A nurse witnesses a coworker not following facility procedure when discarding the unused portion of a controlled substance. Which of the following actions should the nurse take? (Select all that apply.)
Identify all witnesses to the incident.
Request that the coworker complete an incident report.
Submit an incident report to the risk manager.
File an anonymous report of the incident to the nurse manager.
Document a factual account of the incident.
Correct Answer : A,C,E
Rationale:
A. Identifying all witnesses ensures that accurate accounts of the event are available for investigation.
B. It is the responsibility of the nurse who witnessed the incident, not the coworker, to report the occurrence.
C. Submitting an incident report to the risk manager is appropriate to initiate a formal review and ensure compliance with legal and facility requirements.
D. Anonymous reporting is discouraged because it may limit the ability to investigate and follow up appropriately.
E. Documenting a factual, objective account provides a clear record of the incident without personal bias or judgment.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. A Do Not Resuscitate (DNR) order is a medical prescription, not a living will.
B. This describes informed consent, not a living will.
C. Naming someone to make health care decisions is a health care proxy/durable power of attorney for health care, not a living will.
D. A living will is a legal document that outlines a client’s wishes regarding medical treatment if they become incapacitated, guiding the family and health care team in decision-making.
Correct Answer is D
Explanation
Rationale:
A. Urinary retention 12 hours after a laminectomy is concerning but not immediately life-threatening.
B. A low-grade fever in a client with MRSA needs monitoring, but it is not the most urgent problem.
C. Starting chemotherapy for pancreatic cancer is important, but it is a planned treatment and not an acute priority.
D. An absent pedal pulse indicates impaired arterial circulation, which can quickly lead to tissue ischemia and necrosis. Restoring circulation is the highest priority according to the ABC (Airway, Breathing, Circulation) and urgent vs non-urgent frameworks.
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