Fundamentals of Nursing Practice Questions 100% SOLUTIONS

Fundamentals of Nursing Practice Questions 100% SOLUTIONS Which medication administration situations should be documented in a healthcare 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 services so investigation into the clients welfare can be performed. - ANSWER C, D All states have statutes requiring mandatory reporting by nurses and other healthcare workers of any suspected abuse of children, disabled, and the elderly. The nurse should probably discuss with the client any concerns about the client safety The nurse is also required by law to report any suspected abuse or neglect because the nurses are mandated reporters. The nurse understands the following about informing and obtaining consent for an eightyear-old patient who is undergoing a heart transplant: Select all that apply. A. Since the child is a minor, he does not need to be informed about the surgery B. The child must be informed about the surgery. C. The child must sign the informed consent form along with their parent D. The child only needs to know the risks of the surgery. E. The parent/guardian must be informed of the risks and benefits of the procedure and sign the informed consent on behalf of the child - ANSWER B, E The child must be informed about the surgery and the parent/guardian must be informed of the risks and benefits of the procedure and sign the informed consent on the half of the child The patient refuses chemotherapy based on religious beliefs. The hospital staff must follow his decision based on which patient right? A. The right to counsel B. The right to informed consent C. The right to refuse treatment