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ISPN考试模拟试题(511)

Question:

The nurse finds a client lying on the floor next to the bed. After returning the client to bed, assessing for injury, and notifying the primary care provider, the nurse fills out an incident report. Which of the following is the nurse’s next action? 

1. Give the incident report to the nurse-manager. 

2. Place the incident report on the chart. 

3. Call the family to inform them. 

4. Omit mentioning the fall in the chart documentation.

 

Answer:1

The incident report should be given to the nurse-manager. The incident report should not be placed on the chart because it is considered a confidential communication and cannot be subpoenaed by a client or used as evidence in lawsuits. It is appropriate, ethical, and legally required that the fall be documented in the chart. Unless there is a change in the client’s condition reflecting an injury from the fall, there is no need to notify the family. If the family does need to be notified, the nurse-manager or the primary care provider should place the call. 

CN: Management of care; CL: Synthesize

翻译

问题:

护士发现一个病人躺在床边的地板上。在将病人送回床上,评估受伤情况,并通知初级护理人员后,护士填写事故报告。以下哪项是护士的下一步行动?

1.将事件报告给护士长。

2.将事故报告放在图表上。

3.打电话通知家属。

4.在图表文件中不提及到跌倒(这件事)。

 

答案:1

事故报告应交给护士长,不应列入图表,因为它被视为一种私密交流,不能被病人传唤或用作诉讼证据。这是适当的,道德的,并且将跌倒记录在图表中是符合法律要求的。除非病人的病情发生变化,反映出跌倒后受伤,否则无需通知家属。如果需要通知家属,护士长或初级护理人员应拨打电话。

CN:护理管理;CL:综合

小编寄语:The fairest is time, the most eccentric is also time, everyone has the same hours, but finally live into a different appearance.最公平的是时间,最偏心的也是时间,每个人都拥有同样的小时,最后却活成了不同的模样。

时间:2021/6/11 10:51:45
 
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