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.

Answer and Explanation

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

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Correct Answer is D

Explanation

Monoamine oxidase inhibitors (MAOIs) block the enzyme monoamine oxidase, which is responsible for breaking down tyramine in the body. When taking MAOIs, consuming high-tyramine foods can cause tyramine levels to reach dangerous levels, leading to a serious spike in blood pressure. It's important to follow a low-tyramine diet while on MAOIs and for a few weeks after stopping the medication to prevent a hypertensive crisis. The interaction has no effect on bowel habits, or arousal/wakefulness

A. An older adult client living in a long-term care facility B. A young adult who has an allergy to eggs C. A child who recently received the human papillomavirus vaccine D. A client who has AIDS

Correct Answer is D

Explanation

This group of individuals is not typically contraindicated for the varicella vaccine. In fact, older adults who have not been previously vaccinated or have not had chickenpox are often encouraged to receive the vaccine.

The varicella vaccine is produced using embryonated chicken eggs. Individuals with a severe allergy to eggs (such as anaphylaxis) should avoid this vaccine. However, most people with mild egg allergies can safely receive it. A healthcare provider should assess the severity of the egg allergy before making a decision.

There is no known contraindication between the varicella vaccine and the human papillomavirus (HPV) vaccine. These vaccines target different infections and can be administered independently.

Individuals with advanced immunosuppression, including those with AIDS, should not receive the varicella vaccine. Their weakened immune system may not respond effectively to the vaccine, and there is a risk of disseminated varicella infection.

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A nurse is caring for a group of clients. Which of the following situations requires an incident report?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is taking phenelzine and reports eating aged cheese. Which of the following is a manifestation of an interaction between the medication and the food?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

A nurse is caring for a group of clients. Which of the following situations requires an incident report?

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