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A charge nurse is providing an in-service to a group of staff nurses about unexpected events. Which of the following should the nurse include in the teaching as an example of a sentinel event?

A client was prescribed a medication they were allergic to, but the prescription was canceled before the medication was given

A client fell out of bed and fractured their hip.

A client was almost given another client's medication

A client had bowel surgery and died from sepsis.

Answer and Explanation

The Correct Answer is D

A)   This is a medication error, but since it was intercepted before harm occurred, it does not qualify as a sentinel event.

B)   While a fall resulting in a fracture is serious, it is not classified as a sentinel event unless the fall results in death, permanent harm, or significant temporary harm.
C)   This is a near-miss medication error, which is important to report and investigate but does not meet the criteria for a sentinel event.
D)   A sentinel event is an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. Death from sepsis following surgery would qualify as a sentinel event.

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Correct Answer is D

Explanation

A. High-Fowler:
In the high-Fowler position (sitting upright at 60-90 degrees), gravity pulls the client downward, making it more difficult to reposition them toward the head of the bed.

B. Lateral:
In the lateral position (lying on the side), the client is not aligned for upward movement and would require additional steps to turn them back to a supine position before repositioning.

C. Prone:

The prone position (lying on the stomach) is not appropriate for repositioning toward the head of the bed, as it makes movement more difficult and increases the risk of injury.
D. Supine:
This position provides a stable and neutral alignment for the client's body, making it easier to use safe lifting techniques or assistive devices (e.g., draw sheet) to move the client toward the head of the bed.

A. Place their feet in line with their shoulders. B. Pivot their feet in the direction of the move. C. Raise the height of the client's bed. D. Tighten their abdominal muscles.

Correct Answer is C

Explanation

A) This is part of proper body mechanics but not the first action when repositioning a client.
B) Proper body mechanics involve pivoting rather than twisting the spine but is not the first action when repositioning a client.
C) Adjusting the bed height ensures the nurse is working at an optimal level to prevent strain during the repositioning process.
D) Engaging core muscles is important for stability during lifting and repositioning but is not the first action to take.

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A charge nurse is providing an in-service to a group of staff nurses about unexpected events. Which of the following should the nurse include in the teaching as an example of a sentinel event?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to reposition a client towards the head of the bed. In which of the following positions should the nurse place the client before repositioning them to the head of the bed?

Correct Answer is D

Explanation

A nurse is preparing to reposition a client. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

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A charge nurse is providing an in-service to a group of staff nurses about unexpected events. Which of the following should the nurse include in the teaching as an example of a sentinel event?