Which of the following situations would warrant an incident report? (Select all that apply)
The patient received insulin, but they are not a diabetic or have an order
The patient does not feel ready to be discharged to home
The patient refuses to take a prescribed medication
The patient has received the medication of another patient
The patient fell out of bed
Correct Answer : A,D,E
Choice A reason: Administering insulin to a patient who is not diabetic or does not have an order is a medication error. Incident reports are required to document errors, analyze causes, and prevent recurrence.
Choice B reason: A patient not feeling ready for discharge is a subjective concern, not an incident. This should be addressed through care planning and communication, not an incident report.
Choice C reason: Patient refusal of medication is a patient right and does not constitute an incident. It should be documented in the chart but does not require an incident report.
Choice D reason: Administering another patient’s medication is a serious medication error that requires an incident report. This ensures accountability and corrective action.
Choice E reason: A patient falling out of bed is a safety event that must be documented in an incident report. Falls are tracked for quality improvement and prevention strategies.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Allowing a client’s dog to visit demonstrates cultural competence because it respects the patient’s emotional and spiritual needs. Pets are often considered part of family and can provide comfort, reduce stress, and improve well-being.
Choice B reason: Researching foods that a lacto-ovo vegetarian will eat shows cultural competence by respecting dietary preferences and ensuring nutritional needs are met. This demonstrates sensitivity to cultural and personal values.
Choice C reason: Including cultural foods in the patient’s tray, while ensuring they fit within medical dietary restrictions, balances cultural respect with clinical safety. This is a culturally competent action because it integrates patient preferences into care without compromising health.
Choice D reason: Telling a patient that their prayer time must wait until after a scheduled bath disregards cultural and spiritual needs. This demonstrates a lack of cultural competence because it prioritizes routine tasks over the patient’s beliefs and practices. Nurses should adapt care schedules to respect prayer times whenever possible.
Correct Answer is C
Explanation
Choice A reason: Trendelenburg position (head down, feet elevated) is contraindicated in patients with breathing difficulty because it increases pressure on the diaphragm and worsens respiratory distress.
Choice B reason: Sims position is a side-lying posture used for rectal exams or procedures, not for relieving dyspnea. It does not optimize lung expansion or ease breathing.
Choice C reason: Orthopneic position (sitting upright, leaning forward with arms supported on a bedside table) is the priority intervention for difficulty breathing. This position maximizes lung expansion, reduces pressure on the diaphragm, and facilitates accessory muscle use, improving oxygenation.
Choice D reason: Supine position worsens breathing difficulty by limiting chest expansion and increasing pressure on the diaphragm. It is inappropriate for a patient in respiratory distress.
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