1.The unit is preparing for a special lift that can place an obese client on a bedpan without any lifting from the staff. when the lift apparatus takes a few minutes to set up, the client urgently requests the bedpan. What does the nurse do?
a.Assist the client onto the bedpan without the lift
b.Encourage the client to try to be patient
c.Get the assistance of an aide to help lift the client
d.Encourage the client to wear an incontinence brief
2.A client is found on the floor by the nursing assistant. Once the client is safe, what should the nurse do?
a.Document the event in the client's medical record and have the nursing assistant file an incident report
b.Document in the client's medical record that an incident report was filed
c.File an incident report, but don't document the event in the client's medical record
d.Document the event in the client's medical record
It means document the incident not the incident report. You must document what happened to the patient, just don't document that an incident report has been filed.
1.) OP's question number 1 does not mention any facts regarding the client's disease. The situation just says these points....
-that the client is obese
-that the client wants to urinate
-that a special lift is available to be used.however, its gonna take a few minutes to do it
Do not look for more than what is asked for. There is no indication that the client has UTI nor any other disease that may jeopardize him/her unless he/she urinates immediately. In addition, waiting for a few moments wont cause you UTI that fast. Infection needs some time and more other factors to develop. Moreover, choice B mentioned "encourage the client to be patient"...why? because the personnel are already setting the equipment. the lifter is already there, it does not need to be retrieved from another place. Plus, I think this points out that we need to take into account the doer of the action. If the RN and/or NA lifts the client, will there be injury? maybe. The fact that there was a Lifter present for this client may indicate that lifting manually was discouraged.
2.) Incident Report must NEVER be mentioned in a documentation. Doing so is protecting you and the hospital from liabilities. In addition, IR is also used as risk management tool. You put the event that happened on both IR and medical record but in medical record you must not say a single word about filing the IR.
Eg. "Patient C found lying on the floor by NA J. Patient is alert, coherent, without any sign of external trauma, VS blah blah blah....Incident report is completed by NA J". -RN D
lvnrn2bee
15 Posts
The first one is B
The second one is A.
It means document the incident not the incident report. You must document what happened to the patient, just don't document that an incident report has been filed.