A nurse is a member of a quality-improvement committee seeking to reduce the risk of adverse events in a health care facility. When reviewing recently submitted incident reports, which of the following incidents should the nurse identify as a sentinel event?
Surgery to the wrong site was stopped prior to a procedure.
Paralysis of a client's lower extremities occurred following epidural anesthesia.
A client fall during ambulation did not result in client injury.
A complaint that a nurse was culturally insensitive was made by a client's family member.
The Correct Answer is B
A. Surgery to the wrong site was stopped prior to a procedure: This incident was prevented before harm occurred and is not considered a sentinel event since no actual harm was inflicted.
B. Paralysis of a client's lower extremities occurred following epidural anesthesia: This represents a significant adverse outcome that has resulted in severe harm and is considered a sentinel event, which requires thorough investigation and response.
C. A client fall during ambulation did not result in client injury: Although falls are a concern, the lack of injury means this incident may not be classified as a sentinel event.
D. A complaint that a nurse was culturally insensitive was made by a client's family member: While important for addressing care quality and communication, this complaint does not typically constitute a sentinel event as it does not directly involve significant harm or risk.
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Related Questions
Correct Answer is B
Explanation
A. Integrate available evidence with unit expertise: This step comes after gathering evidence and assessing its quality. It involves applying evidence in conjunction with clinical expertise.
B. Develop the clinical question: Formulating a clear, focused clinical question is crucial for guiding the search for relevant evidence and ensuring that the inquiry addresses specific aspects of the problem.
C. Appraise the evidence: This step is performed after collecting evidence to evaluate its quality and relevance, ensuring that the findings are reliable and applicable.
D. Identify the databases to be used: Identifying databases is part of the search process, but it follows the development of a clinical question to guide the search for relevant evidence.
Correct Answer is D
Explanation
A. The task being delegated matches the AP's skill level: This corresponds with the five rights of delegation, ensuring that tasks are assigned based on the AP’s capabilities.
B. The task being delegated to the AP is relatively non-invasive: Non-invasive tasks are generally suitable for delegation, aligning with the principle of matching tasks to the AP’s skills.
C. The task being delegated to the AP is within their scope of practice: Delegation should always be within the AP’s legal and professional scope of practice.
D. The task being delegated requires close supervision: The need for close supervision is not a component of the five rights of delegation. The rights focus more on the appropriateness of the task, the individual’s skills, and the delegation process rather than the level of supervision required.
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