A nurse is providing teaching with a nursing colleague about sentinel events. Which of the following statements by the nursing colleague indicates an understanding?
"An example of a sentinel event is administering incompatible blood products to a client."
"An example of a sentinel event is administering client medications 30 minutes late."
"An example of a sentinel event is documenting vital signs at the wrong time in the client's electronic health record."
"An example of a sentinel event is administering a prescribed sedative to a client for insomnia."
The Correct Answer is A
A. Administering incompatible blood products is a significant medical error that can result in severe patient harm, including hemolytic transfusion reactions, which can be life-threatening. This type of incident qualifies as a sentinel event because it involves serious injury or death and necessitates immediate investigation and corrective actions to prevent recurrence.
B. While administering medications late is a medication error and can affect patient outcomes, it does not typically qualify as a sentinel event unless it results in serious harm or death. Sentinel events are generally those with more severe consequences or potential for significant harm.
C. Documenting vital signs at the wrong time is a documentation error and could potentially lead to issues in patient care. However, it is not classified as a sentinel event unless it results in significant harm or jeopardizes the patient's safety.
D. Administering a prescribed sedative for insomnia, when done according to a valid prescription and proper protocols, is a routine medical intervention and does not typically constitute a sentinel event. Sentinel events involve unexpected and serious outcomes rather than standard clinical procedures when performed correctly.
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Related Questions
Correct Answer is C
Explanation
A. An educator's primary role is to provide knowledge and teach others about health-related topics, procedures, or skills. While analyzing a clinical situation might involve sharing information or educating patients and colleagues, the core function of an educator is to impart knowledge rather than solely analyzing clinical situations.
B. A mentor provides guidance, support, and advice based on their experience and expertise. While mentors might analyze clinical situations as part of their role, their primary focus is on guiding and developing others rather than just analyzing situations.
C. A critical thinker evaluates and interprets information, assessing situations logically and systematically to make sound decisions. Critical thinking is fundamental to effective problem-solving and decision- making in nursing practice.
D. An advocate supports and speaks up for the rights and needs of patients, ensuring their preferences and best interests are considered in care decisions.
Correct Answer is B
Explanation
A. The NLC allows nurses to practice in multiple states with one license, eliminating the need for separate licenses.
B. The primary purpose of the NLC is to allow nurses to practice in multiple states without obtaining additional licenses.
C. The NLC simplifies the process by allowing nurses to practice with one license in multiple states.
D. Continuing education requirements are generally determined by the nurse's home state, not by the NLC.
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