A charge nurse observes a client fall while ambulating with an assistive personnel and notes that the client's gait belt was not in place. When reviewing the incident report, the charge nurse finds that the report does not mention the gait belt. Which of the following ethical principles should the charge nurse follow?

Beneficence

Fidelity

Nonmaleficence

Veracity

Answer and Explanation

The Correct Answer is D

A. Beneficence refers to the ethical principle of doing good and promoting the well-being of clients, but it is not directly related to the integrity of incident reporting.

B. Fidelity involves being faithful to commitments and promises, but in this context, it does not address the importance of accurate reporting.

C. Nonmaleficence means "do no harm," which is essential in nursing practice, but it is not the principle that emphasizes honesty in documentation.

D. Veracity is the ethical principle that emphasizes truthfulness and accuracy, making it crucial for the charge nurse to ensure that the incident report accurately reflects the circumstances of the fall, including the absence of the gait belt.

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Correct Answer is C

Explanation

A. A structure audit examines the resources, facilities, and organizational structure in place rather than specific patient outcomes or interventions.

B. Benchmarking involves comparing performance metrics to industry standards or best practices but does not specifically apply to this situation.

C. An outcome audit focuses on the results of care, specifically looking at the effectiveness of care practices, such as the timely removal of urinary catheters, to prevent complications.

D. A process audit evaluates the methods and processes of care rather than the outcomes, which is not applicable in this context.

A. Change total parenteral nutrition IV tubing every 48 hr. B. Change peripheral IV primary tubing every 96 hr. C. Replace peripheral IV solution bags every 96 hr. D. Replace total parenteral nutrition solution bags every 48 hr.

Correct Answer is B

Explanation

A. Changing total parenteral nutrition (TPN) tubing every 48 hours is incorrect. According to most guidelines, TPN tubing should be changed every 24 hours to reduce the risk of infection.

B. Changing peripheral IV primary tubing every 96 hours is a recommended practice in many healthcare settings. It balances infection prevention with cost-effectiveness and is widely accepted for maintaining IV line sterility.

C. Replacing peripheral IV solution bags every 96 hours would not be appropriate, as IV fluid bags should typically be replaced every 24 hours to prevent bacterial contamination.

D. Replacing TPN solution bags every 48 hours is not advisable, as TPN solutions should be replaced every 24 hours to minimize infection risks associated with high-sugar content solutions.

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing client charts to collect data on the number of urinary catheters that were removed within 48 hours of surgery. This collection of information demonstrates which of the following processes?

Correct Answer is C

Explanation

A nurse is serving on a committee whose task is to plan cost-effective care at the facility. Which of the following client care tasks should the nurse recommend?

Correct Answer is B

Explanation

A client who is unconscious and has extensive internal injuries arrives via ambulance to the emergency department. The staff cannot reach the client's family. Which of the following permits the staff to proceed with emergency surgery?

A nurse is reviewing the medication administration record of a client and notices that an additional dose of medication has been administered. Which of the following actions should the nurse take first?

A nurse is orienting a newly licensed nurse on the neurological unit. Which of the following clients should the nurse assign to the newly licensed nurse?

A nurse is caring for a client who requests a copy of their medical records immediately. Which of the following responses should the nurse make?

A nurse is conducting an in-service on client advocacy with a group of newly licensed nurses. Which of the following scenarios should the nurse include as examples of client advocacy? (Select all that apply.)

A nurse is caring for a client who is eligible for a research study. Which of the following should provide informed consent to enroll in the study?

A nurse manager is developing a protocol to reduce the incidence of UTIs in clients who have an indwelling urinary catheter. Which of the following interventions should the nurse include in the protocol?