A nurse is developing a discharge plan for a client who is postoperative and will require a wheelchair in the home. The nurse should place a referral to which of the following resources to assist the client with this need?

Home health

Social services

Physical therapy

Occupational therapy

Answer and Explanation

The Correct Answer is B

Rationale:
A. Home health provides ongoing nursing care and monitoring in the home but does not typically arrange for durable medical equipment like a wheelchair.
B. Social services coordinate community resources, including arranging for durable medical equipment such as a wheelchair, making this the correct referral.
C. Physical therapy focuses on improving strength, mobility, and teaching the client how to safely transfer and use mobility aids but does not arrange for equipment procurement.
D. Occupational therapy helps the client adapt to activities of daily living (ADLs) and may train the client in wheelchair use but does not arrange for obtaining the wheelchair itself.

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Correct Answer is D

Explanation

Rationale:
A. Client concerns about meals should be addressed but do not require an incident report—these can be managed through dietary services or routine documentation.
B. Difficulty obtaining medication from the pharmacy is a systems issue, but it does not directly involve a client safety event and therefore does not require an incident report.
C. A client’s refusal of medication is their right and should be documented in the medical record, not reported as an incident.
D. Withholding a client’s scheduled medication constitutes a medication error/variance, which directly affects client safety and must be documented using an incident report.

A. Choose an infant safety system. B. Identify the industry standards for infant safety. C. Establish measurement criteria for infant safety systems. D. Evaluate the selected infant safety system.

Correct Answer is B

Explanation

Rationale:
A. Choosing an infant safety system should not occur until the committee first understands the required standards and regulations.
B. The first step in quality control is to identify industry standards or benchmarks. This ensures the facility’s practices align with established guidelines for infant safety.
C. Establishing measurement criteria comes after standards are identified, so performance can be measured against them.
D. Evaluation of a selected system is one of the final steps, after standards are identified, a system is chosen, and criteria are established.

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A nurse is developing a discharge plan for a client who is postoperative and will require a wheelchair in the home. The nurse should place a referral to which of the following resources to assist the client with this need?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager is preparing to discuss incident reporting with nursing staff. Which of the following situations should the nurse manger include as a reason to complete an incident report?

Correct Answer is D

Explanation

A nurse is chairing a committee about preventing infant abduction in a new birth care center. Which of the following quality control tasks should the nurse assign to be completed first?

Correct Answer is B

Explanation

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