a diagnosis of Wilms tumor is suspected. Which of the following is most important when doing a physical examination on this child?
1. Avoid palpation of the abdomen. 2. Assess the urine for the presence of blood. 3. Monitor vital signs, especially the blood pressure. 4. Obtain an accurate height and weight.
Which feeding techniques should the nurse include in the teaching session for the parents of an infant who is being discharged in order to gain weight for the corrective surgery needed for a congenital heart defect? Select all that apply
1. Breastfeed if possible. 2. Complete each feeding within 30 minutes. 3. Position the infant flat to promote swallowing. 4. Dilute the formula with extra water to ensure adequate fluid intake. 5. Burp the infant frequently.