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 ["A","C","D"]
Explanation
Choice A reason: Workshops are a resource that the nurse should include in the teaching. Workshops are short-term educational programs that provide practical skills, knowledge, or experience on a specific topic or area of interest. Workshops can help nurses to update their competencies, learn new techniques, or explore new trends in nursing practice. Workshops can also provide opportunities for networking, collaboration, and feedback from peers and experts.
Choice B reason: Nursing topics on social media are not a resource that the nurse should include in the teaching. Nursing topics on social media are informal and unregulated sources of information that may not be reliable, valid, or evidence based. Nursing topics on social media may also pose ethical and legal risks, such as breaching confidentiality, privacy, or professionalism. Nursing topics on social media may be useful for raising awareness, sharing opinions, or engaging in discussions, but they are not a substitute for formal education or research.
Choice C reason: Online continuing education is a resource that the nurse should include in the teaching. Online continuing education is a form of distance learning that offers courses, modules, or programs that can be accessed through the internet. Online continuing education can help nurses to enhance their knowledge, skills, and attitudes, and to meet the requirements for licensure, certification, or accreditation. Online continuing education can also provide flexibility, convenience, and affordability for nurses who have busy schedules or limited resources.
Choice D reason: Scholarly journals are a resource that the nurse should include in the teaching. Scholarly journals are academic publications that disseminate original research, reviews, or analyses on various topics or fields of study. Scholarly journals can help nurses to keep abreast of the latest evidence, innovations, and best practices in nursing science and practice. Scholarly journals can also stimulate critical thinking, inquiry, and curiosity among nurses who seek to advance their profession and improve their outcomes.
Choice E reason: Nursing blogs online are not a resource that the nurse should include in the teaching. Nursing blogs online are personal or professional websites that feature posts, articles, or stories written by nurses or nursing students. Nursing blogs online may provide insights, perspectives, or experiences on various aspects of nursing, but they may not be objective, comprehensive, or rigorous. Nursing blogs online may also contain errors, biases, or opinions that may not reflect the standards or values of the nursing profession. Nursing blogs online may be enjoyable, inspirational, or motivational, but they are not a source of formal education or research.
Correct Answer is C
Explanation
Choice A reason: The prodromal stage is the period between the exposure to the infectious agent and the onset of specific symptoms. During this stage, the person may experience mild and nonspecific signs of infection, such as fatigue or lowgrade fever. The client in the question has already developed specific symptoms of infection, such as sneezing, productive cough, and fever, which indicate that they have passed the prodromal stage.
Choice B reason: The period of convalescence is the stage of recovery after the infection. During this stage, the person's symptoms gradually subside, and their immune system eliminates the infectious agent from the body. The client in the question is still experiencing symptoms of infection, which suggest that they have not reached the period of convalescence yet.
Choice C reason: The acute illness stage is the peak of the infection, when the person exhibits the most severe and specific symptoms of the disease. During this stage, the person's immune system fights against the infectious agent, and the outcome of the infection is determined. The client in the question is likely in the acute illness stage, as they have been experiencing symptoms of infection for 4 days, and their condition has worsened over time.
Choice D reason: The incubation stage is the time between the entry of the infectious agent into the body and the appearance of the first symptoms of infection. During this stage, the person does not feel ill, but the infectious agent is multiplying in the body. The client in the question has already developed symptoms of infection, which indicate that they have left the incubation stage.
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