Which statement is true regarding incident reports? The incident report
a. assists in risk management
b. is part of the patient's medical record
c. may not be used in a case involving litigation
d. is accessible only by the physician and hos-pital employees
A
Nurses are often advised not to document the filing of an incident report in the nurses' notes for legal reasons. The incident report serves two functions: it informs the organization's administration of the incident, so risk management personnel can consider changes that might prevent similar occurrences in the future; and it alerts the organization's insurance company to a potential claim and the need for further investigation.
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A patient from a non-English-speaking culture comes into the health clinic seeking care. The nurse is unable to determine the patient's primary language. What should the nurse do?
A. Ask for help to determine the patient's primary language. B. Encourage the patient to seek care elsewhere. C. Notify Security. D. Contact a homeless shelter.
The nurse is caring for a client prescribed baclofen (Lioresal) for cerebral palsy (CP). The client's parents speak very little English and the nurse plans to use an interpreter to teach the parents about the medication
Which instructions should the nurse emphasize during client teaching? A) "It is important that your child take the medication as prescribed. Do not stop the medication abruptly." B) "Do not give your child any aspirin-type drugs while on this medication." C) "It is important for your child to take the medication on an empty stomach." D) "You will need to increase your child's intake of fiber while on this medication."
The nurse is recommending that a client diagnosed with moderate stage Alzheimer's disease at-tend a support group when he becomes defensive about not driving his automobile and the ef-fects it will have on "being stuck at home."
Which is the priority outcome expected for this client when attending the group sessions? a. Facilitates socialization thus minimizing the effects of social isolation b. Helps with minimizing the loss as a factor in causing depression c. Provides caregivers with respite while as-suring the client is well attended to d. Allows for the opportunity for a mental health professional to assess the client
A woman is at 7 weeks' gestation, and is diagnosed with hyperemesis gravidarum. Which nursing diagnosis would receive priority?
1. Fluid volume deficit 2. Decreased cardiac output 3. Risk for injury 4. Alteration in nutrition: less than body requirements