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 B
Explanation
The temperature and respiratory rate in this set are within normal limits. However, the low pulse rate and the high blood pressure are significant findings that require further evaluation. A pulse rate of 54 bpm may indicate a slow heart rate, which can lead to decreased cardiac output and other related symptoms.
A blood pressure of 196/114 mmHg is significantly higher than normal and may indicate hypertension, which can lead to serious health complications if left untreated.
Correct Answer is A
Explanation
The statement "Take naps when drowsy" is not appropriate client education for a client experiencing insomnia. Insomnia is a sleep disorder characterized by difficulty falling or staying asleep, or waking up too early in the morning. Napping during the day can make it harder for someone with insomnia to fall asleep at night. Therefore, advising a client with insomnia to take naps when drowsy can exacerbate their sleep problem.
Regular exercise can improve the quality and duration of sleep.
Limiting fluids before bedtime can reduce the need to wake up during the night to use the bathroom.
Alcohol can disrupt sleep as well, so limiting or avoiding alcohol before bedtime can help improve sleep quality.
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