Answer to Question 1
Ans: D
An incident report, also called a variance or occurrence report, is used by health care agencies to document the occurrence of anything out of the ordinary that results in, or has the potential to result in, harm to a patient, employee, or visitor. The nurse responsible for a potentially (or actually) harmful incident or who witnesses an injury is the one who fills out the incident form. This form should contain the complete name of the person or people involved and the names of all witnesses; a complete factual account of the incident; the date, time, and place of the incident; pertinent characteristics of the person or people involved (e.g., alert, ambulatory, asleep) and of any equipment or resources being used; and any other variables believed to be important to the incident. These reports are used for quality improvement and should not be used for disciplinary action against staff members.
Answer to Question 2
Ans: B
The nurse should question any physician order that is ambiguous, contraindicated by normal practice (such as an abnormally high medication dose), or contraindicated by the client's present condition. The nurse should not administer the medication, refuse to administer the medication without contacting the physician, or document concerns about the order without doing anything further.
In the communication technique of collaborating, the nurse sends the message that the nurse and pati
The nurse is using Standard Precautions to draw blood.
A nurse prepares a client for anesthesia and surgery.
A physician is performing a colonoscopy on a client and viewing the internal structures of the colon
Building a Client Base Cont.
Testing the client’s ability to feel vibrations, the toe