Nurses complete incident reports as dictated by the agency protocol. What is the primary reason nurses fill out an incident report?
a. to initiate litigation
b. to document the need for disciplinary action
c. to improve quality of care
d. to document everyday occurrences
Ans: c. to improve quality of care
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While assessing an acutely ill patient's respiratory rate, the nurse assesses four normal breaths followed by an episode of apnea lasting 20 seconds. How should the nurse document this finding?
A) Eupnea B) Apnea C) Biot's respiration D) Cheyne-Stokes
The nurse is planning instruction for a client who is newly diagnosed with glaucoma. What should be included in this teaching?
Select all that apply. A) Expect eye pain with the condition. B) Explanation of how permanent blindness will not occur C) Method to self-administer prescribed eye medication D) Importance of attending follow-up appointments with the physician E) Avoiding over-the-counter medication unless discussed with the physician
The nurse monitors a client with hypothyroidism receiving thyroid replacement therapy. Which of the following would indicate the client is moving toward a euthyroid state as a result of treatment?
a. weight gain c. increase in pulse rate b. decreased irritability d. decrease in gastric motility
Ethnic and religious factors may play an important part in food acceptance, especially during illness. A nurse is caring for a Jewish client who follows a kosher diet
Based on this information, what can the nurse anticipate is the answer the client will provide about what foods are allowed during the treatment of the illness in the healthcare facility? A) Ritually slaughtered pork B) Ritually slaughtered rabbit C) Ritually slaughtered beef D) Ritually slaughtered shellfish