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,
Submit an incident report to the risk manager.
File an anonymous report of the incident to the nurse manager.
Identify all witnesses to the incident.
Document a factual account of the incident.
Correct Answer : B,D,E
A. It is the witnessing nurse’s responsibility to report the incident, not the person who violated protocol.
B. Reporting the improper handling of a controlled substance helps ensure accountability, investigation, and risk management.
C. Filing an anonymous report is not the most appropriate or accountable action. It may limit follow-up and clarity. Reporting should be done transparently through the proper chain of command.
D. Including witness names supports the integrity of the report and allows for thorough investigation.
E. Objective, detailed documentation is essential for accurate reporting and resolution of safety and legal concerns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
A.Client 1 (Pertussis) requires droplet precautions, which include wearing surgical masks when within 3 feet of the client. The staff are wearing masks only within 1 foot, so this requires follow-up.
B.Client 2 (Clostridium difficile) requires contact precautions, including gown and gloves during care, which is correctly implemented.
C.Client 3 (Herpes simplex) requires contact precautions with gown and gloves, which is correctly implemented.
D.Client 4 (Mycobacterium tuberculosis) requires airborne precautions with a negative-pressure room (not positive airflow) and N95 respirators. The client is placed in a positive airflow room, which is incorrect and requires follow-up.
E.Client 5 (Streptococcal pharyngitis) requires droplet precautions, including private room and surgical mask during transport, which is correctly implemented.
Correct Answer is A
Explanation
A.Droplet precautions require a surgical mask when within 3 feet of a client to prevent transmission of pathogens spread by respiratory droplets, such as influenza.
B.An N95 respirator is required for airborne precautions (e.g., tuberculosis), not droplet precautions.
C.Positive airflow rooms are used for protective environments (e.g., neutropenic clients), not for those on droplet precautions.
D.HEPA filtration systems are typically part of airborne or protective isolation protocols, not required for droplet precautions.
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