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
If a client who has recently undergone an above knee amputation complains of pain distal to the amputation, the type of pain that the client is experiencing is most likely neuropathic pain. Neuropathic pain is a type of pain that occurs as a result of damage or dysfunction to the nervous system. It is often described as a burning, tingling, or shooting sensation and can be difficult to manage with traditional pain medications.
In the case of an amputation, neuropathic pain can occur as a result of the nerve endings in the remaining portion of the limb sending signals to the brain that are interpreted as pain. This can lead to the perception of pain in the "phantom" limb, which is no longer present.
Visceral pain is a type of pain that arises from the internal organs of the body, such as the stomach, intestines, bladder, or uterus. It is often described as a deep, dull, or pressure-like ache that can be difficult to localize or pinpoint to a specific area.
Nociceptive pain is a type of pain that occurs as a result of the activation of nociceptors, which are specialized nerve fibers that respond to noxious stimuli such as heat, cold, pressure, or chemical irritants. Nociceptors are found in various tissues throughout the body, including the skin, muscles, bones, and organs.
Cutaneous pain is a type of pain that arises from the skin or subcutaneous tissues. It is often described as a sharp, burning, or prickling sensation and can be caused by a variety of factors, such as injury, inflammation, or infection of the skin.
Correct Answer is C
Explanation
If a client begins to fall while the nurse is assisting with ambulation, the priority nursing intervention is to guide the client safely to the floor. The nurse should assist the client to fall as safely as possible to prevent further injury. The nurse should also stay with the client, assess their condition, and call for assistance if necessary.
Initiating a code or calling the client's doctor may not be necessary at this time, as the client's condition may not require such drastic measures. Similarly, calling the charge nurse may be helpful, but it is not the priority intervention in this scenario.
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