A nurse is caring for a group of clients. Which of the following situations requires an incident report?
A client experiences a seizure.
A client vomits after receiving an oral medication.
A client receives their insulin 1 hr before scheduled.
A client receives their meal tray 20 min late.
The Correct Answer is C
Incident reports are documented for incidences that are likely to cause adverse outcomes for the clients or healthcare professionals and, therefore, their occurrence needs to be mitigated. In this case, wrong timing for medications such as insulin may lead to overdose with subsequent hypoglycemia which is detrimental
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D-an angiotensin converting enzyme inhibitor that is used in conditions such as heart failure, hypertension and chronic kidney disease. In rare occasions, captopril can cause excessive lowe
A- Potassium supplements and potassium sparing diuretics should be avoided
B- Captopril is used in blood pressure control with no significant effect on pulse rate.
C-ACEIs have no significant changes in sodium levels in the body
Correct Answer is A
Explanation
Propranolol is a beta-blocker agent that is used to block beta adrenoceptors on blood vessels that leads to lower the heart rate. It used in clients with hypertension and heart failure. However, a heart rate below 60/min is alarming as the client is likely to develop symptoms of reduced perfusion such as fatigue
Spo2 of 95% and a respiratory rate of 22 are okay and not related to propranolol unless the client is asthmatic
D-A blood pressure of 106/68 is normal and requires no intervention
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