A nurse is reinforcing information with a nursing colleague about sentinel events. Which of the following statements by the nursing colleague indicates an understanding?
"An example of a sentinel event is administering incompatible blood products to a client."
"An example of a sentinel event is administering client medications 30 minutes late."
"An example of a sentinel event is documenting vital signs at the wrong time in the client’s electronic health record."
"An example of a sentinel event is administering a prescribed sedative to a client for insomnia."
The Correct Answer is A
Choice A reason: A sentinel event is a serious adverse event that results in death, permanent harm, or severe temporary harm to a patient. Administering incompatible blood products to a client is a sentinel event because it can cause fatal hemolytic reactions.
Choice B reason: Administering client medications 30 minutes late is not a sentinel event, unless it leads to a serious adverse outcome for the patient. Medication errors are common and preventable, and they should be reported and analyzed to improve patient safety.
Choice C reason: Documenting vital signs at the wrong time in the client’s electronic health record is not a sentinel event, unless it leads to a serious adverse outcome for the patient. Documentation errors are also common and preventable, and they should be corrected and avoided to ensure accurate and timely information.
Choice D reason: Administering a prescribed sedative to a client for insomnia is not a sentinel event, unless it leads to a serious adverse outcome for the patient. Sedatives are commonly used to treat insomnia, and they should be prescribed and administered with caution and monitoring⁵.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This statement is incorrect because right documentation is not one of the five rights of delegation. Right documentation is a responsibility of the nurse and the AP, but it is not a criterion for deciding what tasks to delegate and to whom. The five rights of delegation are right task, right circumstance, right person, right direction, and right supervision.
Choice B reason: This statement is correct because right communication is one of the five rights of delegation. Right communication means that the nurse provides clear, concise, and specific instructions to the AP, and that the AP acknowledges and understands the instructions. Right communication also involves feedback, reporting, and documentation between the nurse and the AP.
Choice C reason: This statement is incorrect because right time is not one of the five rights of delegation. Right time is a factor that affects the delegation process, but it is not a criterion for deciding what tasks to delegate and to whom. The five rights of delegation are right task, right circumstance, right person, right direction, and right supervision.
Choice D reason: This statement is incorrect because right room is not one of the five rights of delegation. Right room is a factor that affects the delegation process, but it is not a criterion for deciding what tasks to delegate and to whom. The five rights of delegation are right task, right circumstance, right person, right direction, and right supervision.
Correct Answer is A
Explanation
Choice A reason: Sunbathing is a modifiable risk factor for developing a disease. Sunbathing exposes the skin to ultraviolet (UV) radiation, which can damage the DNA and cause skin cancer. Sunbathing can also cause premature aging, sunburn, and eye damage. The nurse should advise the client to limit sun exposure, use sunscreen, wear protective clothing, and avoid tanning beds.
Choice B reason: Family history is not a modifiable risk factor for developing a disease. Family history refers to the inherited traits and diseases that occur in the family. Family history can increase the risk of developing certain diseases, such as diabetes, heart disease, and cancer. The nurse should assess the client's family history and provide genetic counseling if needed.
Choice C reason: Genetics is not a modifiable risk factor for developing a disease. Genetics refers to the genes that determine the characteristics and functions of the body. Genetics can influence the susceptibility and resistance to certain diseases, such as cystic fibrosis, sickle cell anemia, and hemophilia. The nurse should educate the client about the role of genetics in health and disease, and refer the client to a genetic specialist if needed.
Choice D reason: Age is not a modifiable risk factor for developing a disease. Age refers to the number of years that a person has lived. Age can affect the body's ability to fight infections, heal wounds, and prevent chronic diseases. The nurse should monitor the client's age-related changes and provide age-appropriate care and interventions.
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