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A charge nurse is providing an in-service to a group of staff nurses about unexpected events. Which of the following should the nurse include in the teaching as an example of a sentinel event?

A client was prescribed a medication they were allergic to, but the prescription was canceled before the medication was given

A client fell out of bed and fractured their hip.

A client was almost given another client's medication

A client had bowel surgery and died from sepsis.

Answer and Explanation

The Correct Answer is D

A)   This is a medication error, but since it was intercepted before harm occurred, it does not qualify as a sentinel event.

B)   While a fall resulting in a fracture is serious, it is not classified as a sentinel event unless the fall results in death, permanent harm, or significant temporary harm.
C)   This is a near-miss medication error, which is important to report and investigate but does not meet the criteria for a sentinel event.
D)   A sentinel event is an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. Death from sepsis following surgery would qualify as a sentinel event.

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Correct Answer is C

Explanation

A) The chair should be placed on the client's stronger (right) side to facilitate a safer and more controlled transfer. The client can use their stronger side to assist in the movement.

B) The bed should be at a comfortable height, ideally level with the chair, to allow a smooth transfer. Raising the bed too high can make it difficult for the client to place their feet firmly on the ground, reducing stability.
C) Locking the wheels on the bed ensures stability and prevents movement while assisting the client with the transfer. This is a crucial safety measure to reduce the risk of falls or injuries during the transfer process.
D) The chair should be positioned at a 45° angle to the bed to allow for a more natural pivot and smoother transfer. A 90° angle can make the movement more difficult and awkward for the client.

A. Bladder outlet obstruction B. Protein in the urine C. Neurogenic bladder D. Urinary tract infection

Correct Answer is D

Explanation

A) Urine retention is a common symptom of bladder outlet obstruction but in this case assessing the patient for a urinary tract infection is the priority.

B) While proteinuria can indicate kidney dysfunction, it's not directly related to urinary retention.
C) This refers to bladder dysfunction due to neurological causes and may not be directly related to urinary retention in an immobile client.
D) Immobility can increase the risk of urinary tract infections Urinary retention can lead to urinary tract infection (UTI) due to bacterial growth in the stagnant urine. The nurse should monitor the client for signs and symptoms of UTI, such as fever, chills, dysuria, hematuria, and foul-smelling urine.

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A charge nurse is providing an in-service to a group of staff nurses about unexpected events. Which of the following should the nurse include in the teaching as an example of a sentinel event?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to transfer a client who has left-sided weakness from a sitting position in bed to a chair. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is assisting with the plan of care for a client who is immobile and is experiencing urinary retention. The nurse should plan to monitor the client for which of the following?

Correct Answer is D

Explanation

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