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
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The provider should be consulted as other oral alternative exist. It is important for the nurse to understand his or her role as a client’s advocate. In this, role, she should acknowledge the client’s concerns and address the issues without coercing or threatening the client.
A- This does not respect client’s autonomy
B- This statement is inappropriate as the nurse should not use threats to induce fear
C- This statement fails to appreciate the client’s concerns
Correct Answer is C
Explanation
Furosemide and amikacin. Furosemide and aminoglycosides are ototoxic and can cause hearing loss. The nurse should monitor for any signs of hearing disturbances such as tinnitus. The other drugs listed in the options have no effect on hearing.
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