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 C
Explanation
A.An ankle injury with pain is painful but not life-threatening. This client can safely wait.
B.A 2 cm head laceration with dark red blood suggests venous bleeding and is not emergent unless signs of more serious head injury are present.
C.An older adult client with dyspnea and a respiratory rate of 26/minshould be examined first. Dyspnea (shortness of breath) and elevated respiratory rate indicate possible respiratory distress or a life-threatening condition such as pulmonary embolism, heart failure, or pneumonia. Airway and breathing issues always take priority.
D.Ecchymoses (bruising) could suggest a bleeding or clotting disorder but are not immediately life-threatening without other symptoms.
Correct Answer is C
Explanation
A.Providing advice over the telephoneinvolves clinical judgment and assessment, which are outside the scope of practice for an AP.
B.Teaching a client how to walk on crutchesis an educational task that requires a licensed nurse or physical therapist.
C. In many settings, APs may perform simple(non-sterile) dressing changes if trained and delegated appropriately. This is within their scope of practice under nurse supervision.
D.Inserting an NG tuberequires nursing knowledge and sterile technique, which are beyond the role of an AP.
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