A nurse finds that a client did not receive a scheduled dose of furosemide (Lasix). Which of the following should the nurse include in the incident/variance report? (Select all that apply.)

The name of the provider who prescribed the medication

The time the client was to receive the medication

The date of the Incident

The client's vital signs

The potential adverse effects of the medication

Answer and Explanation

Correct Answer : B,C

Rationale:

A. The name of the provider who prescribed the medication is not necessary for the variance report; focus should be on the incident itself.

B. The time the client was to receive the medication should be included to document the discrepancy accurately.

C. The date of the incident is essential for accurate record-keeping and follow-up.

D. The client's vital signs are not relevant to the variance report about the missed medication unless directly related to the incident.

E. The potential adverse effects of the medication are not typically included in the incident report but might be noted in the client's ongoing care plan.

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Correct Answer is B

Explanation

Rationale:

A. Measuring I&O can be performed by an AP, as it does not require advanced skills or clinical judgment.

B. Reinforcing teaching about medication is within the LPN's scope of practice, as LPNs are trained to provide education and support based on the teaching provided by RNs or physicians.

C. Developing a plan of care is generally a responsibility of the RN, as it involves comprehensive assessment and planning.

D. Completing an admission assessment is a task for RNs due to its complexity and the need for a detailed clinical evaluation.

A. Withholding a dose of narcotic pain medication when the client has respiratory depression B. Discussing advance directives with the client and the client's family C. Providing comfort care measures to the client D. Allowing the client's family unlimited visitation at the time of death

Correct Answer is A

Explanation

Rationale:

A. Withholding a dose of narcotic pain medication when there is respiratory depression aligns with nonmaleficence, as it prevents further harm by not exacerbating the client's respiratory issues.

B. Discussing advance directives is important but is more related to autonomy and respect for the client’s wishes rather than nonmaleficence.

C. Providing comfort care is a supportive measure but does not specifically address nonmaleficence in terms of preventing harm.

D. Allowing unlimited visitation respects family wishes but does not directly relate to the principle of nonmaleficence regarding the client’s immediate medical needs.

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A nurse finds that a client did not receive a scheduled dose of furosemide (Lasix). Which of the following should the nurse include in the incident/variance report? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for four clients and is assigning tasks to a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following should the nurse assign to the LPN?

Correct Answer is B

Explanation

A nurse is caring for a client who is dying. The nurse should incorporate the principle of nonmaleficence into practice by taking which of the following actions?

Correct Answer is A

Explanation

A nurse is planning to assign care activities to the assistive personnel (AP) on her team. Which of the following activities can the nurse assign to the AP? (Select all that apply.)

A nurse is planning to delegate tasks to a licensed practical nurse (LPN). Which of the following entities is important for the nurse to understand when delegating tasks to the LPN?

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