A nurse is working with hazardous materials in the workplace. Procedures to be followed while using these substances are based on guidelines from which of the following?
Occupational Safety and Health Act.
Nurse Practice Act.
Controlled Substances Act
Health Care Quality Improvement Act
The Correct Answer is A
Rationale:
A. Occupational Safety and Health Act: The Occupational Safety and Health Act (OSHA) establishes standards and guidelines for safe handling of hazardous materials in the workplace. Nurses must follow these procedures to protect themselves and others from chemical and biological hazards.
B. Nurse Practice Act: The Nurse Practice Act defines the legal scope of nursing practice, licensure requirements, and professional responsibilities, but it does not provide specific guidelines for handling hazardous substances.
C. Controlled Substances Act: The Controlled Substances Act regulates the handling, distribution, and use of controlled drugs, not general hazardous materials in the workplace.
D. Health Care Quality Improvement Act: This act focuses on improving healthcare quality and reporting of professional misconduct, rather than providing safety guidelines for hazardous materials.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. A client is admitted to the hospital with a wound infection: While concerning, this is typically a healthcare-associated infection, not a sentinel event, unless it results from a clear and preventable error.
B. A nurse makes a derogatory comment about the client's religion: This is unprofessional behavior and may constitute a patient rights violation, but it is not classified as a sentinel event.
C. An ordered dose of medication was not given to the client: Missing a medication dose is a medication error, but it does not meet the definition of a sentinel event unless it results in severe harm or death.
D. A hip replacement was performed on the wrong leg: Performing a procedure on the wrong site is a sentinel event because it is a preventable, serious adverse event that results in significant harm and requires immediate investigation and response.
Correct Answer is C
Explanation
Rationale:
A. When the client is due financial compensation: Financial compensation may result if negligence leads to harm, but the concept of “standard of care” is not defined by payment or legal restitution.
B. When the nurse is charged with a criminal violation of law: Violating the standard of care does not automatically constitute a criminal offense. It is primarily a measure of professional practice rather than a legal charge.
C. When the nurse's action is compared to other nurses in similar circumstances: The standard of care refers to the level of practice expected of a reasonably competent nurse under similar conditions. Administering a medication despite a documented allergy deviates from what another competent nurse would do, representing a breach of the standard of care.
D. When there is injury to the client: Injury may occur as a consequence of violating the standard of care, but the standard itself is determined by professional expectations and not solely by whether harm occurred.
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