A nurse completes an incident report concerning a confused client who fell on the floor after climbing out of bed around raised side rails. The nurse explains to a student that the primary purpose for completing this report for the institution is to:
1. provide a document that can be cross-referenced in a note in the client's medical record.
2. identify whether there is a pattern of risk so that corrective action may be taken.
3. assign blame for the incident in case a lawsuit is later filed.
4. give information about costs of unnecessary additional treatments.
ANS: 2
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A 73-year-old man comes into the emergency department (ED) by ambulance after slipping on a small carpet in his home. The patient fell on his hip with a resultant fracture
He is alert and oriented; his pupils are equal and reactive to light and accommodation. His heart rate is elevated, he is anxious and thirsty, a Foley catheter is placed, and 40 mL of urine is present. What is the nurse's most likely explanation for the low urine output? A) The man urinated prior to his arrival to the ED and will probably not need to have the Foley catheter kept in place. B) The man likely has a traumatic brain injury, lacks antidiuretic hormone (ADH), and needs vasopressin. C) The man is experiencing symptoms of heart failure and is releasing atrial natriuretic peptide that results in decreased urine output. D) The man is having a sympathetic reaction, which has stimulated the renin–angiotensin–aldosterone system that results in diminished urine output.
The nurse is reviewing the medical record of a child with infective endocarditis. Which of the following would the nurse expect to find? Select all answers that apply
A) White blood cell count revealing leukopenia B) Microscopic hematuria with urinalysis C) Electrocardiogram with prolonged PR interval D) Lungs clear on auscultation E) Petechiae on palpebral conjunctiva
The nurse's care of a newly delivered adolescent includes teaching about infant care. When developing the care plan, the nurse bases interventions on the knowledge that:
A. the adolescent is eager to participate in the newborn's care. B. grandparents who assume care of the infant may adversely affect the teen's future parenting skills. C. younger adolescents are not emotionally or mentally capable of participating in the care of the infant. D. adolescent fathers are generally unwilling to participate in the infant's care.
When a researcher concludes that a particular result in the study is unlikely to have happened by chance alone, that finding is said to:
A) probably be important in future studies B) be statistically significant in this study C) guarantee the results will happen again D) reflect a normal distribution of values