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 C
Explanation
This indicates a reduction in the abdominal swelling caused by fluid accumulation, which is a common complication of cirrhosis. Spironolactone is a diuretic that helps remove excess fluid from the body. Spironolactone in liver cirrhosis is used to reduce fluid retention and hence decrease ascites
The other effects are not directly related to spironolactone use
Correct Answer is C
Explanation
Diazepam is a benzodiazepine with potential for respiratory depression. It is, therefore, important for the nurse to cautiously monitor the respiratory rate and respond appropriately at each review.
A-Diazepam is an anticonvulsant
B, D- Diazepam has no effect on bowel habits and urinary output
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