During change-of-shift report, a nurse discovers they overlooked a prescription for a type and cross-match of a client who is to have surgery the next day. Which of the following actions should the nurse take first?
Obtain the client's type and cross-match.
Inform the provider of the delay in obtaining the type and cross-match.
Document the incident in the client's medical record.
Prepare an incident report for risk management.
The Correct Answer is A
A. Obtaining the client's type and cross-match is the first action the nurse should take because it ensures that the client will have compatible blood available for transfusion if needed during surgery.
B. This is important but should only be done after obtaining the client’s type and cross-match.
C. This should be done after obtaining the client’s type and cross-match.
D. While an incident report may be necessary, the immediate priority is to address the oversight and ensure patient safety.
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Related Questions
Correct Answer is B
Explanation
A. While durable power of attorney may come into effect if the client becomes incapacitated, it specifically pertains to healthcare decision-making rather than self- care activities.
B. Durable power of attorney for healthcare decisions is enforceable when the client is unable to make or communicate their own healthcare decisions.
C. Terminal illness may be a factor in the decision-making process, but durable power of attorney is not contingent upon terminal illness.
D. Refusal of treatment is a separate issue from durable power of attorney and does not directly relate to the enforceability of a healthcare proxy.
Correct Answer is ["A","C","D"]
Explanation
A. This abbreviation can be misinterpreted as "units," "cc," or "you." It is recommended to avoid its use to prevent misinterpretation.
B. This abbreviation stands for intake and output, which is commonly used in healthcare documentation and is not on The Joint Commission's Do Not Use list.
C. IU can be mistaken for intravenous or international unit.
D. This abbreviation stands for once daily and is prone to misinterpretation, as it can be mistaken for qid (four times daily). It is recommended to avoid its use to prevent dosing errors.
E. This abbreviation stands for pro re nata, indicating "as needed" medication administration, and is not on The Joint Commission's Do Not Use list.
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