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 {"dropdown-group-1":"A","dropdown-group-2":"E"}
Explanation
The client is at risk for developing: Response 1: Deep vein thrombosis (DVT)
Due to: Response 2: Prolonged immobility (which is common after a stroke and can lead to DVT).
Correct Answer is C
Explanation
Choice A rationale
Stating that the client's condition is stable right now is a breach of patient confidentiality and does not comply with privacy regulations.
Choice B rationale
Telling the employer that the nurse will inform the client about the call is also a breach of confidentiality, as it implies that the client is indeed there.
Choice C rationale
Responding with "I cannot confirm or deny that we have a client by that name" is an appropriate and professional way to protect patient confidentiality and comply with privacy laws.
Choice D rationale
Stating that the client is in the hospital but not providing further details still reveals the client's location, which breaches patient confidentiality and privacy regulations. .
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