A nurse is caring for a client who falls in his room. After the nurse assesses the client, notifies the client's provider, and completes an incident report, which of the following actions should the nurse take?

Make a copy of the incident report for the provider.

Submit the incident report to the risk manager.

Place the incident report in the client's chart.

Document in the chart that an incidence report has been filed.

Answer and Explanation

The Correct Answer is B

Rationale:

A. Making a copy of the incident report for the provider is not necessary; the report should be handled according to the facility’s protocol.

B. Submitting the incident report to the risk manager ensures it is reviewed and addressed appropriately, which is crucial for risk management and quality improvement.

C. Placing the incident report in the client’s chart is not appropriate as it is considered a confidential document related to quality and safety, not part of the client’s medical record.

D. Documenting in the chart that an incident report has been filed is not sufficient; the report should be submitted to the risk management team for review.

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Correct Answer is D

Explanation

Rationale:

A. "Use wool blankets on your bed" is not recommended as wool is a flammable material that can pose a risk with oxygen use.

B. "Store unused oxygen tanks horizontally" is not correct; tanks should be stored upright to prevent damage or leakage.

C. "Check your oxygen equipment once each week" is insufficient; equipment should be checked more frequently to ensure safety.

D. "Do not adjust the oxygen flow rate" is correct as clients should not make adjustments without medical advice to ensure proper oxygen levels are maintained.

A. Reinforce discharge teaching to clients. B. Focus on providing care that prevents life-threatening emergencies. C. Stock additional unit supplies. D. Instruct the assistive personnel (AP) to focus on clients' ADLs.

Correct Answer is B

Explanation

Rationale:

A. Reinforcing discharge teaching is less critical during a disaster and should be secondary to addressing immediate needs.

B. Focusing on life-threatening emergencies aligns with the priorities in a disaster situation, where resources are limited.

C. Stocking additional supplies should be managed based on current needs and priorities but is not as urgent as immediate patient care.

D. Focusing on ADLs is important but not the priority when dealing with life-threatening situations.

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A nurse is caring for a client who falls in his room. After the nurse assesses the client, notifies the client's provider, and completes an incident report, which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching for a client who has a new prescription for home oxygen. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is working with a limited staff because of a severe storm in the area. The facility incident commander has initiated disaster protocols. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is caring for four clients who are postoperative from surgery 24 hr ago. At 1200 the nurse assesses the clients. Which of the following clients is the nurse's priority?

A nurse in a provider's office is reviewing the laboratory findings for a client who is scheduled for surgery. Which of the following findings requires follow up by the nurse?

A nurse is planning care for four clients and is assigning tasks to a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following should the nurse assign to the LPN?

A nurse has received change-of-shift report and is delegating tasks to the assistive personnel (AP). The nurse should tell the AP to complete which of the following tasks first?

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A nurse is supervising a licensed practical nurse (PN) who is providing care to a client who is postoperative. Which of the following statements by the client requires the nurse to follow up with the PN?

A nurse is receiving change-of-shift report at the start of the shift. Which of the following statements by the nurse giving report indicates to the oncoming nurse that she should assume total care for the client, rather than assigning tasks to the assistive personnel (AP)?

A nurse is caring for a client who is scheduled to have surgery. In preparing the client for surgery, which of the following actions is considered outside the nurse's responsibilities?