A nurse is reviewing event reports submitted during the previous month. The nurse should identify which of the following as a problem that should be reported to the risk manager?

Reports routinely list the identification number of any equipment involved.

Reports routinely include the client's hospital number.

Reports routinely are completed within 24 hr after the incident.

Reports routinely omit the names of witnesses to the occurrence.

Answer and Explanation

The Correct Answer is D

A. Reports routinely list the identification number of any equipment involved: This practice is appropriate and helps in tracking any equipment-related issues. Including identification numbers can assist in identifying problems with specific devices or tools and does not represent a problem that needs to be reported.
B. Reports routinely include the client's hospital number: Including the client's hospital number in reports is standard practice for maintaining accurate records and ensuring proper tracking of incidents related to specific patients. This does not indicate a problem and is essential for accountability in healthcare reporting.
C. Reports routinely are completed within 24 hr after the incident: Timeliness in completing incident reports is important, and completing them within 24 hours is a best practice. This indicates a proactive approach to addressing incidents and does not represent a problem that needs to be reported to the risk manager.
D. Reports routinely omit the names of witnesses to the occurrence: This is a significant issue that should be reported to the risk manager. Witnesses can provide valuable information about the circumstances surrounding an incident, and their names should be documented for follow-up and investigation. Omitting this information could hinder the thoroughness of the incident review and the organization’s ability to address and prevent future occurrences effectively.

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Correct Answer is A

Explanation

A. "I feel frustrated when you interrupt me. It's important for us to take turns speaking during client discussions." This response demonstrates assertive behavior because it expresses the nurse's feelings directly and respectfully while addressing the specific behavior that is problematic. By focusing on "I feel" statements, the nurse communicates personal feelings without blaming or attacking the colleague. This approach encourages a constructive dialogue and promotes a more collaborative working relationship.
B. "If you keep interrupting me, I'll report you to our supervisor for disciplinary action." This response is not assertive; it is more aggressive and threatening. It shifts the focus from the behavior to a punitive action and can escalate conflict rather than fostering a constructive conversation. It may create defensiveness in the colleague and is unlikely to resolve the underlying issue.
C. "You always interrupt me when I'm talking. Can't you see how disrespectful that is?" This response is accusatory and confrontational, which is not assertive behavior. While it addresses the behavior, it does so in a way that may cause the colleague to become defensive or hostile. Effective assertiveness involves expressing feelings and needs without assigning blame or using harsh language.
D. "I can't work with someone who constantly takes over conversations. You need to find another partner." This statement is dismissive and aggressive, effectively shutting down communication rather than encouraging teamwork. It does not allow for resolution or discussion of the behavior, making it counterproductive in promoting effective collaboration. Assertive communication should focus on addressing issues while maintaining a willingness to work together.

A. Initiate a weight-based continuous heparin infusion. B. Prepare client for a chest tube insertion. C. Administer an analgesic. D. Insert an indwelling urinary catheter. E. Initiate supplemental oxygen.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"}}

Explanation

Initiate a weight-based continuous heparin infusion: Continuous heparin infusion is typically used for managing or preventing thromboembolic events, such as deep vein thrombosis or pulmonary embolism. In this scenario, the primary concern is a pneumothorax, and there is no indication that the client requires anticoagulation therapy at this time.

Prepare client for a chest tube insertion: Given the diagnosis of a right upper lobe pneumothorax, preparing the client for chest tube insertion is essential. A chest tube is necessary to evacuate air from the pleural space, restore negative pressure, and allow for lung re-expansion, which is critical in managing a pneumothorax.

Administer an analgesic: Administering an analgesic is essential to help manage the client's pain, which is likely due to the pneumothorax. Effective pain management can help reduce anxiety and improve the client's ability to breathe comfortably.

Insert an indwelling urinary catheter: Inserting an indwelling urinary catheter is not essential in this situation. The client has voided a sufficient amount of clear yellow urine, and there is no indication of urinary retention or other complications that would require catheterization.

Initiate supplemental oxygen: Initiating supplemental oxygen is essential for the client, who is exhibiting hypoxia with a pulse oximetry reading of 85% on room air. Providing supplemental oxygen will help improve oxygenation and alleviate respiratory distress.

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A nurse is reviewing event reports submitted during the previous month. The nurse should identify which of the following as a problem that should be reported to the risk manager?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is working with a colleague who frequently interrupts and takes over during client care discussions. The nurse wants to assertively address this behavior to ensure effective teamwork. Which response by the nurse demonstrates assertive behavior?

Correct Answer is A

Explanation

A nurse is caring for a client. Exhibits For each potential nursing action, click to specify if the action is essential, nonessential, or contraindicated for the client.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"}}

Explanation

A nurse is preparing to administer potassium chloride elixir 40 mEq divided into 2 equal doses every 12 hr. Available is 6.7 mEq/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?

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A client has been diagnosed in the Emergency Department with acute respiratory distress syndrome (ARDS). Which of the following actions should a nurse perform first?

A nurse is reviewing event reports submitted during the previous month. The nurse should identify which of the following as a problem that should be reported to the risk manager?

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