A nurse is caring for a group of clients. For which of the following situations should the nurse complete an incident report? (Select all that apply.)

A client reports being dissatisfied with the temperature of the meals provided.

A client receives burns from a heating pad.

A client becomes disoriented and falls out of bed.

A client is unable to afford the physical therapy that the provider recommends.

A client's visitor's getting dizzy and fainting in the client's room

Answer and Explanation

Correct Answer : B,C,E

Choice A reason: A client's dissatisfaction with the temperature of the meals is not an incident that requires a report. The nurse should inform the dietary staff and try to accommodate the client's preferences.

Choice B reason: A client's burns from a heating pad is an incident that requires a report. The nurse should document the cause, extent, and treatment of the burns, as well as the client's response and any actions taken to prevent recurrence.

Choice C reason: A client's disorientation and fall out of bed is an incident that requires a report. The nurse should document the circumstances, injuries, and interventions related to the fall, as well as the client's response and any changes in the plan of care.

Choice D reason: A client's inability to afford the physical therapy is not an incident that requires a report. The nurse should refer the client to a social worker or a financial counselor who can assist with finding resources and options.

Choice E reason: A client's visitor's dizziness and fainting in the client's room is an incident that requires a report. The nurse should document the event, the visitor's condition, and any actions taken to assist the visitor.

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Correct Answer is B

Explanation

Choice A reason: Fidelity is not the ethical principle that the nurse is implementing. Fidelity is the duty to keep one's promises and commitments to the client. The nurse is not demonstrating fidelity by giving pain medication, unless the nurse has promised to do so.

Choice B reason: Beneficence is the ethical principle that the nurse is implementing. Beneficence is the duty to do good and prevent harm to the client. The nurse is demonstrating beneficence by giving pain medication to relieve the client's suffering and promote comfort.

Choice C reason: Autonomy is not the ethical principle that the nurse is implementing. Autonomy is the right of the client to make their own decisions and choices about their health care. The nurse is not demonstrating autonomy by giving pain medication, unless the client has consented to it.

Choice D reason: Veracity is not the ethical principle that the nurse is implementing. Veracity is the duty to tell the truth and be honest with the client. The nurse is not demonstrating veracity by giving pain medication, unless the nurse has explained the purpose, benefits, and risks of the medication.

A. Urinate after the specimen collection. B. Keep the specimen in a warm area. C. Place 1.3 cm (0.5 in) of formed stool into a culture tube. D. Avoid placing toilet tissue in the bedpan after defecation.

Correct Answer is D

Explanation

Choice A reason: This is incorrect because the client should urinate before the specimen collection to avoid contaminating the stool with urine.

Choice B reason: This is incorrect because the specimen should be kept in a cool area to prevent bacterial growth and decomposition.

Choice C reason: This is incorrect because the client should place at least 2.5 cm (1 in) of formed stool or 15 to 30 mL of liquid stool into a culture tube.

Choice D reason: This is correct because the client should avoid placing toilet tissue in the bedpan after defecation to prevent interfering with the laboratory analysis of the stool.

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A nurse is caring for a group of clients. For which of the following situations should the nurse complete an incident report? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a hip fracture and plans to administer pain medication prior to turning the client. Which of the following ethical principles is the nurse implementing?

Correct Answer is B

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Correct Answer is D

Explanation

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