Ch 4 practice quiz

A hospital's communication department has reiterated the hospital's commitment to ensuring that "never events" do not take place. Which adverse event may violate the hospital's commitment? Select all that apply.

A client who is recovering from a stroke develops a pressure ulcer on her heel. A client falls while attempting to use a 2-wheeled walker for the first time. A client becomes infected with vancomycin-resistant enterococci (VRE) during his admission.

A hospital unit's safety committee is evaluating current practices while performing a root cause analysis of an error. Which initiative on the unit has the greatest potential to reduce the number of errors?

enhancing the communication that takes placed between team members

The nurse is teaching the caregiver of a school-age child about safety. Which teaching will the nurse include?

Buy protective sporting equipment.

A nurse has approached the unit manager and admitted to giving a client an incorrect dose of insulin. Which aspect of this event would suggest that it constitutes at-risk behavior rather than a human error?

The nurse made a similar insulin error 4 months ago and has also made an oral medication error.

A nurse enters a client's room and finds that the client has fallen on her way to the bathroom. What is a prudent nursing intervention for this client?

Document the incident, assessment, and interventions in the client's medical record.

Two male clients with the same surname were waiting for admission in an outpatient clinic. The nurse began the admission assessment of one of the clients for the procedure that the other client was scheduled for. What is the most appropriate response to this incident?

Formally document and report this near miss so that systems and procedures can be improved.

One of the leading causes of death in the United States, particularly in southwestern states, is drowning. How can the nurse assist in lowering this statistic?

Implement drowning-prevention strategies.

A hospital is in the process of integrating Tall Man Letters into all of documentation that is used at the facility. When promoting this change in practice, what potential benefit should be described?

Medication errors involving drugs with similar names can be reduced.

A system of automated drug dispensing cabinets has been introduced throughout a hospital. It has come to the attention of the nurse manager that some nurses are using a "work around" in which a supply of common p.r.n. (as needed) medications are being removed for a shift, rather than removing individualized doses. How should this practice be addressed?

Nurses should be educated about the risks to client safety posed by this practice.

A nurse observed a client fall in the hallway. After assessing the client's status, the nurse assisted the client off the floor and in doing so sustained a back injury. This injury primarily falls within the scope of what government agency?

Occupational Safety and Health Administration (OSHA)

A Medicare client who was being treated in the hospital for major depression attempted suicide by hanging and suffered brain damage due to hypoxia. The Centers for Medicare & Medicaid Services (CMS) has classified this as a "never event." The nurse should recognize what consequence of this classification?

The hospital will have to bear the cost of treating the client's brain injury.

A confused client entered the dirty supply room on the unit and was found rummaging through trash that contained blood and body fluids. An incident report has been completed about this event by the nurse who discovered the client. Which statement about the incident report is most accurate?

The incident report will be used to inform changes so that the dirty supply room becomes less accessible to clients.

A nurse mistakenly gave a client an immediate dose of an opioid, rather than the extended release form of the drug. The client developed respiratory depression that required resuscitation. The nurse did not admit to the error until forced to weeks later by persistent rumors among colleagues. Which statement about this nurse's actions is most accurate?

The nurse demonstrated reckless behavior by not admitting the error.

The goal of evidence-based practice related to restraints is to avoid the use of restraints.

True

The nurse recognizes that assessment for sensory-perceptual alterations is a priority for which client?

an 84-year-old male with four recent driving violations

A nurse has begun working on a hospital unit where there are a large proportion of clients who have limited mobility and who require assistance with transfers. Nurses' risks for back injury can best be reduced by:

educating them about safe client handling practices.

A client's hemoglobin level has been found to be 7.6 g/dL (normal range 13.8 to 17.2 g/dL) and the primary care provider has ordered a blood transfusion. A unit of blood has come up from the hospital's blood bank and the client's nurse has received it. In order to best promote the client's safety, the nurse should:

have a colleague double-check the blood and the client's identity.

A nurse attempted to delegate a portion of a client's care to another member of the care team. A lapse in communication resulted in the client missing a number of scheduled assessments and medications. When completing an incident report about this event, what should the nurse include? Select all that apply.

the assessments that the nurse performed after the error was discovered the other members of the care team who the nurse contacted once the error was discovered the time and content of the nurse's initial communication with the other member of the care team a summary of the client's health status after the event

A nurse has completed an incident report after a client tripped on an electrical cord in the hospital hallway and had a fall. The incident report will most likely be analyzed by:

the hospital's health and safety committee.

A nurse who is a recent graduate has been formally reprimanded after administering a medication to the wrong client. This reprimand would be considered to be consistent with a just culture if:

the reprimand has been deemed appropriate and relevant to the nurse's actions.