A nurse makes a medication error and fills out an incident report. What will the nurse do with the incident report once it is filled out?

Take the report home and keep it locked up.

Place the report in the client's medical record

Maintain the report according to agency policy

Email the report to their nursing supervisor

Answer and Explanation

The Correct Answer is C

A. Take the report home and keep it locked up: Incident reports are confidential legal documents that must remain within the healthcare facility per policy.

B. Place the report in the client's medical record: Incident reports should not be included in the client’s medical record to prevent liability issues. Instead, objective documentation of the event and any interventions should be recorded in the chart.

C. Maintain the report according to agency policy: The report must be handled per facility protocols, typically submitted to the risk management department to improve patient safety.

D. Email the report to their nursing supervisor: Incident reports contain sensitive information and should be submitted securely following facility policy, not via email.

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Correct Answer is B

Explanation

A. 58-year-old patient with uncontrolled diabetes mellitus type 2 and intact skin: While diabetes increases the risk of delayed wound healing and infection, intact skin is not an immediate concern.

B. 48-year-old patient with poor nutrition, warmth, and edema to the coccyx: Warmth and edema at a pressure site may indicate the beginning of a pressure injury or infection (e.g., cellulitis). Poor nutrition further increases the risk of skin breakdown and impaired healing, making this patient the priority for assessment.

C. 82-year-old patient with a surgical incision and approximated wound edges: A well-approximated surgical incision suggests healing is progressing normally, making this patient lower priority.

D. 69-year-old patient with a colostomy and blanchable erythema to the sacrum: Blanchable erythema is an early sign of pressure injury, but it is less concerning than warmth and edema, which suggest possible infection or worsening tissue damage.

A. Assess the patient. B. File a safety event report C. Place the patient on fall precautions. D. Get the patient back to bed.

Correct Answer is A

Explanation

A. Assess the patient: The priority action is to assess the patient for injuries before taking any further steps.

B. File a safety event report: This is important but should be done after assessing and ensuring the patient’s safety.

C. Place the patient on fall precautions: While necessary, this is a secondary intervention after assessment and ensuring immediate safety.

D. Get the patient back to bed: Moving the patient before assessing for injuries could worsen potential fractures or other injuries.

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A nurse makes a medication error and fills out an incident report. What will the nurse do with the incident report once it is filled out?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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