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 D
Explanation
Choice A rationale:
Keeping the feet together when lifting an object is not a proper body mechanics technique. It can lead to instability and an increased risk of injury because the base of support is not wide enough. Therefore, this choice does not indicate an understanding of body mechanics.
Choice B rationale:
Bending at the hip when lifting is also an incorrect body mechanics technique. Proper body mechanics involve bending at the knees and keeping the back straight to reduce the risk of back injuries. Bending at the hips can strain the lower back, making it an incorrect choice.
Choice C rationale:
Twisting the spine when lifting is a harmful practice in body mechanics. Twisting the spine can lead to spinal injuries, especially when lifting heavy objects. Proper body mechanics emphasize keeping the spine aligned and not twisting during lifting. Therefore, this choice does not indicate an understanding of body mechanics.
Choice D rationale:
Standing close to the object being moved is the correct body mechanics technique. This choice demonstrates an understanding of proper body mechanics because it reduces the strain on the back and minimizes the effort required to lift a heavy object. Keeping a wide base of support and using the leg muscles rather than the back muscles are essential principles of proper body mechanics. This is the correct choice. .
Correct Answer is B
Explanation
Choice A rationale:
Increased collagen. Increased collagen is not a risk factor for pressure injuries. Collagen provides strength and support to the skin and tissues, which can be protective against pressure injuries by maintaining tissue integrity.
Choice B rationale:
Decreased circulation. Decreased circulation is a significant risk factor for pressure injuries. When blood flow to a specific area is reduced, it can lead to tissue ischemia, which makes the tissue more vulnerable to pressure damage. The lack of oxygen and nutrients from reduced circulation impairs the skin's ability to withstand pressure, increasing the risk of pressure injury development.
Choice C rationale:
Increased muscle mass. While having increased muscle mass can offer some protection against pressure injuries due to the added support and padding, it is not a primary risk factor for developing pressure injuries. In fact, individuals with increased muscle mass may be less prone to pressure injuries because their muscle tissue helps distribute pressure more evenly.
Choice D rationale:
Decreased serum calcium. Decreased serum calcium levels can affect muscle function and bone health but are not a direct risk factor for pressure injuries. Pressure injuries primarily result from sustained pressure on the skin and underlying tissues, often due to immobility and other factors. Calcium levels are not directly related to the development of pressure injuries.
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