The nurse working on a medical-surgical unit finds a client lying on their bathroom floor. After assessing the client and notifying the provider and nursing supervisor, the nurse completes a hospital incident report. What is the purpose of completing the hospital incident report?

Incident reports are the appropriate method of reporting to state, local, and federal agencies.

Incident reports determine the effectiveness of interventions in relation to outcomes.

Incident reports help to provide clients with necessary treatment.

Incident reports help institutions identify risk situations and improve client care.

Answer and Explanation

The Correct Answer is D

Choice A reason: Incident reports are internal documents used within the hospital to record and analyze adverse events. They are not intended for direct reporting to state, local, and federal agencies, which have their own reporting mechanisms.

Choice B reason: While incident reports may indirectly contribute to assessing the effectiveness of interventions, their primary purpose is not to determine outcomes. Instead, they focus on documenting and analyzing incidents to prevent future occurrences.

Choice C reason: Providing necessary treatment to clients is the immediate response to an incident. However, the purpose of the incident report is broader—it aims to capture the details of the event for analysis and future prevention, not directly to ensure treatment.

Choice D reason: The primary purpose of an incident report is to help the institution identify risk situations and improve client care. By systematically documenting incidents, the hospital can analyze patterns, identify areas for improvement, and implement strategies to enhance safety and quality of care.

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Correct Answer is D

Explanation

Choice A reason: A client with lymphoma receiving inpatient chemotherapy is likely to require close monitoring and ongoing treatment due to the potential complications associated with their condition and treatment. Discharging this client could put them at significant risk.

Choice B reason: A client with heart failure with crackles bilaterally on 4 liters of oxygen needs continuous medical supervision and care to manage their heart condition and oxygen levels. Discharging this client could exacerbate their heart failure and lead to serious health complications.

Choice C reason: A client who is post-appendectomy with a paralytic ileus is at risk of complications such as bowel obstruction and infection. They need to be closely monitored in the hospital until their condition stabilizes and they begin to recover from surgery.

Choice D reason: A client with a nondisplaced tibia fracture that has been immobilized is generally stable and can be safely discharged with appropriate instructions for home care. This client does not require intensive monitoring and can continue their recovery at home.

A. Risk for impaired nutrition B. Risk for thrombosis C. Risk for bleeding D. Risk for constipation

Correct Answer is B

Explanation

Choice A reason: While hormone therapy can have various effects on the body, impaired nutrition is not a common complication associated with estrogen therapy for transgender women. Nutrition-related issues would more likely arise from other factors unrelated to hormone treatment.

Choice B reason: Estrogen therapy can increase the risk of thrombosis (blood clots). This is a significant potential complication that must be discussed with clients considering estrogen therapy. Blood clots can lead to serious conditions such as deep vein thrombosis, pulmonary embolism, and stroke.

Choice C reason: Increased risk of bleeding is not a typical complication of estrogen therapy. Hormone therapy for transgender women generally does not affect the body's ability to clot blood in a way that would cause increased bleeding.

Choice D reason: Constipation is not a common complication of estrogen therapy. Gastrointestinal side effects are generally not a major concern with hormone therapy for transgender women.

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The nurse working on a medical-surgical unit finds a client lying on their bathroom floor. After assessing the client and notifying the provider and nursing supervisor, the nurse completes a hospital incident report. What is the purpose of completing the hospital incident report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse supervisor is working in a hospital that is in the path of a hurricane. Which of the following clients would be appropriate for immediate discharge?

Correct Answer is D

Explanation

The nurse is counseling a new client who identifies as a transgender female and is expressing the desire to start estrogen therapy for their transition. What potential complication will the nurse include in the client teaching?

Correct Answer is B

Explanation

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The nurse is evaluating a transgender female client in the emergency department who is taking estrogen therapy. Which of the following assessment findings would be of priority concern for the nurse?

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