A client with a nasogastric tube to suction has been prescribed tracheostomy suctioning as needed to maintain airway integrity
While rounding after report the nurse notes that the tubing for the nasogastric suction has been switched with that to be used for the tracheostomy suctioning. How should the charge nurse categorize this error?
1. Latent
2. Active
3. Technical
4. Organizational system
Correct Answer: 2
This is an active error. Errors can be classified as: latent-outside of the purview of the clinician, can involve organizational policies, procedures, allocation of resources, sometimes referred to as the blunt end; active-involves direct contact with the patient, usually encompasses direct care provided by clinicians or bedside staff, also known as the sharp end; organizational system-indirect failures involving management, organizational culture, protocols/processes, transfer of knowledge, and external factors; technical-indirect failure of facilities or external resources.
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Prior to giving an intramuscular injection to a 2½-year-old child, the most appropriate statement by the nurse would be:
1. "We will give you your shot when your mommy comes back." 2. "This is medicine that will make you better. First we will hold your leg, then I will wipe it off with this magic cloth that kills the germs on your leg right here, then I will hold the needle like this and say ‘one, two, three ? go' and give you your shot. After the shot is over with, I will hold the cotton ball until it stops bleeding and then put the Band-Aid on. Are you ready?" 3. "It is all right to cry, I know that this hurts. After we are done, you can go to the box and pick out your favorite sticker." 4. "This is a magic sword that will give you your medicine and make you all better."
When a patient comes into the emergency department with a narcotic overdose, the nurse anticipates that the patient will be treated with Narcan. What drug classification is Narcan?
a. Enhancer b. Substitute c. Control d. Antagonist
The nurse working in a free community clinic knows that access to health care is affected negatively by lack of health insurance. What accurately describes the effect of lack of insurance on family health? Select all that apply
A) Parents with uninsured children often delay care for their children. B) Parents with uninsured children are less likely to have taken their children to a doctor or dentist in the last 2 years. C) Parents with uninsured children are three times less likely to have a usual place of care for their children. D) The percentage of children without health insurance rose slightly from 11.7% in 2006 to 13% in 2007. E) Currently, the states have improved enrollment in Medicaid and the State Children's Health Insurance Program (SCHIP). F) Despite state efforts to ensure all children, nearly half of children eligible for these public programs are still uninsured.
The living will is called the health care proxy.
Answer the following statement true (T) or false (F)