A nurse is filing a safety event report for a client who fell when getting out of bed. What action is performed appropriately?
The nurse records the circumstances and possible reasons for the incident.
The nurse provides minimal information about the incident.
The nurse completes the report 72 hours after the incident.
The nurse includes suggestions on how to prevent future incidents.
The Correct Answer is A
Choice A rationale
Recording the circumstances and possible reasons for the incident is an appropriate action when filing a safety event report. It provides a detailed account of what happened, which is essential for understanding the incident and preventing future occurrences.
Choice B rationale
Providing minimal information about the incident is not appropriate. A safety event report should be thorough and include all relevant details to ensure that the incident is fully understood and addressed.
Choice C rationale
Completing the report 72 hours after the incident is not appropriate. Safety event reports should be completed as soon as possible after the incident to ensure that all details are accurately recorded.
Choice D rationale
Including suggestions on how to prevent future incidents is not typically part of the safety event report. The report should focus on documenting the incident itself, while recommendations for preventing future incidents can be addressed separately.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Asking the client to demonstrate emptying of the colostomy bag is an action that would be part of the implementation or evaluation phase, not the planning phase.
Choice B rationale
Describing which supplies would be needed is also part of the implementation phase. The planning phase focuses on assessing the client’s needs and readiness to learn.
Choice C rationale
Determining the client’s readiness to learn is a crucial step in the planning phase. It ensures that the client is prepared and willing to engage in the learning process, which is essential for effective education.
Choice D rationale
Identifying the client’s learning needs is part of the assessment phase, which precedes the planning phase. The planning phase involves using the information gathered during the assessment to develop a teaching plan.
Correct Answer is B
Explanation
Choice A rationale
Feeding a stroke client who has difficulty in swallowing is a task that requires careful attention to prevent aspiration and choking. While this task is important, it can be delegated to a trained nursing assistant or a licensed practical nurse (LPN) under the supervision of an RN. The RN should focus on tasks that require higher levels of clinical judgment and expertise.
Choice B rationale
Completing a sterile dressing change to a pressure ulcer is a task that requires the expertise and clinical judgment of an RN. Sterile dressing changes involve maintaining a sterile field, assessing the wound, and applying appropriate dressings. This task is critical for preventing infection and promoting wound healing, making it appropriate for the RN to perform.
Choice C rationale
Reapplying a condom catheter for a client with urinary incontinence is a routine procedure that can be delegated to a trained nursing assistant or an LPN. This task does not require the advanced clinical skills and judgment of an RN, allowing the RN to focus on more complex and critical tasks.
Choice D rationale
Reinforcing teaching with a client who is learning how to administer insulin is an important task, but it can be delegated to an LPN under the supervision of an RN. The RN should prioritize tasks that require higher levels of clinical expertise and judgment, such as sterile dressing changes and complex assessments.
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