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Ati capstone leadership assessment
Total Questions : 48
Showing 10 questions, Sign in for more0800:
Provider prescribed azithromycin to client using computerized provider order entry.
0830:
Nurse reviewed new prescription prior to medication administration and identified that client has allergy to macrolide antibiotics. Medication held and provider notified.
1 day ago, 0730:
Client admitted to obstetrics unit in active labor. Group streptococcus B-hemolytic vaginal culture positive (expected: negative) at 36 weeks of gestation. Prophylactic antibiotics prescribed by provider.
1 day ago, 1930:
Neonate born via vaginal birth.
Today, 2000:
Neonate diagnosed with neonatal sepsis. Nurse identified that the client who gave birth did not receive prescribed antibiotics during labor.
1330:
Provider prescription:
Administer 6.0 units of regular insulin subcutaneous now.
1340:
RN administered 60 units of regular insulin subcutaneous.
1410:
Client unresponsive. Blood glucose 30 mg/dL (74 to 106 mg/dL) on venous specimen.
0100:
Laboratory technician called the unit to report critically low platelet value. Client's primary nurse unavailable at time of call. Report received by another staff nurse. Critical results not communicated to client's primary nurse or provider.
0400:
Client in coma due to complications of disseminated intravascular coagulation.
0900:
Client identified as fall risk. Client instructed to call for assistance when getting out of bed. Call bell placed at bedside.
1000:
Client found on floor during hourly rounds. Client sustained mild abrasion to elbow due to fall, no further injuries. Client stated, "I used my call bell, but nobody came." Identified that call bell malfunctioned.
A nurse manager is reviewing a group of incident reports as part of a quality improvement initiative.
For each incident report, click to specify if the findings in the incident report indicate a near miss or an adverse event. There must be at least 1 selection in every row. There does not need to be a selection in every column.
Explanation
Near miss:
-
Incident Report 1: The nurse identified the client's allergy before administering azithromycin, preventing an adverse reaction. Holding the medication and notifying the provider ensured patient safety, making this a near miss rather than an adverse event.
Adverse Event:
-
Incident Report 2: The client did not receive prescribed prophylactic antibiotics during labor, leading to neonatal sepsis. The lack of antibiotic administration increased the risk of serious complications, making this an adverse event with potential long-term consequences.
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Incident Report 3: A tenfold dosing error led to the administration of 60 units instead of 6 units of insulin, resulting in severe hypoglycemia and unresponsiveness. This critical medication error placed the client at significant risk for neurological damage or death, classifying it as an adverse event.
-
Incident Report 4: A critically low platelet value was reported but not communicated to the provider, delaying intervention and leading to a coma. The failure to act on critical lab results contributed to a preventable deterioration in the client’s condition, making this an adverse event.
-
Incident Report 5: Despite being identified as a fall risk, the client sustained a fall due to a malfunctioning call bell, leading to an injury. The failure to address the defective equipment compromised patient safety, making this an adverse event that could have been prevented.
The guardian of a child who has a terminally illness tells a nurse that they want to take their child home. Which of the following responses should the nurse make?
A nurse is preparing to administer the initial dose of ceftriaxone to a client who has endometritis. Which of the following statements by the client should cause the nurse to hold the medication and consult the provider?
A nurse is planning a staff education program to review nursing interventions for clients who have kidney failure. Which of the following sources should the nurse identify as the best resource for obtaining evidence-based information?
A nurse is conducting a home visit with an older adult client. Which of the following observations should the nurse address to promote a safe environment?
A county public health nurse is developing a list of interventions to address the three core functions of public health. Which of the following interventions should the nurse include as part of the assurance function?
A nurse working in a mobile health clinic is assessing a client who is an agricultural worker. Which of the following findings should the nurse identify as the priority?
During an initial visit, a home health nurse is assessing a client who has cultural beliefs different than their own. Which of the following questions should the nurse ask to determine the client's beliefs about environmental control?
A nurse manager is leading a discussion on legal guidelines for the use of restraints. Which of the following information should the nurse include?
An occupational health nurse is preparing to teach a health promotion class for workers at a warehouse. Which of the following statements should the nurse include?
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