A nurse is creating an incident report due to an accidental omission of a client's dressing change during the previous shift. Which of the following statements should the nurse document on the incident report form?
"Incident report completed. A copy will be placed in the client's medical record.
"Prescribed dressing change was accidentally omitted during the previous shift."
"A nurse accidentally omitted a prescribed dressing change. Will notify the provider tomorrow."
"Unable to complete a prescribed dressing change. However, dressing did not appear to be soiled.
The Correct Answer is B
A. "Incident report completed. A copy will be placed in the client's medical record." This statement indicates the completion of the incident report but lacks essential information about what incident occurred. It does not provide details necessary for understanding the nature of the incident.
B. "Prescribed dressing change was accidentally omitted during the previous shift." This statement clearly identifies the nature of the incident, stating that a prescribed dressing change was missed. It provides factual information without assigning blame, which is appropriate for an incident report.
C. "A nurse accidentally omitted a prescribed dressing change. Will notify the provider tomorrow." While this statement acknowledges the omission, it lacks details about the incident and focuses on future actions rather than accurately documenting what occurred.
D. "Unable to complete a prescribed dressing change. However, dressing did not appear to be soiled." This statement does not accurately represent the situation. It implies that the dressing change was not completed due to the dressing not appearing soiled, which may not be the case. It does not acknowledge the omission of the prescribed dressing change.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Occupational therapist: While occupational therapy may be beneficial for some aspects of managing sciatica, such as ergonomic assessments and activities of daily living modifications, a referral to an occupational therapist is not typically indicated specifically for the use of a TENS unit.
B. Chiropractor: Chiropractic care involves manual adjustments of the spine and other joints, which may provide relief for some individuals with sciatica. However, a referral to a chiropractor is not necessary solely for the use of a TENS unit.
C. Acupuncturist: Acupuncture is a complementary therapy that involves the insertion of thin needles into specific points on the body to relieve pain and promote healing. While acupuncture may be considered as part of a comprehensive treatment plan for sciatica, it is not typically associated with the use of a TENS unit.
D. Physical therapist: Physical therapy plays a crucial role in the management of sciatica. A physical therapist can provide tailored exercises, stretches, and modalities such as TENS therapy to alleviate pain, improve mobility, and strengthen muscles. Therefore, a referral to a physical therapist is appropriate for a client with sciatica who has a prescription for a TENS unit. The physical therapist can assess the client's condition, educate them on the proper use of the TENS unit, and integrate it into their overall treatment plan.
Correct Answer is B
Explanation
A. "A health care surrogate must be a family member.": This statement is incorrect. A health care surrogate, also known as a health care proxy or agent, does not necessarily have to be a family member. It can be any individual chosen by the client to make health care decisions on their behalf if they become unable to do so.
B. "The client can resume control of health care after a temporary loss of competency.": This statement demonstrates an understanding of advance directives. Advance directives allow individuals to maintain control over their health care decisions by specifying their preferences for treatment or appointing a surrogate decision-maker. If a client experiences a temporary loss of competency, they can regain control of their health care decisions once competency is restored.
C. "The provider will choose a client's health care surrogate.": This statement is incorrect. It is the responsibility of the client to choose their health care surrogate. While healthcare providers may provide guidance and information about advance directives, they do not choose the surrogate for the client.
D. "The provider can go against the client's wishes regarding advance directives.": This statement is incorrect. Advance directives are legally binding documents that express a client's wishes regarding medical treatment. Healthcare providers are generally obligated to follow the directives outlined in these documents, and they cannot go against the client's wishes unless certain legal exceptions apply, such as emergency situations where immediate action is required to preserve life.
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