A nurse witnesses a coworker not following facility procedure when discarding the unused portion of a controlled substance. Which of the following actions should the nurse take? (Select all that apply.)

Request that the coworker complete an incident report.

File an anonymous report of the incident to the nurse manager.

Identify all witnesses to the incident.

Document a factual account of the incident.

Submit an incident report to the risk manager.

Answer and Explanation

Correct Answer : B,C,D,E

The incident is very important as it affects the cost effectiveness of care. An incident report should be submitted anonymously to prevent work place tension while preventing such similar occurrences. Witnesses are important in the event the nurse denies the occurrence.

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Correct Answer is D

Explanation

A red tag is assigned to clients with a serious life-threatening condition that requires immediate intervention. According to the ABCs of basic life support, the client with a compromised has a life-threatening condition as it might lead to death if left unaddressed.

A, B, C have concerns that requires attention but airway should be addressed first. The other clients have less urgent conditions that can be assigned lower priority tags.

A. Contact the client's next of kin to obtain consent for treatment. B. Notify risk management before initiating treatment. C. Have the client sign a consent for treatment. D. Proceed with treatment without obtaining written consent

Correct Answer is D

Explanation

A cardiac arrhythmia is a medical emergency that require emergency intervention. The Emergency Medical Treatment and Active Labor Act (EMTALA) gives the nurse a legal obligation to offer the care required regardless of the availability of consent or funds.

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A nurse witnesses a coworker not following facility procedure when discarding the unused portion of a controlled substance. Which of the following actions should the nurse take? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is triaging four clients following a mass casualty event. To which of the following clients should the nurse assign a red tag?

Correct Answer is D

Explanation

A nurse in the emergency department is preparing to care for a client who arrived via ambulance. The client is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse on a medical surgical unit is caring for a group of clients with the assistance of a licensed practical nurse (LPN) and assistive personnel. Which of the following tasks should the nurse assign to the LPN?

A nurse preceptor is observing a newly hired nurse perform a sterile dressing change. Which of the following actions should the nurse preceptor identify as maintaining sterile technique?

A nurse enters a client's room and notices a small fire in the bathroom trash can. The nurse removes the client from the room. Which of the following actions should the nurse take next?

A nurse is teaching a class of newly licensed nurses about evidence-based practice. The nurse should include which of the following as the first step in evidence-based practice?

A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of a change in wound care procedure. Which of the following findings indicates wound healing?

A nurse is caring for a client who has uterine prolapse. The provider has recommended a total abdominal hysterectomy, but the client tells the nurse that the surgery is not an option. Which of the following is an appropriate action for the nurse to take?

A nurse is reviewing the plan of care for a child who has oppositional defiant disorder. Which of the following members of the interprofessional health care team should the nurse plan to consult?

A nurse is conducting an in-service on client advocacy with a group of newly licensed nurses. Which of the following scenarios should the nurse include as examples of client advocacy? (Select all that apply.)