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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Total Parenteral Nutrition (TPN) IV tubing should be changed every 24 hours due to the high risk of infection associated with TPN. Changing it every 48 hours is not recommended and could lead to increased patient risk.
B. Total parenteral nutrition solution bags should be changed every 12 to 24 hrs depending on the constituents
C. Peripheral IV solution bags should be replaced every 24 hrs.
D The Infusion Nurses Society (INS) Standards of Practice recommend changing peripheral IV primary tubing every 96 hours. This is considered a cost-effective practice as it reduces the frequency of changing the tubing, thus saving resources, without compromising patient safety.
Correct Answer is A
Explanation
A. The client with active bleeding from a puncture wound in the groin is the highest priority because of the risk of severe blood loss, which can lead to hypovolemic shock. The nurse should quickly apply pressure to the wound, assess the extent of the bleeding, and prepare for emergency interventions.
B Active bleeding is part of crculation in the ABCs that comes after airway and breathing
C. Client could be having a kidney stone which is not a priority
D.These symptoms could indicate a pulmonary embolism or heart attack, but they may not be as immediately life-threatening as active bleeding.
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