Fundamentals of
Nursing Practice
Questions 100%
SOLUTIONS
Which medication administration situations should be documented in a healthcare
... [Show More]
facility's incident reporting system?
A. Medication errors and adverse drug reactions only
B. Medication errors that cause patient harm
C. Near misses and medication errors only
D.near misses, medication errors, and adverse drug reactions - ANSWER D. Near
misses, medication errors, and adverse drug reactions must all be documented in the
facility's incident reporting system.
The patient self-determination act of 1990 requires all of the hospitals to do which of the
following?
A. Collect data on contagious diseases
B. Collect data on patient falls
C. Inform patients about advanced directives
D. Inform patients about medication side effects - ANSWER C. The patient selfdetermination act of 1990 requires all hospitals to inform patients about advanced
healthcare directives upon admission to a hospital
A nurse is assessing his patients in the morning and finds that a frail a 85 year-old
female patient is soiled in bed. The patient reports that she has been asked to cleaned
numerous times and has been ignored. Of the following, which demonstrates
appropriate documentation in the patient's chart.
A. The patient was found soiled in bed by this RN. she reports being left alone all night
by the night shift RN, who did not clean her before the change of shift. She was given a
bed bath and provided skin care. Her skin was reddened on her buttocks; emollient
applied.
B. The patient was found soiled in bed by this RN. She was incontinent of urine and
feces and she said she was "ignored for hours" by the night shift RN. She was given a
bed bath and provided skin care. Her skin was reddened on her buttocks; emollient
applied.
C.The patient was found soiled; incontinent of urine and feces. She was given a bed
bath and provided skin care. Her skin was reddened on the buttocks; Emollient applied.
Incident report made.
D. The patient was found soiled; incontinent of urine and feces. She was given a bed
bath and provided skin care. Her skin was reddened on the buttocks; emollient applied.
- ANSWER D. The patient was found soiled; incontinent of urine and feces. She was
given a bed bath and provided skin care. Her skin was reddened on the buttocks;
emollient applied.
**Documentation Must stick to objective descriptions of what happen in any
assessments and interventions performed. Personal biases or information that applies
misconduct should never be documented in the patient's chart
A home health nurse makes weekly visits to an 87-year-old client who lives with her
son. When home alone, the client is talkative and friendly, but when the son is home,
the client is observed to be withdrawn and appears anxious. The client has bruises,
which she states is from "bumping into things" and a weight-loss of 10 pounds in the
past month. With these objective findings, the nurse is required to do which of the
following?
select all that apply.
A. ask the client if she has any concerns about her living situation, maintaining an
objective, non-accusatory role.
B. Confront the son about the abuse, demanding that he turn himself in to seek help for
the abusive pattern of behavior.
C. Question the client's son privately about the suspicions of his mother's condition and
about possible abuse or neglect.
D. Report suspected abuse to adult protective [Show Less]