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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"}}
Explanation
Pulmonary Function Tests assess chronic respiratory conditions like COPD and asthma. In an acute pneumothorax, these tests are unnecessary as the priority is stabilizing the airway and restoring lung expansion. The client is in respiratory distress, making PFTs impractical and irrelevant at this stage.
Obtain Intravenous Access: IV access is necessary to administer fluids, medications, and potential emergency interventions. Given the client's signs of respiratory distress and hemodynamic instability (tachycardia, hypotension), IV access ensures rapid treatment in case of deterioration.
Thoracentesis: Thoracentesis is used to remove pleural fluid in conditions like pleural effusion but is not appropriate for a pneumothorax. Inserting a needle into the pleural space could worsen the lung collapse and lead to further respiratory compromise. The correct intervention is a chest tube insertion.
Obtain ABGs: ABGs provide critical information on oxygenation, ventilation, and acid-base balance. The client has tachypnea, cyanosis, and low O₂ saturation, indicating possible respiratory acidosis or hypoxemia. ABGs will guide oxygen therapy and further management.
Prepare for Insertion of a Chest Tube: A chest tube is the definitive treatment for a pneumothorax. It removes air from the pleural space, allowing lung re-expansion. Given the client's absent breath sounds, tachypnea, and hypoxia, immediate chest tube insertion is necessary to prevent further deterioration.
Computed Tomography (CT) of the Chest: While a CT scan provides detailed lung imaging, it is not the first-line diagnostic tool for pneumothorax. A chest X-ray is usually sufficient to confirm the diagnosis. In an emergency setting, immediate intervention (such as chest tube placement) takes priority over advanced imaging.
Correct Answer is ["4"]
Explanation
Formula:
Volume to administer (mL) = (Desired dose (mg) / Available concentration (mg/mL))
Desired dose = 1.6 mg
Available concentration = 2 mg / 5 mL
Calculate the concentration per mL:
2 mg / 5 mL = 0.4 mg/mL
Volume to administer = 1.6 mg / 0.4 mg/mL
= 4 mL
The nurse should administer 4 mL per dose.
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