Which situation requires a nurse to complete an incident report? The nurse:.

Does not complete the care plan for a newly admitted client before leaving the unit.

Records a client’s refusal to take a prescribed medication on the chart.

Contaminates and discards two indwelling catheters during the insertion procedure.

Experiences back pain after moving a client up in the bed.

Answer and Explanation

The Correct Answer is C

The nurse should complete an incident report when he or she contaminates and discards two indwelling catheters during the insertion procedure. This is because an incident report is a tool for documenting any event that is not consistent with the routine operation of a health care unit or the routine care of a client. An incident report helps to identify potential risks and improve quality and safety.

Choice A is wrong because not completing the care plan for a newly admitted client before leaving the unit is not an incident that requires reporting.

It is a matter of time management and prioritization.

Choice B is wrong because recording a client’s refusal to take prescribed medication on the chart is not an incident that requires reporting.

It is a part of the nursing documentation and communication.

Choice D is wrong because experiencing back pain after moving a client up in the bed is not an incident that requires reporting.

It is a personal injury that may be related to improper body mechanics or ergonomics.

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Correct Answer is D

Explanation

pc stands for post cibum, which means after meals in Latin. This abbreviation indicates that a medication is to be administered after the patient has eaten.

Choice A is wrong because hs stands for hora somni, which means at bedtime in Latin. This abbreviation indicates that a medication is to be administered before the patient goes to sleep.

Choice B is wrong because prn stands for pro re nata, which means as needed in Latin. This abbreviation indicates that a medication is to be administered only when the patient requires it.

Choice C is wrong because ac stands for ante cibum, which means before meals in Latin. This abbreviation indicates that a medication is to be administered before the patient eats.

A. A 37-year-old who has insulin-dependent diabetes mellitus. B. A 58-year-old who wears dentures. C. A 26-year-old who is on bed rest. D. A 45-year-old who is NPO.

Correct Answer is A

Explanation

A 37-year-old who has insulin-dependent diabetes mellitus has the greatest need for special mouth care. This is because diabetes can affect the blood vessels and nerves in the mouth, leading to dry mouth, gum disease, infections, and delayed healing. Special mouth care for this client would include regular brushing and flossing, using a soft toothbrush or foam brush, rinsing with water or saline, checking for signs of inflammation or infection, and avoiding sugary or acidic foods and drinks.

Choice B is wrong because a 58-year-old who wears dentures does not have a greater need for special mouth care than a diabetic client.

Dentures can be removed and cleaned with a soft toothbrush and denture cleaner, and soaked overnight in a denture solution. The gums and mouth should also be cleaned daily with a soft toothbrush or gauze.

Choice C is wrong because a 26-year-old who is on bed rest does not have a greater need for special mouth care than a diabetic client. Bed rest can cause dry mouth and plaque accumulation, but these can be prevented by regular brushing and rinsing, drinking water frequently, and using sugar-free gum or lozenges.

Choice D is wrong because a 45-year-old who is NPO (nothing by mouth) does not have a greater need for special mouth care than a diabetic client. NPO can cause dry mouth and bad breath, but these can be alleviated by regular rinsing with water or saline, applying water-based lip balm or moisturizer, and using artificial saliva products if needed.

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Which situation requires a nurse to complete an incident report? The nurse:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which abbreviation indicates a medication is to be administered after meals?

Correct Answer is D

Explanation

Which client has the greatest need for special mouth care?

Correct Answer is A

Explanation

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