A nurse is recognizing errors or omissions in a plan of care for a client with chronic kidney disease who is on hemodialysis. Which of the following actions should the nurse take?

Report the errors or omissions to the quality improvement committee.

Discuss the errors or omissions with the health care team and revise the plan of care accordingly.

Ignore the errors or omissions as they are not significant enough to affect outcomes.

Document the errors or omissions in an incident report and file it in the client's chart.

Answer and Explanation

The Correct Answer is B

Choice A reason:

Reporting the errors or omissions to the quality improvement committee is not the best action to take because it does not address the immediate needs of the client or correct the plan of care. Quality improvement committees are responsible for monitoring and evaluating the quality of care and services provided by the health care organization, but they are not directly involved in the care of individual clients. Reporting the errors or omissions to the committee may be appropriate after discussing and revising the plan of care with the health care team, but it is not the first or most important action to take.

Choice B reason:

Discussing the errors or omissions with the health care team and revising the plan of care accordingly is the best action to take because it ensures that the client receives safe and effective care that meets their needs and preferences. Errors or omissions in a plan of care are failures to do the right thing that may cause harm or poor outcomes for the client Examples of errors or omissions in a plan of care include failing to order necessary tests, procedures, medications, or consultations; failing to document or communicate important information; failing to monitor or evaluate the client's condition or response to treatment; or failing to follow evidence-based guidelines or standards of care Discussing the errors or omissions with the health care team allows for identifying and correcting the causes of the errors or omissions, such as lack of knowledge, skills, resources, communication, coordination, or supervision. Revising the plan of care accordingly allows for updating and modifying the goals, interventions, and outcomes based on the client's current status and needs.

Choice C reason:

Ignoring the errors or omissions as they are not significant enough to affect outcomes is not a good action to take because it violates the ethical principles of beneficence and nonmaleficence, which require nurses to do good and avoid harm for their clients Ignoring the errors or omissions may also lead to legal consequences, such as negligence or malpractice claims, if the client suffers harm or injury as a result of the errors or omissions Furthermore, ignoring the errors or omissions does not contribute to improving the quality and safety of care or preventing future errors or omissions from occurring.

Choice D reason:

Documenting the errors or omissions in an incident report and filing it in the client's chart is not a good action to take because it does not correct the errors or omissions or revise the plan of care. Incident reports are tools for documenting and analyzing adverse events or near misses that occur in health care settings, such as medication errors, falls, infections, or equipment failures Incident reports are not part of the client's medical record and should not be filed in their chart. They are confidential documents that are used for quality improvement purposes, such as identifying system failures, implementing corrective actions,.

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Correct Answer is A

Explanation

Choice A reason:

The PES format (problem, etiology, signs and symptoms) is the most comprehensive and accurate way to write a nursing diagnostic statement. It identifies the nursing problem, the cause or contributing factors, and the evidence or manifestations of the problem. For example, a possible PES statement for the client with COPD and shortness of breath and fatigue with minimal exertion is: Ineffective breathing pattern related to chronic airway obstruction as evidenced by dyspnea, tachypnea, and use of accessory muscles.

Choice B reason:

The PE format (problem, etiology) is a two-part diagnostic statement that omits the signs and symptoms of the problem. It is less specific and does not provide enough information to guide the nursing interventions and outcomes. For example, a possible PE statement for the client with COPD and shortness of breath and fatigue with minimal exertion is: Ineffective breathing pattern related to chronic airway obstruction. This statement does not indicate how the problem is manifested or measured.

Choice C reason:

The PS format (problem, signs and symptoms) is a two-part diagnostic statement that omits the etiology or cause of the problem. It is less precise and does not identify the factors that contribute to or influence the problem. For example, a possible PS statement for the client with COPD and shortness of breath and fatigue with minimal exertion is: Ineffective breathing pattern as evidenced by dyspnea, tachypnea, and use of accessory muscles. This statement does not indicate why the problem exists or what can be done to address it.

Choice D reason:

The ES format (etiology, signs and symptoms) is a two-part diagnostic statement that omits the problem or nursing diagnosis. It is incomplete and does not state what the actual or potential health issue is. For example, a possible ES statement for the client with COPD and shortness of breath and fatigue with minimal exertion is: Chronic airway obstruction as evidenced by dyspnea, tachypnea, and use of accessory muscles. This statement does not indicate what the nursing problem is or what the desired outcome is.

A. What are your current exercise habits?. B. What are some benefits of regular physical activity?. C. What are some barriers to increasing your physical activity?. D. What are some strategies to overcome these barriers?. E. What are some potential complications of physical inactivity?.

Correct Answer is ["A","B","C","D"]

Explanation

Choice A reason:

Asking about the clients' current exercise habits helps the nurse to assess their baseline physical activity levels, their preferences, their strengths, and their areas for improvement. This information can help the nurse to tailor the health promotion interventions to the clients' needs and goals.

Choice B reason:

Asking about the benefits of regular physical activity helps the nurse to evaluate the clients' knowledge and awareness of the positive effects of exercise on their health and well-being. This information can help the nurse to reinforce the clients' motivation and provide education as needed.

Choice C reason:

Asking about the barriers to increasing physical activity helps the nurse to identify the factors that may prevent or hinder the clients from engaging in exercise. These factors may include lack of time, resources, support, or confidence. This information can help the nurse to address the clients' concerns and challenges and help them find solutions.

Choice D reason:

Asking about the strategies to overcome the barriers helps the nurse to empower the clients to take action and make changes in their behavior. The nurse can help the clients to develop realistic and specific plans that suit their abilities and preferences. The nurse can also provide support and encouragement along the way.

Choice E reason:

Asking about the potential complications of physical inactivity is not a relevant question to assess the clients' readiness for enhanced fitness. This question may be appropriate for secondary or tertiary prevention, but not for primary prevention. Primary prevention focuses on promoting health and preventing disease or injury, not on treating or rehabilitating existing problems.

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A nurse is recognizing errors or omissions in a plan of care for a client with chronic kidney disease who is on hemodialysis. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a diagnostic statement for a client who has chronic obstructive pulmonary disease (COPD) and reports shortness of breath and fatigue with minimal exertion. Which of the following formats should the nurse use to write the statement?

Correct Answer is A

Explanation

A nurse is conducting a health promotion workshop for a group of clients who want to improve their physical activity levels. Which of the following questions should the nurse ask to assess their readiness for enhanced fitness?(Select all that apply.).

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is recognizing errors or omissions in a plan of care for a client with chronic kidney disease who is on hemodialysis. Which of the following actions should the nurse take?

A nurse is documenting the data collected from a comprehensive physical exam of a client. Which of the following data should the nurse identify as objective data?

A nurse is documenting the results of an evaluation in a client's chart. Which of the following information should the nurse include? (Select all that apply.).

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A nurse is documenting the data collected from an assessment of a client who has a urinary tract infection (UTI). Which of the following statements should the nurse use to record objective data?

A nurse is using critical thinking skills to analyze data during the assessment phase of the nursing process. Which of the following actions should the nurse take?(Select all that apply).

A nurse is reviewing the steps of the nursing process with a group of nursing students. Which of the following statements by one of the students indicates an understanding of the evaluation phase?