A nurse is documenting information in a client's electronic health record using a critical pathway. Which of the following terms should the nurse use if the client does not meet an expected outcome?
Error
Never event
Sentinel event
Variance
The Correct Answer is D
Rationale:
A. Error: An error refers to a mistake or incorrect action, such as a medication error or documentation mistake. It does not accurately describe a deviation from a clinical pathway or expected patient outcome.
B. Never event: A never event is a serious, preventable incident (e.g., surgery on the wrong site) that should never occur in a healthcare setting. It is not the appropriate term for a missed milestone in a critical pathway.
C. Sentinel event: A sentinel event is an unexpected occurrence involving serious physical or psychological harm, such as death or permanent disability. Not meeting an expected clinical outcome does not necessarily qualify as a sentinel event.
D. Variance: A variance in a critical pathway indicates that the client’s progress has deviated from the expected timeline or outcome. It may result from complications, delays in treatment, or changes in the plan of care, and it requires documentation and follow-up.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. The American Nurses Association: The ANA provides broad guidance on professional nursing standards and ethics for registered nurses but does not define the legal scope of practice for LPNs, which varies by state.
B. The State Board of Nursing: Each state’s Board of Nursing defines the specific scope of practice for all levels of nursing, including LPNs. It is the most authoritative and legally binding source for determining what tasks an LPN is allowed to perform within that state.
C. The Accreditation Commission for Education in Nursing: This body accredits nursing education programs but does not govern or define clinical practice or scope of work for licensed nurses after graduation.
D. The National Council of State Boards of Nursing: While NCSBN supports the development of NCLEX and provides model rules, it is the state board that enforces actual scope of practice laws. NCSBN is more of a collaborative resource than a regulatory authority.
Correct Answer is A
Explanation
Rationale:
A. Fatigue: Fatigue is a common adverse effect of propranolol due to its negative chronotropic and inotropic effects, which reduce cardiac output. This can lead to decreased oxygen delivery to tissues, causing generalized tiredness and decreased exercise tolerance.
B. Increased libido: Propranolol is more likely to cause decreased libido or sexual dysfunction rather than an increase. Beta-blockers may reduce sympathetic nervous system activity, which can impact sexual performance and desire in some individuals.
C. Nystagmus: Nystagmus is not a typical adverse effect of propranolol. It is more often associated with neurological or vestibular disorders. Propranolol affects the cardiovascular and respiratory systems more commonly than the ocular or neurologic systems.
D. Tinnitus: While tinnitus can occur with some medications, it is not a known adverse effect of propranolol. This symptom is more commonly linked to ototoxic drugs such as aminoglycosides or loop diuretics.
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