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
Explanation
Choice A reason: Home care is the most appropriate resource referral for this client, as they will need skilled nursing care to perform wound care and monitor the healing process. Home care can also provide education and support for the client and their family.
Choice B reason: Assisted living is not a suitable resource referral for this client, as they do not provide skilled nursing care or wound care. Assisted living facilities are designed for clients who need assistance with activities of daily living, but not medical care.
Choice C reason: Long-term care is not a necessary resource referral for this client, as they do not have a chronic or terminal condition that requires 24hour nursing care. Long-term care facilities are intended for clients who are unable to live independently due to physical or cognitive impairments.
Choice D reason: Hospice care is not an appropriate resource referral for this client, as they do not have a terminal illness or a life expectancy of less than six months. Hospice care provides palliative care and comfort measures for clients who are dying and their families.
Correct Answer is A
Explanation
Choice A: This is the correct answer. A portal is a secure online platform that enables clients to access their health information, communicate with their providers, request appointments, refill prescriptions, and more. This enhances client satisfaction, engagement, and empowerment.
Choice B: This is incorrect. Same day access to client health record is not an advantage of electronic documentation, but a requirement for any documentation system. Clients have the right to access their health information within a reasonable time frame, regardless of whether it is paper-based or electronic.
Choice C: This is incorrect. The increase of duplicate tests performed on client is not an advantage of electronic documentation, but a disadvantage. Duplicate tests can result from poor communication, lack of interoperability, or human error. Electronic documentation can help reduce duplicate tests by facilitating data sharing, standardizing formats, and alerting providers of previous tests.
Choice D: This is incorrect. Decrease in coordination of client care is not an advantage of electronic documentation, but a disadvantage. Coordination of client care is essential for ensuring quality, safety, and continuity of care. Electronic documentation can improve coordination of client care by allowing multiple providers to access and update the same information, enabling real-time collaboration, and providing decision support tools.
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