A nurse is caring for a group of clients. Which of the following situations requires an incident report?
A client experiences a seizure.
A client vomits after receiving an oral medication.
A client receives their insulin 1 hr before scheduled.
A client receives their meal tray 20 min late.
The Correct Answer is C
Incident reports are documented for incidences that are likely to cause adverse outcomes for the clients or healthcare professionals and, therefore, their occurrence needs to be mitigated. In this case, wrong timing for medications such as insulin may lead to overdose with subsequent hypoglycemia which is detrimental
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
PT measures the time it takes for blood to clot, and it is particularly relevant for clients taking warfarin because warfarin works by inhibiting the synthesis of certain clotting factors, including factors II, VII, IX, and X, which are involved in the PT pathway. Monitoring PT levels helps ensure that the client is receiving an appropriate dose of warfarin to prevent clot formation without causing excessive bleeding.
B. Total iron-binding capacity (TIBC) is a test used to assess iron levels in the blood and is unrelated to warfarin therapy.
C. WBC (White Blood Cell count) is a test used to assess the number of white blood cells in the blood and is unrelated to warfarin therapy.
D. PTT (Partial Thromboplastin Time) is a test used to evaluate the intrinsic and common pathways of the coagulation cascade. It is used in the monitoring of heparin anticoagulant therapy. It is not typically used to monitor warfarin therapy
Correct Answer is B
Explanation
MMR vaccine can cause bleeding under the skin presenting as petechiae. Petechiae are small red or purple spots caused by bleeding into the skin.
 |
A,C,D- MMR vaccine is not associated with bradycardia, tinnitus or blurred vision
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today