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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Orthostatic hypotension primarily affects blood pressure regulation and is not directly related to the risk of pulmonary emboli.
B) Orthostatic hypotension can cause dizziness and fainting upon standing, increasing the risk of falls.
C) Orthostatic hypotension is typically indicated by a decrease in systolic blood pressure of 20 mm Hg or more.
D) Orthostatic hypotension is primarily diagnosed based on changes in systolic blood pressure, not diastolic blood pressure.
Correct Answer is D
Explanation
A) Urine retention is a common symptom of bladder outlet obstruction but in this case assessing the patient for a urinary tract infection is the priority.
B) While proteinuria can indicate kidney dysfunction, it's not directly related to urinary retention.
C) This refers to bladder dysfunction due to neurological causes and may not be directly related to urinary retention in an immobile client.
D) Immobility can increase the risk of urinary tract infections Urinary retention can lead to urinary tract infection (UTI) due to bacterial growth in the stagnant urine. The nurse should monitor the client for signs and symptoms of UTI, such as fever, chills, dysuria, hematuria, and foul-smelling urine.
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