A nurse working in the role of the staff development coordinator is developing a training program for a group of nurses about the use of a new IV pump. Which of the following steps should the nurse take first?

Create resources for the program on the use of the pump.

Implement a teaching plan about the use of the new pump.

Observe the staff to determine correct use of the pump.

Develop learning objectives for use of the new pump.

Answer and Explanation

The Correct Answer is D

Rationale:

A. Create resources for the program on the use of the pump: Creating resources is an essential step, but it should occur after clearly defining the learning objectives. Resources must align with what learners are expected to know or do after the training, which cannot be determined without objectives.

B. Implement a teaching plan about the use of the new pump: Implementation should come after the planning phase is complete. Teaching cannot be effectively carried out without first setting learning goals, creating materials, and ensuring the content is structured and relevant.

C. Observe the staff to determine correct use of the pump: Observation of staff performance is part of the evaluation process or needs assessment. However, in this case, the nurse is developing a training program, and the first logical step is to establish clear educational goals.

D. Develop learning objectives for use of the new pump: Learning objectives form the foundation of any educational program. They guide the content, teaching strategies, and evaluation methods. Setting these objectives first ensures that all subsequent steps are aligned and purposeful.

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Correct Answer is C

Explanation

Rationale:

A. Responsibility: Responsibility refers to the nurse's obligation to perform duties accurately and follow through on delegated tasks. While related, it focuses more on the duty to act appropriately rather than owning up to mistakes.

B. Authority: Authority involves the legal or formal right to make decisions or delegate tasks. It does not directly relate to the ethical action of reporting an error or acknowledging personal performance.

C. Accountability: By completing an incident report, the nurse is demonstrating accountability, which is the ethical obligation to admit and report one's actions, including errors. It reflects integrity and a commitment to professional standards and patient safety.

D. Confidentiality: Confidentiality pertains to safeguarding private client information and ensuring it is not shared inappropriately. It is not the guiding principle when a nurse discloses and reports a medication error through formal channels

A. A client is brought to the emergency department after a suicide attempt at home. B. A client develops diarrhea following administration of sodium polystyrene sulfonate. C. A client decides not to have surgery after receiving a preoperative dose of lorazepam. D. A client experiences permanent lower limb paralysis following a lumbar laminectomy.

Correct Answer is D

Explanation

Rationale:

A. A client is brought to the emergency department after a suicide attempt at home: Sentinel events are defined as unexpected occurrences involving death or serious physical or psychological injury that occur in the healthcare setting. This event happened prior to admission.

B. A client develops diarrhea following administration of sodium polystyrene sulfonate: Diarrhea is a known and expected side effect of this medication. It does not represent an unexpected event or serious injury requiring root cause analysis.

C. A client decides not to have surgery after receiving a preoperative dose of lorazepam: While patient refusal of surgery under sedation may pose some ethical concerns, it does not qualify as a sentinel event. No serious or unexpected injury occurred.

D. A client experiences permanent lower limb paralysis following a lumbar laminectomy: This represents a serious, unanticipated outcome of a surgical procedure, causing significant harm and loss of function. It meets the criteria for a sentinel event and warrants root cause analysis to identify contributing system failures.

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A nurse working in the role of the staff development coordinator is developing a training program for a group of nurses about the use of a new IV pump. Which of the following steps should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a medical unit realizes she administered an incorrect dose of medication to a client. Which of the following ethical principles is the nurse exhibiting by completing an incident report of the event?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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