A nurse is teaching a newly licensed nurse about incident reports.
The nurse should include that which of the following events requires an incident report?
An IV medication is administered via an oral route.
A client vomits their morning medications.
A lipid-lowering medication is administered to a client 1 hr after the scheduled time.
A client has an allergic reaction to an antibiotic.
The Correct Answer is A
Choice A rationale:
Administering IV medication via an oral route is a medication error and should be reported.
Choice B rationale:
A client vomiting their morning medications is an adverse event, but not all adverse events require an incident report. The nurse should assess the situation and report if it poses a risk to the patient's health.
Choice C rationale:
Administering a lipid-lowering medication to a client one hour after the scheduled time is a medication error, but again, the need for an incident report depends on the potential harm to the patient. In some cases, reporting this incident may be necessary.
Choice D rationale
An allergic reaction can occur in clients with no known drug allergies. Unless a drug was given in known allergies, it does not require an incident report.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Allowing extra time to communicate with the client is a crucial action when caring for a client with impaired speech. This approach respects the client's autonomy and ensures that they have the time they need to express themselves. It is an appropriate and compassionate response to the client's condition.
Choice B rationale:
Finishing sentences for the client is not recommended because it interferes with the client's ability to communicate independently. It does not respect the client's autonomy and may lead to frustration.
Choice C rationale:
Avoiding the use of visual aids for communication is not a best practice, especially for clients with impaired speech. Visual aids can enhance communication and should be used when appropriate.
Choice D rationale:
Asking open-ended questions is a good communication strategy, but it is not the first action to take. Allowing extra time for communication should be the initial step when caring for a client with impaired speech.
Correct Answer is B
Explanation
Choice A rationale:
"Role performance overload" is not a direct adverse effect of a negative body image. Role performance overload refers to excessive demands and responsibilities in one's life, which can lead to stress and burnout. While a negative body image can contribute to stress, it does not directly cause role performance overload.
Choice B rationale:
"Development of an eating disorder" is a well-documented adverse effect of a negative body image. Individuals with a negative body image may develop eating disorders like anorexia nervosa or bulimia as they strive for an idealized body image. This choice is directly related to the topic of negative body image.
Choice C rationale:
"Mistrust" is not a typical adverse effect of a negative body image. Mistrust is more related to issues of trust and interpersonal relationships, while a negative body image primarily affects one's self-perception.
Choice D rationale:
"Self-absorption" can be a consequence of a negative body image, as individuals may become preoccupied with their appearance and self-worth based on their body. However, the most direct and severe consequence is the development of eating disorders, as mentioned in choice B. .
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