The nurse knows which of the following is a “never event?”
No blood incompatibility occurs during a blood transfusion
A surgical sponge is left in a client’s incision
A client falls in his own home
Inserting a urinary catheter before surgery
The Correct Answer is B
A surgical sponge left in a client's incision is considered a "never event." A never event is a serious, preventable medical error that should never occur in healthcare settings. Leaving a surgical sponge in a client's incision is a serious medical error that can cause harm, including infection, abscesses, and other complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Relieving pressure from the heel is essential to prevent further damage to the skin and underlying tissues. This can be achieved by using specialized cushions, repositioning the client regularly, or elevating the foot to reduce pressure.
While documenting the reddened area is important to monitor the progression of the wound, asking the client how the area became reddened and assessing their diet may not be the most relevant interventions in this situation.
Correct Answer is A
Explanation
This scenario is an example of cultural imposition. The nurse is imposing her own beliefs and values regarding infant safety onto the African mother, without considering the cultural context in which the mother is from.
To provide culturally competent care, it is important to respect and understand different cultural practices and beliefs, and work collaboratively with clients to develop safe and effective care plans that are culturally appropriate.
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