A client gets out of bed following hip surgery, falls, and re-injures her hip. The nurse caring for her knows that it is her duty to make sure an incident report is filed
Which of the following statements accurately describes the correct procedure for filing an incident report?
A) The physician in charge should fill out the report.
B) The names of the staff involved should not be included.
C) The reports are used for disciplinary action against the staff.
D) The report should contain all the variables related to the incident.
Ans: D
An incident report, also called a variance or occurrence report, is used by health care agencies to document the occurrence of anything out of the ordinary that results in, or has the potential to result in, harm to a patient, employee, or visitor. The nurse responsible for a potentially (or actually) harmful incident or who witnesses an injury is the one who fills out the incident form. This form should contain the complete name of the person or people involved and the names of all witnesses; a complete factual account of the incident; the date, time, and place of the incident; pertinent characteristics of the person or people involved (e.g., alert, ambulatory, asleep) and of any equipment or resources being used; and any other variables believed to be important to the incident. These reports are used for quality improvement and should not be used for disciplinary action against staff members.
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A client is on mechanical ventilation and the client's spouse wonders why ranitidine (Zantac) is needed since the client "only has lung problems." What response by the nurse is best?
a. "It will increase the motility of the gastrointestinal tract." b. "It will keep the gastrointestinal tract functioning normally." c. "It will prepare the gastrointestinal tract for enteral feedings." d. "It will prevent ulcers from the stress of mechanical ventilation."
A staff RN is writing an article for a prestigious nursing journal. The deadline is in 1 week and she is feeling overwhelmed about completing her work
She is unable to keep up with home management, and she is beginning to procrastinate on the project. She also has other responsibil-ities, such as taking her elderly mother grocery shopping and to health care appointments. She is married to a busy executive and has three children, all of whom are active in high school sports. Which of the following time management strategies would be helpful? a. Break the project into smaller, manageable pieces. b. Contact an Elderly Nurse Aide Helper program to assist with shopping. c. Cut extra activities out of her schedule, such as her morning walk. d. Delegate some of the household chores to her family.
Which step of the nursing process identifies the success or failure of the plan of care developed by a nurse?
a. Assessment b. Evaluation c. Analysis d. Implementation
A client with a diagnosis of biopolar affective disorder comes to the clinic with tremors, nausea and vomiting, diarrhea, frequent urination, and excessive thirst. The nurse should suspect
A) seasonal influenza. B) lithium toxicity. C) a viral infection. D) diabetes.