Author Question: Which entry will require follow-up by the nurse manager? 0800 Patient states, Fell out of bed. ... (Read 100 times)

madam-professor · **on:** Jul 22, 2018

Which entry will require follow-up by the nurse manager? 0800 Patient states, Fell out of bed. Patient found lying by bed on the floor.

Legs equal in length bilaterally with no distortion, pedal pulses strong, leg strength equal and strong, no bruising or bleeding. Neuro checks within normal limits. States, Did not pass out. Assisted back to bed. Call bell within reach. Bed monitor on. -------------------Jane More, RN 0810 Notified primary care provider of patient's status. New orders received. -------------------Jane More, RN 0815 Portable x-ray of L hip taken in room. States, I feel fine. -------------------Jane More, RN 0830 Incident report completed and placed on chart. -------------------Jane More, RN a. 0800
b. 0810
c. 0815
d. 0830

Question 2

The nurse delegates the hygienic care of a male client to the unregulated care provider (UCP).

In reviewing the client assignment, the nurse instructs the UCP to make sure to use an electric razor to shave the client with which of the following conditions? a. Thrombocytopenia
b. Congestive heart failure
c. Osteoarthritis
d. Pneumonia

jessicaduplan · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D
Note that you do not include mention of the incident report in the patient's medical record. Instead you document in the patient's medical record an objective description of what happened, what you observed, and follow-up actions taken. It is important to evaluate and document the patient's response to the error or incident. Always contact the patient's health care provider whenever an incident happens.

Answer to Question 2

A
Clients prone to bleeding, such as the client with thrombocytopenia, must use an electric razor.
Clients with congestive heart failure may use a razor blade to shave.
Clients with osteoarthritis do not need to use an electric razor to shave.
Clients with pneumonia may use a razor blade to shave. If the client is wearing oxygen, an elec-tric razor should not be used, as it could create a spark (oxygen is flammable).