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 ["B","F","G"]

Explanation

Role of assistive personnel is activities of daily living, document input and output, obtain stable vitals as well assist clients in ambulating.

A. The choice of food should consider the risk of aspiration and should include soft food. The high-risk client needs the involvement of a nurse

C. Monitoring the client for features of aspiration pneumonia is in the scope of a registered nurse as it requires clinical judgment and knowledge. –

D. Initiating referral to a speech language pathologist is in the scope of a nurse.

E. Instructing on swallowing techniques is an intervention performed by nurses as it requires demonstration of safety techniques.

A. The client's preferred time for bathing B. The belief that the client has a difficult relationship with his son C. The time the client received his last dose of pain medication D. The steps to follow when providing wound care

Correct Answer is C

Explanation

Information on the last dos of analgesics is key in ensuring optimal pain control while avoiding any incidence of drug overdose.

D. Information on steps of wound care is important but not relevant as the nurses on the facility are expected to be well versed with the steps as part of their scope of practice.

A and B is not relevant information during change of shift.

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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 is delegating care for a client. Exhibit 1 Nurses' Notes 1000: Client has right sided weakness following a cerebrovascular accident. Client coughs when eating and voice becomes hoarse after swallowing. Select the 3tasks the nurse should assign to assistive personnel.

Correct Answer is ["B","F","G"]

Explanation

A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change-of-shift report?

Correct Answer is C

Explanation

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 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 is caring for four clients. For which of the following clients should the nurse collaborate with the facility ethics committee?

A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who has floated from a medical-surgical unit?

A nurse is preparing to discharge a client who has enD. stage heart failure. The client's partner tells the nurse she can no longer handle caring for the client. Which of the following actions should the nurse take?

A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding of isolation guidelines?

A nurse is caring for a client who is scheduled for placement of a central venous access device. Which of the following actions is the nurse's responsibility in the informed consent process?

A nurse is providing teaching to assistive personnel about the application of wrist restraints to a client. Which of the following instructions should the nurse include in the teaching?