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 receives burns from a heating pad.
A client reports being dissatisfied with the temperature of the meals provided.
A client becomes disoriented and falls out of bed.
A client's visitor becomes dizzy and faints in the client's room.
A client is unable to afford the physical therapy that the provider recommends.
Correct Answer : A,C,D
Choice A rationale
A client who receives burns from a heating pad has experienced harm due to the healthcare setting or treatment. An incident report should be completed to document the injury and investigate the cause to prevent future occurrences.
Choice B rationale
A client's dissatisfaction with meal temperature does not typically require an incident report unless it leads to significant issues such as foodborne illness or other adverse effects. It is usually managed through the facility's complaint process.
Choice C rationale
If a client becomes disoriented and falls out of bed, it is crucial to complete an incident report to document the event, assess the cause, and implement measures to prevent similar incidents. This helps ensure client safety and continuous quality improvement.
Choice D rationale
When a client's visitor becomes dizzy and faints in the client's room, an incident report should be completed to document the occurrence and initiate an investigation into the cause. This helps in providing appropriate care and preventing future incidents.
Choice E rationale
A client's inability to afford recommended physical therapy is an important issue but does not typically require an incident report. This situation should be addressed through social services or financial counseling to find a solution.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Isopropyl alcohol is effective for general disinfection but is not the best choice for cleaning blood spills because it does not completely eliminate all pathogens, especially certain viruses like hepatitis B.
Choice B rationale
Hydrogen peroxide is not typically used for blood spills as it is less effective against certain pathogens compared to other disinfectants and can potentially damage surfaces over time.
Choice C rationale
Chlorhexidine gluconate is used for skin antisepsis rather than environmental disinfection. It is not the best option for cleaning blood spills due to its limited efficacy against all bloodborne pathogens.
Choice D rationale
Chlorine bleach is the recommended solution for cleaning blood spills as it is highly effective in killing a wide range of pathogens, including viruses like HIV and hepatitis B, ensuring a safe and sanitized area.
Correct Answer is A,B,C,D,E
Explanation
A. Apply clean gloves.
B. Disconnect the tube from the suction device.
C. Instill 50 mL of air into the tube.
D. Ask the client to take a deep breath.
E. Pinch and withdraw the tube.
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