A nurse observes another nurse performing a procedure in the incorrect sequence. The procedure does not harm the client. Which of the following actions should the nurse take first?
Correct the mistake independently.
Speak with the other nurse privately.
Volunteer to perform the procedure next time.
Submit an incident report.
The Correct Answer is B
The first action the nurse should take is to speak with the other nurse privately. This allows the nurse to address the mistake in a respectful and professional manner and provide guidance on how to perform the procedure correctly in the future.
Option A is incorrect because correcting the mistake independently does not address the underlying issue of the other nurse performing the procedure incorrectly.
Option C is incorrect because volunteering to perform the procedure next time does not address the underlying issue of the other nurse performing the procedure incorrectly.
Option D is incorrect because submitting an incident report may be necessary, but it should not be the first action taken.
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Correct Answer is C
Explanation
An incident report should be filed whenever an unexpected event occurs. The rule of thumb is that any time a patient makes a complaint, a medication error occurs, a medical device malfunctions, or anyone— patient, staff member, or visitor—is injured or involved in a situation with the potential for injury, an incident report is required ⁴. In this case, the client's missing dentures would be considered a complaint and would require the nurse to complete an incident report.
The other options do not require an incident report. Disagreeing with the nurse manager about inadequate staffing [a], a staff member not arriving at the facility to work an assigned shift [b], and discovering that the client does not have advanced directives [d] are not situations that would require an incident report according to the information provided in my sources.
Correct Answer is A
Explanation
If an assistive personnel (AP) refuses to take a specimen to the laboratory, the nurse should first discuss the incident with the AP. This allows the nurse to understand the reasons for the refusal and to address any concerns or issues that may have led to the refusal.
Option B may be necessary at some point, but it should not be the first response.
Option C may also be necessary to ensure that the specimen is delivered to the laboratory in a timely manner, but it does not address the underlying issue.
Option D may also be necessary at some point, but it should not be the first response.
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