Quiz 43: Safety

Concepts For Nursing Practice

Nursing
9
Questions
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True/False
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Questions

Q1
Free

A sentinel event refers to an event that

Multiple Choice
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A) could have harmed a patient, but serious harm didnt occur because of chance.
B) harms a patient as a result of underlying disease or condition.
C) harms a patient by omission or commission, not an underlying disease or condition.
D) signals the need for immediate investigation and response.
Answer:
D) signals the need for immediate investigation and response.

Explanation:
A sentinel event is an unexpected occurrence involving death or serious physical or psychologic injury or the risk thereof called sentinel, because they signal the need for immediate investigation and response. A near-miss refers to an error or commission or omission that could have harmed the patient, but serious harm did not occur as a result of chance. Harm that relates to an underlying disease or condition provides the rationale for the close monitoring and supervision provided in a health care setting. An adverse event is one that results in unintended harm because of the commission or omission of an act.
Q2
Free

The nurse is caring for a patient experiencing an allergic reaction to a bee sting who has an order for BenaDRYL. The only medication in the patients medication bin is labeled BenaZEPRIL. The nurse contacts the pharmacy for the correct medication to avoid what type of error?

Multiple Choice
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A) Communication
B) Diagnostic
C) Preventive
D) Treatment
Answer:
D) Treatment

Explanation:
The nurse avoided a treatment error, giving the wrong medication. Benazepril is an ace inhibitor used to treat blood pressure. According to Leape, treatment errors occur in the performance of an operation, procedure, or test; in administering a treatment; in the dose or method of administering a drug; or in avoidable delay in treatment or in responding to an abnormal test. Communication errors refer to those that occur from a failure to communicate. Diagnostic errors are the result of a delay in diagnosis, failure to employ indicated tests, use of outmoded tests, or failure to act on results of monitoring or testing. Preventive errors occur when there is inadequate monitoring or failure to provide prophylactic treatment or follow-up of treatment.
Q3
Free

The strategy to avoid medication errors endorsed by the Institute for Safe Medication Practices (ISMP) to differentiate products with look-alike names is referred to as

Multiple Choice
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A) automatic alerts.
B) bar coding.
C) computer order entry.
D) tallman lettering.
Answer:
D) tallman lettering.

Explanation:
Tallman lettering is a term coined by ISMP to describe the practice of using unique letter characteristics of similar drug names known to have been confused with one another. Tallman lettering is used to differentiate products with look-alike names such as BenaDRYL (antihistamine) and BenaZEPRIL (ace inhibitor). The other options are examples of safety-enhancing technologies strategies designed to minimize drug errors, but they are not directed at look-alike medications. Automatic alerts are computer-generated alarms that can be programmed to occur with such things as allergies and incompatible medications. Bar coding is used with medication administration systems that can be programmed to match patient identification bracelets with documentation. Computer order entry systems are designed to include components of a standard medication order.
Q4

Prior to drug administration the nurse reviews the seven rights, which include right patient, right medication, right time, right dose, right education, right documentation, and right

Multiple Choice
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A) room.
B) route.
C) physician.
D) manufacturer.
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Q5

Essential elements of a standard order set to verify a medication order include

Multiple Choice
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A) volume only.
B) number of tablets.
C) metric dose/strength.
D) hour of administration.
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Q6

To promote safety, the nurse manager sensitive to point of care (sharp end) and systems level (blunt end) exemplars works closely with staff to address the point of care exemplars such as

Multiple Choice
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A) care coordination.
B) documentation.
C) electronic records.
D) fall prevention.
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Q7

Aspects of safety culture that contribute to a culture of safety in a health care organization include

Multiple Choice
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A) communication.
B) fear of punishment.
C) malpractice implications.
D) team nursing.
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Q8

A staff nurse reports a medication error, failure to administer a medication at the scheduled time. An appropriate response of the charge nurse would be

Multiple Choice
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A) Well do a root cause analysis.
B) That means youll have to do continuing education.
C) Why did you let that happen?
D) Youll need to tell the patient and family.
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Q9

To promote a safety culture, the nurse manager preparing the staff schedule considers the anticipated census in planning the number and experience of staff on any given shift. The human factor primarily addressed with this consideration is/are

Multiple Choice
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A) available supplies.
B) interdisciplinary communication.
C) interruptions in work.
D) workload fluctuations.
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